Adolescents accept digital mental health support in schools: A co-design and feasibility study of a school-based app for UK adolescents
Adolescents accept digital mental health support in schools: A co-design and feasibility study of a school-based app for UK adolescents
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DOI：
10.1016/j.mhp.2022.200241
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发表时间：
2022-09-01
影响因子：
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通讯作者：
West, Robert
中科院分区：
文献类型：
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作者：
Hugh-Jones, Siobhan;Pert, Kirsty;West, Robert
英国的学校被要求为青少年提供前线心理健康促进和预防，但资源很少。学校托管mHealth是一种可以满足需求的选择。这项研究共同设计和可行性测试自助，学校主办，数字干预青少年表现出心理健康恶化的早期症状。通过广泛的合作设计，我们制作了一个针对年轻人的网络应用程序（MindMate 2）和一个低强度的父母组件（Partner 2U）。可行性进行了测试，在四所英国高中与n = 31年轻人（15- 17岁）。我们规定了进展到有效性试验的规则，测试了候选的主要结局指标，并进行了探索性成本效益分析。共同设计制作的MindMate 2U是一个为期六周的自助，智能手机提供的计划，针对青少年心理健康的风险和保护因素。年轻人的MindMate 2U账户由学校建立，之后他们通过自己选择的六个主题独立进步。用户评级（n = 19）和干预后访谈（n = 6）显示资源的可接受性。我们达到了招聘、保留和前后测量完成目标，并将优势和困难问卷确定为最敏感的结果测量。这项研究确定了共同设计的心理健康应用程序作为有症状的年轻人的低负担，学校托管资源的可行性，并为学校整合mHealth开辟了新的可能性。通过学校向有症状的年轻人的父母提供的支持可能需要是普遍的，而不是有针对性的。在对MindMate 2U进行了一些改进之后，有必要进行2期随机对照试验来测试其有效性。
Schools in the UK are required to provide frontline mental health promotion and prevention to adolescents, but with few resources. School-hosted mHealth is one option which could meet needs. This study co-designed and feasibility tested a self-help, school hosted, digital intervention for adolescents showing early symptoms of deteriorating mental health. Via extensive co-design, we produced a youth-targeted web-app (MindMate2) and a low-intensity parent component (Partner2U). Feasibility was tested in four UK high schools with n = 31 young people (15-17y). We specified rules for progression to an effectiveness trial, tested candidate primary outcome measures and conducted an exploratory cost-effectiveness analysis. Co-design produced MindMate2U to be a sixweek, self-help, smartphone-delivered program targeting risk and protective factors for adolescent mental health. Young people's MindMate2U account was set up by school after which they progressed independently through six topics of their choosing. User ratings (n = 19) and post- intervention interviews (n = 6) showed resource acceptability. We met our recruitment, retention and pre-post measure completion targets and identified the Strengths and Difficulties Questionnaire as the most sensitive outcome measure. This study established the feasibility of a co-designed, mental health app as a low-burden, school-hosted resource for symptomatic young people and opens up new possibilities for the integration of mHealth in schools. Support via schools to parents of symptomatic young people may need to be universal rather than targeted. Following some refinements of MindMate2U, a phase 2 randomised controlled trial is warranted to test its effectiveness.