Developing an internet-based support system for adolescents with depression.
Developing an internet-based support system for adolescents with depression.
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DOI：
10.2196/resprot.2263
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发表时间：
2012-12-12
影响因子：
1.7
通讯作者：
Anttila M
中科院分区：
文献类型：
--
作者：
Välimäki M;Kurki M;Hätönen H;Koivunen M;Selander M;Saarijärvi S;Anttila M
抑郁症是青少年中最常见的心理健康问题。尽管有政策指导和政府支持开发可用的心理健康服务，但仍然缺乏以芬兰主要官方语言为青少年提供的易于获取和现代的干预措施。我们的目标是为患有抑郁症的青少年开发一个用户友好且可行的基于互联网的支持系统。开发了针对青少年抑郁症的互联网支持系统。为了创建这种新的干预措施，研究了现有干预措施的一些例子，描述了干预措施的理论基础，并确定了青少年的健康需求。作为该过程的结果，结果被合并，并且新干预的内容和实施将在此处描述。导师在 6 周的时间里提供了六次每周一次的基于互联网的支持课程，并形成了名为 Depis.Net 的干预措施。这是一个针对患有抑郁症的青少年的基于互联网的支持系统，旨在提高自我管理技能并提高对自身福祉和心理健康的认识。该干预措施可通过电子平台进行，该平台对用户来说是安全的并受密码保护。 Depis.Net 网站上的干预措施包括确定青少年需求、提供自我监控、获取健康信息和自我反思书面练习等要素。一位受过教育的护士导师通过电子平台向每个青少年提供书面反馈。采用分四个步骤的系统方法开发了一个针对抑郁症青少年的基于互联网的支持系统。这样做是为了确保干预具有良好的理论背景，同时灵活地解决青少年在日常生活中普遍面临的问题。下一阶段将通过随机对照试验评估其对青少年门诊的潜力。
Depression is the most common mental health problem among adolescents. Despite policy guidance and governmental support to develop usable mental health services, there is still a lack of easily accessible and modern interventions available for adolescents in Finland’s majority official language. Our objective was to develop a user-friendly and feasible Internet-based support system for adolescents with depression. The Internet-based support system for adolescents with depression was developed. To create this new intervention, some examples of existing interventions were studied, the theoretical basis for the intervention was described, and the health needs of adolescents identified. As an outcome of the process, the results were combined and the content and delivery of a new intervention will be described here. Six individual weekly Internet-based support sessions were delivered by a tutor over a 6-week period of time and developed to form an intervention called Depis.Net. This was an Internet-based support system for adolescents with depression tailored to improve self-management skills and increase awareness of their own well-being and mental health. The intervention was accessible via an electronic platform, which was secured and password protected for users. The intervention on the Depis.Net website consisted of elements identifying adolescents’ needs, and offering self-monitoring, access to health information and self-reflective written exercises. An educated nurse tutor gave written feedback to each adolescent via the electronic platform. An Internet-based support system for adolescents with depression was developed using a systematic approach with four steps. This was done to ensure that the intervention had a sound theoretical background and at the same time caters flexibly for the problems that adolescents commonly face in their daily lives. Its potential for adolescents visiting outpatient clinics will be evaluated in the next phase by means of a randomized controlled trial.