Engagement of individuals aged 14-25 years with a digital mental health service during the COVID-19 pandemic in the UK: a cohort study of service usage data.
Engagement of individuals aged 14-25 years with a digital mental health service during the COVID-19 pandemic in the UK: a cohort study of service usage data.
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DOI：
10.1016/s0140-6736(22)02230-9
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发表时间：
2022-11
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公众使用数字心理健康技术为几项研究提供了信息，这些研究侧重于用户主导的数字支持系统中的参与模式。自2019冠状病毒病疫情开始以来，该等服务的整体参与度有所增加。然而，据我们所知，这是首次探讨这些平台的用户参与模式在疫情期间如何变化的研究。在这项队列研究中，我们纳入了在大流行之前（2019年5月1日至2020年3月10日）和大流行期间（2020年3月11日至2021年10月31日）注册英国在线心理健康平台Kooth.com的14-25岁的个体。Kooth收集的使用数据是针对注册后至少返回Kooth一次的同意用户进行评估的。我们使用逻辑回归来比较服务组件的使用和跨队列的整体参与。5048人（平均每天登记人数为9·0 [12·0]）被纳入大流行前队列，13841人（平均每天登记人数为11·5 [13·9]）被纳入大流行队列，这表明与大流行前相比，大流行期间每天登记人数显著增加（Welch t检验p=0·0001）。 与大流行前的用户相比，大流行期间的用户不太可能与从业者进行顺便聊天（比值比[OR] 0·50 [95% CI 0·47-0·54]，p<0·0001），但更可能发生日志记录（1·92 [1·77-2·07]，p<0·0001）和对现有内容的评论（1·10 [1·03-1·18]，p=0·008）。在大流行期间注册Kooth并请求与从业者聊天的用户（13841名用户中的7816名[56.5%]）也比大流行前请求聊天的用户（5048名用户中的3791名[75.1%]; OR 0.68 [0.63 - 0.74]，p<0.0001）更不可能收到聊天。在COVID-19大流行期间，有能力和资源获得数字心理健康支持的人从面对面服务转向数字心理健康服务。这种变化可能导致了对插入式从业者聊天的需求未得到满足，用户可能会通过社区交互或日志来寻求异步支持。数字健康。
Public use of digital mental health technologies has informed several studies focusing on patterns of engagement within user-led digital support systems. General engagement with these services has increased since the start of the COVID-19 pandemic. However, to the best of our knowledge, this is the first study to explore how user engagement patterns with these platforms changed during the pandemic. In this cohort study, we included individuals aged 14–25 years who signed up to the online mental health platform Kooth in the UK before the pandemic (May 1, 2019 to March 10, 2020) and during the pandemic (March 11, 2020 to Oct 31, 2021). Routinely collected usage data were assessed for consenting users who returned to Kooth at least once after sign-up. We used logistic regression to compare service component usage and overall engagement across cohorts. 5048 individuals (mean sign-ups per day 9·0 [12·0]) were included in the pre-pandemic cohort and 13 841 (mean sign-ups per day 11·5 [13·9]) in the pandemic cohort, representing a significant increase in sign-ups per day during the pandemic compared with the pre-pandemic period (Welch's t-test p=0·0001). Compared with users pre-pandemic, users during the pandemic were less likely to have a drop-in chat with a practitioner (odds ratio [OR] 0·50 [95% CI 0·47–0·54], p<0·0001) but were more likely to journal (1·92 [1·77–2·07], p<0·0001) and comment on existing content (1·10 [1·03–1·18], p=0·008). Users who signed up to Kooth during the pandemic and requested a chat with a practitioner (7816 [56·5%] of 13 841 users) were also less likely to receive a chat than users who requested a chat pre-pandemic (3791 [75·1%] of 5048 users; OR 0·68 [0·63–0·74], p<0·0001). During the COVID-19 pandemic, people with the ability and resources to access digital mental health support were diverted from face-to-face services to digital mental health services. This change might have resulted in an unmet need for drop-in practitioner chats, with users probably resorting to asynchronous support through community interaction or journaling. Kooth Digital Health.