Early Psychosis Service User Views on Digital Technology: Qualitative Analysis.
Early Psychosis Service User Views on Digital Technology: Qualitative Analysis.
复制标题
DOI：
10.2196/10091
复制
发表时间：
2018-10-31
影响因子：
5.2
通讯作者：
Edge D
中科院分区：
文献类型：
--
作者：
Bucci S;Morris R;Berry K;Berry N;Haddock G;Barrowclough C;Lewis S;Edge D
数字技术有可能改善精神病患者的预后。然而，迄今为止，研究在很大程度上忽略了服务用户对数字健康干预（DHIs）的看法。本研究旨在探讨早期精神病服务使用者对DHIs的主观看法。进行了框架分析，从21个半结构化的访谈与人登记的早期干预精神病服务的数据。强有力的措施被用来开发一个稳定的框架，包括成员检查，三角测量，独立验证的主题，和共识会议。先验地确定了以下4个主题：技术在精神病和心理健康中的可接受性;技术增加获得和增强心理健康支持的机会;采用DHIs的障碍;以及对数据保护、隐私、风险和信息安全管理的关注。后验产生了以下2个主题：将DHIs与面对面治疗和赋权、控制和选择相结合。DHIs还被认为有可能消除污名，克服传统服务环境中面临的障碍，促进沟通，并使服务用户能够积极控制他们的医疗保健。在第一次同类研究中，早期精神病服务用户对DHIs支持和管理心理健康的潜在用途持积极态度。总的来说，服务用户认为，DHIs是一个进步的，现代的，相关的平台，提供医疗保健。人们对隐私和数据安全以及地区人权机构内部固有的实际障碍表示关切，所有这些都需要进一步关注。未来的研究应探讨研究结果是否转移到其他服务用户群体，其他技术提供形式，并在一系列的治疗方式。
Digital technology has the potential to improve outcomes for people with psychosis. However, to date, research has largely ignored service user views on digital health interventions (DHIs). The objective of our study was to explore early psychosis service users’ subjective views on DHIs. Framework analysis was undertaken with data obtained from 21 semistructured interviews with people registered with early intervention for psychosis services. Robust measures were used to develop a stable framework, including member checking, triangulation, independent verification of themes, and consensus meetings. The following 4 themes were established a priori: acceptability of technology in psychosis and mental health; technology increasing access to and augmenting mental health support; barriers to adopting DHIs; and concerns about management of data protection, privacy, risk, and security of information. The following 2 themes were generated a posteriori: blending DHIs with face-to-face treatment and empowerment, control, and choice. DHIs were also viewed as potentially destigmatizing, overcoming barriers faced in traditional service settings, facilitating communication, and empowering service users to take active control of their health care. In the first study of its kind, early psychosis service users’ were largely positive about the potential use of DHIs supporting and managing mental health. Overall, service users felt that DHIs were a progressive, modern, and relevant platform for health care delivery. Concerns were expressed around privacy and data security and practical barriers inherent within DHIs, all of which require further attention. Future research should explore whether findings transfer to other service user groups, other technology delivery formats, and across a range of treatment modalities.
登录
查看更多内容
影响因子：
4.4
作者：
Palmier-Claus JE;Rogers A;Ainsworth J;Machin M;Barrowclough C;Laverty L;Barkus E;Kapur S;Wykes T;Lewis SW
通讯作者：
Lewis SW
影响因子：
6.6
作者：
Firth, Joseph;Cotter, Jack;Yung, Alison R.
通讯作者：
Yung, Alison R.
DOI：
10.1177/1078390308318750
发表时间：
2008-06-01
影响因子：
2
作者：
Beebe, Lora Humphrey;Smith, Kathlene;Poche, Josh
通讯作者：
Poche, Josh
DOI：
10.1007/s10488-012-0424-x
发表时间：
2013-07
影响因子：
2.6
作者：
Ben-Zeev, Dror;Davis, Kristin E.;Kaiser, Susan;Krzsos, Izabela;Drake, Robert E.
通讯作者：
Drake, Robert E.
影响因子：
5.2
作者：
Lal S;Daniel W;Rivard L
通讯作者：
Rivard L