Integration of Digital Tools Into Community Mental Health Care Settings That Serve Young People: Focus Group Study.
Integration of Digital Tools Into Community Mental Health Care Settings That Serve Young People: Focus Group Study.
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将数字工具集成到为年轻人服务的社区心理保健环境中：焦点小组学习。
DOI：
10.2196/27379
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发表时间：
2021-08-19
影响因子：
5.2
通讯作者：
Lattie EG
中科院分区：
文献类型：
--
作者：
Knapp AA;Cohen K;Nicholas J;Mohr DC;Carlo AD;Skerl JJ;Lattie EG
数字化心理健康工具具有很大的潜力，可以很容易地融入人们的生活，并从根本上影响公共卫生。这些工具可以扩大心理健康干预措施的覆盖面，并最大限度地发挥其影响。在新的环境中实施数字化工具之前，了解什么对实施和使用这些工具的组织和个人来说是重要的，这一点至关重要。鉴于年轻人非常熟悉技术，而且许多心理健康问题出现在童年和青春期，因此了解如何将数字化工具融入为年轻人服务的环境尤为重要。本研究旨在了解社区行为卫生服务提供者将数字化工具纳入儿童和青少年临床护理的考虑因素和观点。数据进行了分析，从5个焦点小组与临床医生（n=37）谁与年轻人在美国的一个大型社区服务组织的工作。该组织每年为27 000多人提供护理，其中大多数人社会经济地位低下。这些记录使用主题分析进行编码。临床医生首先提供了他们目前在与年轻人的治疗过程中使用的数字化工具的见解，例如基于网络的视频和情绪跟踪应用程序。他们解释说，他们使用这些工具的主要目标是帮助年轻人培养技能，促进学习和监测症状。表达了受益，例如青少年参与治疗，沿着潜在的挑战（例如，可访问性和有限的内容）和发展考虑（例如，数字设备作为惩罚被拿走）。临床医生讨论了他们对集中式数字平台的需求，该平台可以安全地连接临床医生，年轻人和护理人员。最后，他们提出了将数字化工具整合到精神卫生保健中的几个考虑因素，例如与客户建立期望以及人类支持的重要性。年轻人对复杂的无障碍模式和技术期望有着独特的考虑，而成年人是心理健康技术的预期用户时，可能无法观察到这些考虑。因此，这些研究结果提供了重要的见解，为未来工具的开发提供信息，特别是关于连接性，有条件的限制（例如，作为惩罚和学校限制的设备），不同世代用户的期望，以及数字化工具可以支持年轻人的混合性质。
Digital mental health tools have substantial potential to be easily integrated into people’s lives and fundamentally impact public health. Such tools can extend the reach and maximize the impact of mental health interventions. Before implementing digital tools in new settings, it is critical to understand what is important to organizations and individuals who will implement and use these tools. Given that young people are highly familiar with technology and many mental health concerns emerge in childhood and adolescence, it is especially crucial to understand how digital tools can be integrated into settings that serve young people. This study aims to learn about considerations and perspectives of community behavioral health care providers on incorporating digital tools into their clinical care for children and adolescents. Data were analyzed from 5 focus groups conducted with clinicians (n=37) who work with young people at a large community service organization in the United States. This organization provides care to more than 27,000 people annually, most of whom are of low socioeconomic status. The transcripts were coded using thematic analysis. Clinicians first provided insight into the digital tools they were currently using in their treatment sessions with young people, such as web-based videos and mood-tracking apps. They explained that their main goals in using these tools were to help young people build skills, facilitate learning, and monitor symptoms. Benefits were expressed, such as engagement of adolescents in treatment, along with potential challenges (eg, accessibility and limited content) and developmental considerations (eg, digital devices getting taken away as punishment). Clinicians discussed their desire for a centralized digital platform that securely connects the clinician, young person, and caregivers. Finally, they offered several considerations for integrating digital tools into mental health care, such as setting up expectations with clients and the importance of human support. Young people have unique considerations related to complex accessibility patterns and technology expectations that may not be observed when adults are the intended users of mental health technologies. Therefore, these findings provide critical insights to inform the development of future tools, specifically regarding connectivity, conditional restraints (eg, devices taken away as punishment and school restrictions), expectations of users from different generations, and the blended nature in which digital tools can support young people.
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影响因子：
7.4
作者：
Baumel, Amit;Muench, Frederick;Kane, John M.
通讯作者：
Kane, John M.
影响因子：
3.6
作者：
Dopp, Alex R.;Parisi, Kathryn E.;Lyon, Aaron R.
通讯作者：
Lyon, Aaron R.
利用以人为本的设计实施现代心理科学：早期投资的回报。
DOI：
10.1037/amp0000652
发表时间：
2020-11
期刊：
The American psychologist
影响因子：
--
作者：
Lyon AR;Brewer SK;Areán PA
通讯作者：
Areán PA
影响因子：
--
作者：
Kessler, Ronald C.;Avenevoli, Shelli;Costello, E. Jane;Georgiades, Katholiki;Green, Jennifer Greif;Gruber, Michael J.;He, Jian-ping;Koretz, Doreen;McLaughlin, Katie A.;Petukhova, Maria;Sampson, Nancy A.;Zaslavsky, Alan M.;Merikangas, Kathleen Ries
通讯作者：
Merikangas, Kathleen Ries
影响因子：
5.2
作者：
Grist, Rebecca;Porter, Joanna;Stallard, Paul
通讯作者：
Stallard, Paul