The Perceived Benefits of Digital Interventions for Behavioral Health: Qualitative Interview Study.
The Perceived Benefits of Digital Interventions for Behavioral Health: Qualitative Interview Study.
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数字干预对行为健康的感知益处：定性访谈研究。
DOI：
10.2196/34300
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发表时间：
2022-03-30
影响因子：
7.4
通讯作者：
Buis, Lorraine R.
中科院分区：
文献类型：
--
作者：
Marcu, Gabriela;Ondersma, Steven J.;Spiller, Allison N.;Broderick, Brianna M.;Kadri, Reema;Buis, Lorraine R.
关键词：
数字干预在行为健康方面获得了动力。然而，由于缺乏创建数字行为干预措施的标准方法或工具，临床研究人员对于如何最好地进行数字干预开发遵循着截然不同的概念。研究人员在数字干预开发中还面临着重大的成本、时间和专业知识相关的挑战。改善研究人员的工具和指导的可用性将需要彻底了解寻求创建数字干预措施的研究人员的动机和需求。本研究旨在了解行为研究人员对数字干预的看法，并通过记录研究人员越来越多地将精力集中在数字干预上的原因以及他们对数字方法可以为研究人员和干预接受者提供的感知益处的看法来告知这些干预措施的使用。我们对18名研究人员进行了半结构化的定性访谈，他们有设计数字行为干预措施或与他们一起进行研究的经验。从计算机干预创作系统平台的用户中招募了一个方便的受访者样本，该平台是一种基于网络的工具，可以促进在行为研究中创建和部署数字干预的过程。访谈于二零二零年二月至四月期间透过电话会议进行。采访录音由多名编码员转录并进行主题分析。访谈完成了18个人，持续24至65（平均46.9，SD 11.3）分钟。受访者主要是女性（17/18，94%），代表不同的工作角色，从研究人员到项目或研究人员。关于数字干预对行为健康的好处的采访中出现了四个主要主题：干预者和接受者的便利性和灵活性，支持忠实地实施循证干预，扩大和改善干预措施的可及性，以及尽管存在耻辱和剥夺权利的情况，但还是迈出了一步。受访者描述了数字干预措施的一些重要潜在好处，特别是在科学严谨性、可扩展性和克服障碍以覆盖更多人方面。关于将行为改变策略转化为数字形式的交付，有复杂的考虑，干预者做出个人的，有时是意想不到的选择，其相对有效性的证据很少。未来的研究应该调查如何支持行为研究人员对数字干预的可用性，易用性和可接近性做出这些选择。我们的研究强调了创作平台的必要性，这些平台可以促进创建和部署数字干预措施的过程，以充分发挥干预者和接受者的潜力。
Digital interventions have gained momentum in terms of behavioral health. However, owing to lacking standard approaches or tools for creating digital behavioral interventions, clinical researchers follow widely varying conceptions of how best to go about digital intervention development. Researchers also face significant cost-, time-, and expertise-related challenges in digital intervention development. Improving the availability of tools and guidance for researchers will require a thorough understanding of the motivations and needs of researchers seeking to create digital interventions. This study aims to understand the perceptions of behavioral researchers toward digital interventions, and inform the use of these interventions, by documenting the reasons why researchers are increasingly focusing their efforts on digital interventions and their perspectives on the perceived benefits that digital approaches can provide for researchers and intervention recipients. We conducted semistructured qualitative interviews with 18 researchers who had experience designing digital behavioral interventions or running studies with them. A convenience sample of interviewees was recruited from among users of the Computerized Intervention Authoring System platform, a web-based tool that facilitates the process of creating and deploying digital interventions in behavioral research. Interviews were conducted over teleconference between February and April 2020. Recordings from the interviews were transcribed and thematically analyzed by multiple coders. Interviews were completed with 18 individuals and lasted between 24 and 65 (mean 46.9, SD 11.3) minutes. Interviewees were predominantly female (17/18, 94%) and represented different job roles, ranging from researcher to project or study staff. Four major themes came out of the interviews concerning the benefits of digital interventions for behavioral health: convenience and flexibility for interventionists and recipients, support for implementing evidence-based interventions with fidelity, scaling and improving access to interventions, and getting a foot in the door despite stigma and disenfranchisement. Interviewees described a number of important potential benefits of digital interventions, particularly with respect to scientific rigor, scalability, and overcoming barriers to reaching more people. There are complex considerations with regard to translating behavior change strategies into digital forms of delivery, and interventionists make individual, sometimes unexpected, choices with minimal evidence of their relative effectiveness. Future research should investigate how behavioral researchers can be supported in making these choices toward usability, ease of access, and approachability of digital interventions. Our study underscores the need for authoring platforms that can facilitate the process of creating and deploying digital interventions to reach their full potential for interventionists and recipients alike.
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DOI：
10.1111/ajad.12559
发表时间：
2017-09
期刊：
The American journal on addictions
影响因子：
--
作者：
Brown RA;Hecht J;Bloom EL;Minami H;Kahler CW;Abrantes AM;Dubreuil ME;Gordon A;Price LH;Ondersma SJ
通讯作者：
Ondersma SJ
影响因子：
2.3
作者：
Ahmedani, Brian K.;Crotty, Nuala;Ondersma, Steven J.
通讯作者：
Ondersma, Steven J.
影响因子：
7.4
作者：
Marcu, Gabriela;Ondersma, Steven J.;Spiller, Allison N.;Broderick, Brianna M.;Kadri, Reema;Buis, Lorraine R.
通讯作者：
Buis, Lorraine R.
影响因子：
3.1
作者：
Hankin, Abigail;Haley, Leon;Houry, Debra
通讯作者：
Houry, Debra
影响因子：
4.3
作者：
Beyer F;Lynch E;Kaner E
通讯作者：
Kaner E