Zhang Zheyuan, Sun Sijin, Moradbakhti Laura, Hall Andrew, Mougenot Celine, Chen Juan, Calvo Rafael A
Dyson School of Design Engineering, Imperial College London, 25 Exhibition Road, London, SW7 2AZ, United Kingdom, 44 07568400428.
CW+, Chelsea and Westminster Hospital, London, United Kingdom.
JMIR Ment Health. 2025 Apr 4;12:e67190. doi: 10.2196/67190.
Mental health issues like occupational stress and burnout, compounded with the after-effects of COVID-19, have affected health care professionals (HCPs) around the world. Digital mental health interventions (DMHIs) can be accessible and effective in supporting well-being among HCPs. However, low engagement rates of DMHIs are frequently reported, limiting the potential effectiveness. More evidence is needed to reveal the factors that impact HCPs' decision to adopt and engage with DMHIs.
This study aims to explore HCPs' motivation to engage with DMHIs and identify key factors affecting their engagement. Amongst these, we include cultural factors impacting DMHI perception and engagement among HCPs.
We used a mixed method approach, with a cross-sectional survey (n=438) and semistructured interviews (n=25) with HCPs from the United Kingdom and China. Participants were recruited from one major public hospital in each country.
Our results demonstrated a generally low engagement rate with DMHIs among HCPs from the 2 countries. Several key factors that affect DMHI engagement were identified, including belonging to underrepresented cultural and ethnic groups, limited mental health knowledge, low perceived need, lack of time, needs for relevance and personal-based support, and cultural elements like self-stigma. The results support recommendations for DMHIs for HCPs.
Although DMHIs can be an ideal alternative mental health support for HCPs, engagement rates among HCPs in China and the United Kingdom are still low due to multiple factors and barriers. More research is needed to develop and evaluate tailored DMHIs with unique designs and content that HCPs can engage from various cultural backgrounds.
职业压力和倦怠等心理健康问题，再加上新冠疫情的后遗症，已经影响到了全球的医护人员。数字心理健康干预措施在支持医护人员的幸福感方面既容易获得又有效。然而，数字心理健康干预措施的参与率经常被报道较低，这限制了其潜在效果。需要更多证据来揭示影响医护人员采用和参与数字心理健康干预措施的因素。
本研究旨在探讨医护人员参与数字心理健康干预措施的动机，并确定影响他们参与的关键因素。其中，我们纳入了影响医护人员对数字心理健康干预措施的认知和参与的文化因素。
我们采用了混合方法，对来自英国和中国的医护人员进行了横断面调查（n = 438）和半结构化访谈（n = 25）。参与者是从每个国家的一家大型公立医院招募的。
我们的结果表明，来自这两个国家的医护人员对数字心理健康干预措施的参与率普遍较低。确定了几个影响数字心理健康干预措施参与度的关键因素，包括属于代表性不足的文化和族裔群体、心理健康知识有限、感知需求低、缺乏时间、对相关性和基于个人的支持的需求，以及自我污名等文化因素。研究结果支持了针对医护人员数字心理健康干预措施的建议。
尽管数字心理健康干预措施可能是医护人员理想的心理健康支持替代方案，但由于多种因素和障碍，中国和英国医护人员的参与率仍然较低。需要更多研究来开发和评估具有独特设计和内容的量身定制的数字心理健康干预措施，以便来自不同文化背景的医护人员能够参与其中。
