A Web-Based Psychoeducational Intervention for Adolescent Depression: Design and Development of MoodHwb.
A Web-Based Psychoeducational Intervention for Adolescent Depression: Design and Development of MoodHwb.
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DOI：
10.2196/mental.8894
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发表时间：
2018-02-15
影响因子：
5.2
通讯作者：
Simpson SA
中科院分区：
文献类型：
--
作者：
Bevan Jones R;Thapar A;Rice F;Beeching H;Cichosz R;Mars B;Smith DJ;Merry S;Stallard P;Jones I;Thapar AK;Simpson SA
抑郁症在青少年中很常见，会给个人、家庭和照顾者带来痛苦和损害。治疗和预防指南强调了信息和基于证据的社会心理干预措施的关键作用，不仅对个人，而且对其家庭和照顾者也是如此。让年轻人参与预防和早期干预计划是一项挑战，青少年抑郁症的早期治疗和预防是一个主要的公共卫生问题。人们对提供关于健康问题的准确信息以及提高和发展自我管理技能的心理教育干预措施越来越感兴趣。然而，对于患有抑郁症或有抑郁症高风险的青少年来说，目前缺乏引人入胜的基于网络的心理教育项目，这些项目是根据用户的意见开发的，符合研究指南，针对个人及其家庭或照顾者。关于基于网络的心理教育干预发展过程的研究也很少。本研究的目的是描述MoodHwb（威尔士语HwbHwyliau）的设计和开发过程：这是一个基于网络的心理教育多媒体程序，面向患有抑郁症或处于抑郁症高风险的年轻人及其家人、护理人员、朋友和专业人士。最初的原型是由(1)对青少年抑郁症的心理教育干预的系统回顾；(2)对青少年（有抑郁症状或高风险）、父母或照顾者以及与年轻人打交道的专业人员进行的半结构化访谈和焦点小组的调查结果；(3)与多媒体公司和专家（在临床、研究和多媒体工作方面）进行研讨会和讨论。共完成了12次访谈（与年轻人、父母或照顾者和专业人士各4次）和6个焦点小组（3个与年轻人、1个与父母和照顾者、1个与专业人士和1个与学者）。访谈和焦点小组的主要主题是：项目的目标、设计和内容问题、项目的整合和背景。原型被设计成以人为本、多平台、吸引人、互动和双语。它包括情绪监测和目标设定组件，可作为基于网络的程序和移动技术应用程序使用。MoodHwb是一个基于网络的心理教育干预，为患有抑郁症或处于抑郁症高风险的年轻人及其家人和照顾者开发。它是利用定性方法、以用户为中心的设计以及教育和心理学理论，在用户输入的基础上开发的。需要进一步的研究来评估该计划在随机对照试验中的有效性。如果发现有效，可以在卫生、教育、青年和社会服务以及慈善机构中实施，不仅帮助年轻人，而且还帮助参与照顾他们的家庭、照顾者、朋友和专业人员。
Depression is common in adolescence and leads to distress and impairment in individuals, families and carers. Treatment and prevention guidelines highlight the key role of information and evidence-based psychosocial interventions not only for individuals but also for their families and carers. Engaging young people in prevention and early intervention programs is a challenge, and early treatment and prevention of adolescent depression is a major public health concern. There has been growing interest in psychoeducational interventions to provide accurate information about health issues and to enhance and develop self-management skills. However, for adolescents with, or at high risk of depression, there is a lack of engaging Web-based psychoeducation programs that have been developed with user input and in line with research guidelines and targeted at both the individual and their family or carer. There are also few studies published on the process of development of Web-based psychoeducational interventions. The aim of this study was to describe the process underlying the design and development of MoodHwb (HwbHwyliau in Welsh): a Web-based psychoeducation multimedia program for young people with, or at high risk of, depression and their families, carers, friends, and professionals. The initial prototype was informed by (1) a systematic review of psychoeducational interventions for adolescent depression; (2) findings from semistructured interviews and focus groups conducted with adolescents (with depressive symptoms or at high risk), parents or carers, and professionals working with young people; and (3) workshops and discussions with a multimedia company and experts (in clinical, research, and multimedia work). Twelve interviews were completed (four each with young people, parents or carers, and professionals) and six focus groups (three with young people, one with parents and carers, one with professionals, and one with academics). Key themes from the interviews and focus groups were: aims of the program, design and content issues, and integration and context of the program. The prototype was designed to be person-centered, multiplatform, engaging, interactive, and bilingual. It included mood-monitoring and goal-setting components and was available as a Web-based program and an app for mobile technologies. MoodHwb is a Web-based psychoeducational intervention developed for young people with, or at high risk of, depression and their families and carers. It was developed with user input using qualitative methods as well as user-centered design and educational and psychological theory. Further research is needed to evaluate the effectiveness of the program in a randomized controlled trial. If found to be effective, it could be implemented in health, education, youth and social services, and charities, to not only help young people but also families, carers, friends, and professionals involved in their care.