Preventive digital mental health interventions for children and young people: a review of the design and reporting of research.

Preventive digital mental health interventions for children and young people: a review of the design and reporting of research.
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DOI:
10.1038/s41746-020-00339-7
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发表时间:
2020
影响因子:
15.2
通讯作者:
Hollis C
Hollis C
中科院分区:
医学1区
文献类型:
--
作者:
Bergin AD;Vallejos EP;Davies EB;Daley D;Ford T;Harold G;Hetrick S;Kidner M;Long Y;Merry S;Morriss R;Sayal K;Sonuga-Barke E;Robinson J;Torous J;Hollis C

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数字健康干预措施(DHIs)经常被强调为应对儿童和青少年日益严重的心理健康问题的一种方式。虽然许多是为了解决现有的心理健康问题而开发的,但DHIs也有可能解决预防和早期干预问题。然而,目前在设计和报告预防性DHIs的开发、评估和实施方面存在局限性,这可能会限制其在现实世界中的应用。该范围审查旨在检查现有的循证DHI干预措施,并审查研究文献如何描述研究人员需要纳入其研究设计和报告以支持现实世界实施的因素。对2013年以后发表的相关出版物进行了检索。从30篇出版物中确定了21种不同的干预措施,这些措施采取了普遍(n = 12),选择性(n = 3)和指示性(n = 15)方法来预防心理健康不良。大多数干预措施针对青少年,只有两项研究包括≤10岁的儿童。在干预开发中,用户共同设计参与的报告有限。实施的障碍和促进因素在不同的实施环境中各不相同,只有少数报告了实施干预措施所涉及的财务费用。这次审查发现,虽然继续努力为儿童和青年设计和评估保健机构,但有几个问题值得关注。需要对年幼的儿童和那些来自贫困和服务不足背景的儿童进行更多的研究。与儿童和青年人的共同设计过程应被确认和报告为DHI研究的必要组成部分,因为它们是设计和制定干预措施的重要因素,并支持成功的采用和实施。报告作为干预措施的一部分提供的人力支助的类型和水平,对于持续使用和实施地区卫生机构也很重要。
Digital health interventions (DHIs) have frequently been highlighted as one way to respond to increasing levels of mental health problems in children and young people. Whilst many are developed to address existing mental health problems, there is also potential for DHIs to address prevention and early intervention. However, there are currently limitations in the design and reporting of the development, evaluation and implementation of preventive DHIs that can limit their adoption into real-world practice. This scoping review aimed to examine existing evidence-based DHI interventions and review how well the research literature described factors that researchers need to include in their study designs and reports to support real-world implementation. A search was conducted for relevant publications published from 2013 onwards. Twenty-one different interventions were identified from 30 publications, which took a universal (n = 12), selective (n = 3) and indicative (n = 15) approach to preventing poor mental health. Most interventions targeted adolescents, with only two studies including children aged ≤10 years. There was limited reporting of user co-design involvement in intervention development. Barriers and facilitators to implementation varied across the delivery settings, and only a minority reported financial costs involved in delivering the intervention. This review found that while there are continued attempts to design and evaluate DHIs for children and young people, there are several points of concern. More research is needed with younger children and those from poorer and underserved backgrounds. Co-design processes with children and young people should be recognised and reported as a necessary component within DHI research as they are an important factor in the design and development of interventions, and underpin successful adoption and implementation. Reporting the type and level of human support provided as part of the intervention is also important in enabling the sustained use and implementation of DHIs.
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发表时间: 2019-03-01
影响因子: 13.3
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影响因子: 4.9
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