Gorban Carla, Chong Min K, Poulsen Adam, Turner Ashlee, LaMonica Haley M, McKenna Sarah, Scott Elizabeth M, Hickie Ian B, Iorfino Frank
Brain and Mind Centre, University of Sydney, 94 Mallett Street, Camperdown, 2050, Australia, 61 9351 0584.
JMIR Ment Health. 2025 Jun 23;12:e70154. doi: 10.2196/70154.
The uptake of digital mental health tools (DMHTs) in mental health services is suboptimal, limiting key avenues to facilitate personalized and measurement-based care. This misses critical opportunities for enhanced patient-clinician communication, improved assessment, and early intervention.
This paper aims to understand young people's experiences and perceptions of engaging with a DMHT to support their care in a real-world setting over time.
This study is part of a larger randomized controlled trial, where an added human support, the digital navigator (DN), provided technological and engagement assistance for young people to use a DMHT as part of usual care. The DN conducted 118 semistructured interviews with 73 young people (mean age 22.7, SD 2.7 y) at baseline and 3-, 6-, and 12-month follow-up visits.
We found that the majority of young people were enthusiastic about incorporating a DMHT into their care when they understood its potential to facilitate shared decision-making and enhance self-awareness of their mental health. Notably, the DN's support was effective in fostering this understanding at the initial stages of implementation. However, it was evident that the lack of clinician buy-in for using the DMHT posed a risk of disillusionment to young people's sustained engagement with the tool. Young people perceived that clinician uptake of the tool was poor, limiting its perceived value addition and sustainability.
Young people want to use DMHTs in their care and DNs can effectively facilitate implementation through ongoing engagement and technical support. However, successful implementation of DMHTs also depends on broader systemic factors, particularly on clinician and service engagement. Future research should examine how to address these contextual barriers and optimize DN support for implementation and sustained engagement of DMHTs.
数字心理健康工具（DMHTs）在心理健康服务中的应用并不理想，限制了促进个性化和基于测量的护理的关键途径。这错失了加强患者与临床医生沟通、改善评估和早期干预的重要机会。
本文旨在了解年轻人在现实环境中随着时间推移使用DMHTs来支持其护理的经历和看法。
本研究是一项更大规模随机对照试验的一部分，其中增加了人力支持，即数字导航员（DN），为年轻人使用DMHTs提供技术和参与方面的协助，作为常规护理的一部分。DN在基线以及3个月、6个月和12个月的随访时对73名年轻人（平均年龄22.7岁，标准差2.7岁）进行了118次半结构化访谈。
我们发现，当大多数年轻人了解到DMHTs有助于促进共同决策并增强其心理健康自我意识的潜力时，他们热衷于将其纳入自己的护理中。值得注意的是，在实施的初始阶段，DN的支持有效地促进了这种理解。然而，很明显，临床医生对使用DMHTs缺乏认可，这有可能使年轻人对该工具的持续使用感到失望。年轻人认为临床医生对该工具的采用情况不佳，限制了其感知到的附加价值和可持续性。
年轻人希望在其护理中使用DMHTs，并且DN可以通过持续参与和技术支持有效地促进实施。然而，DMHTs的成功实施还取决于更广泛的系统因素，特别是临床医生和服务机构的参与。未来的研究应探讨如何克服这些背景障碍，并优化DN对DMHTs实施和持续使用的支持。
Zotero 插件