Stakeholder perspectives on a patient-centred intervention (DIALOG+) for adolescents with common mental disorders in Colombia: A qualitative study.
Stakeholder perspectives on a patient-centred intervention (DIALOG+) for adolescents with common mental disorders in Colombia: A qualitative study.
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DOI：
10.1371/journal.pone.0272066
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
患者和利益相关者参与心理健康干预措施的开发是研究过程的核心部分，因为最终用户的意见可以改进以患者为中心的干预措施的设计。在制定旨在改善儿童和青少年心理健康的干预措施时，这一点尤为重要。这一人群中精神健康障碍的患病率日益上升，需要给予特别关注，制定将他们作为积极参与者的干预措施至关重要。我们的目的是探索青少年、家长、教育工作者/青年工作者和临床医生对现有以患者为中心的数字干预(DIALOG+)的吸引力和可用性的观点和意见，该干预旨在提高生活质量。作为旨在适应和测试DIALOG+的更广泛研究的一部分，我们在哥伦比亚的两个城市对成年人和青少年进行了在线焦点小组(Ofgs)。向与会者介绍了现有的对话+干预，然后就利益攸关方的意见和观点进行了有条理的讨论。采用框架办法确定主要主题，然后进行内容分析，以协助适应。我们进行了10次实验，共有45名参与者。所有群体强调的一个积极特征是创新，在传统的医疗访问中加入了数字干预。此外，参与者认为，青少年在使用干预措施时所发挥的积极作用赋予了他们权力。确定的障碍包括临床医生对会诊所需时间的担忧以及对术语的混淆。此外，还提出了与青少年人口特别相关的其他领域。获得的数据表明，总的来说，Dialog+干预和支持应用程序被视为创新和对青少年以及成年利益相关者的吸引力。然而，对实施干预的时间、应用程序界面以及语言和术语提出的担忧需要修改。
Patient and stakeholders’ involvement in the development of mental health interventions is a central part of the research process as end-user’s input can improve the design of patient-centered interventions. This is particularly important when developing interventions directed towards improving the mental health of children and adolescents. The rising prevalence of mental health disorders in this population requires special attention and the development of interventions that include them as active participants is crucial. Our aim is to explore the perspectives and opinions of adolescents, parents, educators/youth workers, and clinicians regarding the appeal and usability of an existing patient-centered digital intervention (DIALOG+), which aims to improve quality of life. As part of a broader study aiming to adapt and test DIALOG+, we conducted Online Focus Groups (OFGs) with adults and adolescents in two cities in Colombia. The existing DIALOG+ intervention was introduced to participants, followed by a structured discussion regarding the opinions and views of stakeholders. A framework approach was used to identify the main themes followed by content analysis to aid adaptation. We conducted 10 OFGs with a total of 45 participants. A positive feature highlighted by all groups was the innovation of including a digital intervention in a traditional medical visit. Additionally, participants considered that the active role that adolescents have when using the intervention empowers them. Barriers identified included concerns from clinicians related to the time required during consultations and confusion with terminology. Furthermore, additional domains that are particularly relevant for the adolescent population were suggested. Data obtained suggest that overall, the DIALOG+ intervention and supporting app are seen as innovative and appealing to adolescents as well as adult stakeholders. However, concerns raised about the availability of time to apply the intervention, the app interface and the language and terminology require modification.
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影响因子：
5
作者：
Edbrooke-Childs, Julian;Edridge, Chloe;Wolpert, Miranda
通讯作者：
Wolpert, Miranda
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DOI：
10.21307/sjcapp-2020-014
发表时间：
2020
影响因子：
1.9
作者：
Bjønness S;Grønnestad T;Storm M
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Storm M
DOI：
10.1016/j.rcp.2016.09.009
发表时间：
2016-12-01
期刊：
Revista Colombiana de Psiquiatría
影响因子：
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作者：
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Medina Rico, Mauricio
影响因子：
17.7
作者：
Kennard, Betsy D.;Goldstein, Tina;Brent, David
通讯作者：
Brent, David
影响因子：
26.1
作者：
Alexander, Stewart C.;Fortenberry, J. Dennis;Shields, Cleveland G.
通讯作者：
Shields, Cleveland G.