Impact of Mental Health Screening on Promoting Immediate Online Help-Seeking: Randomized Trial Comparing Normative Versus Humor-Driven Feedback
Impact of Mental Health Screening on Promoting Immediate Online Help-Seeking: Randomized Trial Comparing Normative Versus Humor-Driven Feedback
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DOI：
10.2196/mental.9480
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发表时间：
2018-04-01
影响因子：
5.2
通讯作者：
Glozier, Nick
中科院分区：
文献类型：
--
作者：
Choi, Isabella;Milne, David N.;Glozier, Nick
背景：鉴于心理健康筛查应用程序的广泛可用性，提供个性化的反馈可能会鼓励高危人群寻求帮助来控制他们的症状。虽然应用程序通常只提供个人得分反馈，但用户友好的反馈类型和增加个人相关性可能会鼓励进一步寻求帮助。目的：本研究的目的是比较提供规范反馈和幽默驱动反馈对即时在线求助（定义为点击外部资源链接）的影响，并探索鼓励寻求帮助的人口统计学预测因素。方法：利用社交媒体广告在线招募549名成年人。参与者下载了一款名为“Mindgauge”的智能手机应用程序，该应用程序允许他们通过完成标准化的症状（凯斯勒6项量表）、幸福感（世界卫生组织[5]幸福感指数）和弹性（简短弹性量表）来筛选自己的心理健康状况。参与者被随机分配接受标准反馈，将他们的分数与参考组的分数进行比较，或者以轻松的方式提供幽默驱动的反馈。那些在任何方面得分都在中等或较差范围内的人被鼓励通过点击外部在线资源的链接来寻求帮助。结果：共有318名参与者在一项或多项测量中得分较低，并在随机接受规范或幽默驱动的反馈后提供外部链接。在所有测量中，点击外部链接的反馈类型没有显著差异。幸福感测量的参与者（170/274,62.0%）点击链接的比例高于弹性（47/179,26.3%）或症状（26/75,34.7%）测量(chi(2)=60.35， P
Background: Given the widespread availability of mental health screening apps, providing personalized feedback may encourage people at high risk to seek help to manage their symptoms. While apps typically provide personal score feedback only, feedback types that are user-friendly and increase personal relevance may encourage further help-seeking.Objective: The aim of this study was to compare the effects of providing normative and humor-driven feedback on immediate online help-seeking, defined as clicking on a link to an external resource, and to explore demographic predictors that encourage help-seeking.Methods: An online sample of 549 adults were recruited using social media advertisements. Participants downloaded a smartphone app known as "Mindgauge" which allowed them to screen their mental wellbeing by completing standardized measures on Symptoms (Kessler 6-item Scale), Wellbeing (World Health Organization [Five] Wellbeing Index), and Resilience (Brief Resilience Scale). Participants were randomized to receive normative feedback that compared their scores to a reference group or humor-driven feedback that presented their scores in a relaxed manner. Those who scored in the moderate or poor ranges in any measure were encouraged to seek help by clicking on a link to an external online resource.Results: A total of 318 participants scored poorly on one or more measures and were provided with an external link after being randomized to receive normative or humor-driven feedback. There was no significant difference of feedback type on clicking on the external link across all measures. A larger proportion of participants from the Wellbeing measure (170/274, 62.0%) clicked on the links than the Resilience (47/179, 26.3%) or Symptoms (26/75, 34.7%) measures (chi(2)=60.35, P