Understanding the acceptability of e-mental health - attitudes and expectations towards computerised self-help treatments for mental health problems
Understanding the acceptability of e-mental health - attitudes and expectations towards computerised self-help treatments for mental health problems
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DOI：
10.1186/1471-244x-14-109
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发表时间：
2014-04-11
期刊：
影响因子：
4.4
通讯作者：
Tarrier, Nicholas
中科院分区：
文献类型：
--
作者：
Musiat, Peter;Goldstone, Philip;Tarrier, Nicholas
背景：电子精神卫生和移动精神卫生包括使用技术预防、治疗和护理精神卫生问题。随着心理健康服务的经济压力越来越大，电子心理健康和移动心理健康可以弥合治疗差距，减少患者的等待时间，并以较低的成本提供干预措施。然而，尽管存在许多有效的干预措施，计算机化干预措施向护理的过渡仍然缓慢。本研究的目的是调查的可接受性的电子-心理健康和m-心理健康在一般population.Methods：一个咨询小组的服务用户确定的尺寸，可能会影响个人的决定，从事一个特定的治疗心理健康问题。通过电子邮件，传单和社交媒体招募的大样本（N = 490）被要求对这些领域的心理健康问题的不同治疗方案的可接受性进行评级。结果进行了分析，使用重复测量MANOVA.Results：参与者认为有益的干预，能够激励用户，干预的可信度，并立即访问没有等待时间的最重要的方面从事治疗心理健康问题。参与者期望面对面的治疗，以满足他们的需求，在大多数这些方面。据报道，用于心理健康的计算机化治疗和智能手机应用程序在大多数领域都没有达到参与者的期望。然而，这些干预措施在与访问便利性相关的领域的得分高于面对面治疗。总体而言，参与者报告了一个非常低的可能性，使用计算机化的治疗心理health.Conclusions：在这项研究中的个人表示消极的看法，计算机化的自助干预和低的可能性，在未来的使用。为了改进实施和吸收，决策者需要改善公众对这种干预措施的看法。
Background: E-mental health and m-mental health include the use of technology in the prevention, treatment and aftercare of mental health problems. With the economical pressure on mental health services increasing, e-mental health and m-mental health could bridge treatment gaps, reduce waiting times for patients and deliver interventions at lower costs. However, despite the existence of numerous effective interventions, the transition of computerised interventions into care is slow. The aim of the present study was to investigate the acceptability of e-mental health and m-mental health in the general population.Methods: An advisory group of service users identified dimensions that potentially influence an individual's decision to engage with a particular treatment for mental health problems. A large sample (N = 490) recruited through email, flyers and social media was asked to rate the acceptability of different treatment options for mental health problems on these domains. Results were analysed using repeated measures MANOVA.Results: Participants rated the perceived helpfulness of an intervention, the ability to motivate users, intervention credibility, and immediate access without waiting time as most important dimensions with regard to engaging with a treatment for mental health problems. Participants expected face-to-face therapy to meet their needs on most of these dimensions. Computerised treatments and smartphone applications for mental health were reported to not meet participants' expectations on most domains. However, these interventions scored higher than face-to-face treatments on domains associated with the convenience of access. Overall, participants reported a very low likelihood of using computerised treatments for mental health in the future.Conclusions: Individuals in this study expressed negative views about computerised self-help intervention and low likelihood of use in the future. To improve the implementation and uptake, policy makers need to improve the public perception of such interventions.