Development of a Web-Based Acceptance and Commitment Therapy Intervention to Support Lifestyle Behavior Change and Well-Being in Health Care Staff: Participatory Design Study.

Development of a Web-Based Acceptance and Commitment Therapy Intervention to Support Lifestyle Behavior Change and Well-Being in Health Care Staff: Participatory Design Study.
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DOI:
10.2196/22507
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发表时间:
2020-11-30
影响因子:
2.2
通讯作者:
John A
John A
中科院分区:
其他
文献类型:
--
作者:
Brown M;Hooper N;Eslambolchilar P;John A

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积极的情绪健康与更健康的生活方式选择和整体健康功能有关,而心理健康状况不佳则与重大的经济和心理成本有关。因此,制定改善情绪健康的有效干预措施对于解决全球疾病负担至关重要。本研究旨在开发一种基于网络的情感健康干预,供医疗保健人员使用,采用参与式设计,从用户的角度考虑依从性和参与度。遵循3阶段迭代参与式设计过程,包括多个利益相关者:研究人员,计算机科学家,心理健康专家和医疗保健人员。第一阶段使用文档分析、直接观察和欢迎访谈;第二阶段使用焦点小组讨论、快速原型设计和可用性任务;第三阶段评估高保真原型。不同的医疗保健人员(N=38)参加了一个持续的时间。一个结构化的,连续的,自动化的,12周的,基于网络的情绪健康干预的基础上接受和承诺治疗。自由导航的心理教育资源也包括在内。迭代和协作的参与式设计过程成功地实现了其目标。它使人们深入了解工作场所内的福祉,并查明了获得福利的障碍。这一分三个阶段的过程确保参与者有机会随着时间的推移探索和阐明与其角色相关的标准,并反思每个阶段做出的决定。
Positive emotional well-being is associated with healthier lifestyle choices and overall health function, whereas poor mental health is associated with significant economic and psychological costs. Thus, the development of effective interventions that improve emotional well-being is crucial to address the worldwide burden of disease. This study aims to develop a web-based emotional well-being intervention for use by health care staff using participatory design to consider adherence and engagement from a user perspective. A 3-staged iterative participatory design process was followed, including multiple stakeholders: researchers, computer scientists, mental health experts, and health care staff. Stage 1 used document analyses, direct observation, and welcome interviews; stage 2 used focus group discussions, rapid prototyping, and usability tasks; and stage 3 evaluated a high-fidelity prototype. Different health care staff (N=38) participated during a sustained period. A structured, sequential, automated, 12-week, web-based emotional well-being intervention based on acceptance and commitment therapy was developed. Freely navigated psychoeducational resources were also included. The iterative and collaborative participatory design process successfully met its objectives. It generated an in-depth understanding of well-being within the workplace and identified barriers to access. The 3-staged process ensured that participants had the opportunity to explore and articulate criteria relevant to their roles over time and reflect on decisions made at each stage.
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