Recommendations for design of a mobile application to support management of anxiety and depression among Black American women.
Recommendations for design of a mobile application to support management of anxiety and depression among Black American women.
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DOI：
10.3389/fdgth.2022.1028408
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发表时间：
2022
影响因子：
--
通讯作者：
Bolton III, Clinton S.
中科院分区：
文献类型：
--
作者：
McCall, Terika;Threats, Megan;Pillai, Malvika;Lakdawala, Adnan;Bolton III, Clinton S.
美国黑人女性因焦虑和抑郁而经历不利的健康后果。他们在获得文化上适当的精神卫生保健方面面临系统性障碍，导致精神卫生服务和资源得不到充分利用。移动技术可以被用来增加获得与文化相关的资源的机会，然而，黑人女性认为在应用程序中有用的特定需求和偏好很少反映在现有的数字健康工具中，以支持焦虑和抑郁的管理。这项研究旨在评估在设计一款支持黑人女性焦虑和抑郁管理的移动应用程序时，应该包括哪些类型的内容、功能和重要考虑因素。研究对象为20名女性(平均年龄36.6岁，SD 17.8岁)，每组5人。焦点小组由主持人领导，主持人在场，使用访谈指南讨论主题，如参与者对心理健康和精神健康服务使用的态度和看法，以及设计支持焦虑和抑郁管理的移动应用程序的内容、功能和关注事项。采用描述性定性内容分析方法。建议的内容要么是信息性的(例如，寻找黑人妇女治疗师的信息)，要么是鼓舞人心的(例如，关于克服逆境的鼓舞人心的故事)。建议的功能允许用户监控他们的进度，练习健康的应对技巧，并与其他人联系。会议强调了感受“社区意识”的重要性。建议公开谁创建和拥有这款应用，以及用户数据将如何使用和保护，以建立信任。这项研究的发现与之前的文献一致，这些文献强调了心理健康应用程序需要教育、心理治疗和个人发展部分。由于新冠肺炎的流行，数字心理健康领域出现了指数级的增长；然而，一刀切的方法可能会带来更多的选择，但在接受心理健康护理方面仍然存在差距。为黑人女性和黑人女性设计一款心理健康应用程序，通过提供一种工具来满足她们的特定需求和偏好，并增加参与度，可能有助于促进数字健康公平。
Black American women experience adverse health outcomes due to anxiety and depression. They face systemic barriers to accessing culturally appropriate mental health care leading to the underutilization of mental health services and resources. Mobile technology can be leveraged to increase access to culturally relevant resources, however, the specific needs and preferences that Black women feel are useful in an app to support management of anxiety and depression are rarely reflected in existing digital health tools. This study aims to assess what types of content, features, and important considerations should be included in the design of a mobile app tailored to support management of anxiety and depression among Black women. Focus groups were conducted with 20 women (mean age 36.6 years, SD 17.8 years), with 5 participants per group. Focus groups were led by a moderator, with notetaker present, using an interview guide to discuss topics, such as participants' attitudes and perceptions towards mental health and use of mental health services, and content, features, and concerns for design of a mobile app to support management of anxiety and depression. Descriptive qualitative content analysis was conducted. Recommendations for content were either informational (e.g., information to find a Black woman therapist) or inspirational (e.g., encouraging stories about overcoming adversity). Suggested features allow users to monitor their progress, practice healthy coping techniques, and connect with others. The importance of feeling “a sense of community” was emphasized. Transparency about who created and owns the app, and how users' data will be used and protected was recommended to establish trust. The findings from this study were consistent with previous literature which highlighted the need for educational, psychotherapy, and personal development components for mental health apps. There has been exponential growth in the digital mental health space due to the COVID-19 pandemic; however, a one-size-fits-all approach may lead to more options but continued disparity in receiving mental health care. Designing a mental health app for and with Black women may help to advance digital health equity by providing a tool that addresses their specific needs and preferences, and increase engagement.
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影响因子：
3.1
作者：
Harris, Latesha K.;Berry, Diane C.;Cortes, Yamnia I.
通讯作者：
Cortes, Yamnia I.
影响因子：
7.4
作者：
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作者：
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DOI：
10.1080/09540121.2018.1510106
发表时间：
2018-08-23
影响因子：
1.7
作者：
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通讯作者：
Muessig, Kathryn E.
影响因子：
73.3
作者：
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通讯作者：
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