Perspectives of Family Members on Using Technology in Youth Mental Health Care: A Qualitative Study.
Perspectives of Family Members on Using Technology in Youth Mental Health Care: A Qualitative Study.
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DOI：
10.2196/mental.7296
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发表时间：
2017-06-23
影响因子：
5.2
通讯作者：
Rivard L
中科院分区：
文献类型：
--
作者：
Lal S;Daniel W;Rivard L
人们日益认识到信息和通信技术（信通技术）在为青年提供心理健康服务方面的重要作用。最近的研究评估了年轻人获得和使用技术的机会，以及他们对利用技术获得心理健康信息、服务和支持的看法;然而，在这方面对家庭成员的看法关注有限。本研究的目的是探讨家庭成员对使用信息和通信技术，以提供精神卫生服务，以青少年的背景下，专门的早期干预首发精神病（FEP）的观点。六个焦点小组进行了招募从精神病早期干预计划的家庭成员。12名家庭成员参加了这项研究（目标样本为12-18人，招募工作持续了1年）。一个12项的半结构化的焦点小组指南，探讨过去的经验，技术和建议使用技术在青年心理健康服务提供。定性专题分析指导确定和组织整个数据集中确定的共同专题和模式。调查结果按以下主题排列：技术的获取和使用，技术对处于恢复期的青年的潜在负面影响，利用技术向青年提供心理健康服务的潜在好处，以及利用技术实现以下目的的建议：（1）以不同社会经济背景的个人都能获得的方式提供高质量信息，（2）促进与医护专业人员和服务的沟通，以及（3）增加获得同侪支持的机会。据我们所知，这是第一个（或第一个）探讨家庭成员的观点，青年正在接受治疗的FEP对使用技术的精神卫生保健。我们的研究结果强调了在让家庭成员参与技术支持的青少年心理健康研究和实践时，考虑技术在青少年心理健康，数字素养技能，恢复阶段和社会人口因素中的作用的不同经验和态度的重要性。有必要采取创新方法，征求家庭成员对这一问题的看法。同样重要的是，要考虑教育战略，使家庭成员了解信通技术在家庭暴力受害者心理保健方面的作用、好处和使用，并增强其权能。
Information and communication technologies (ICTs) are increasingly recognized as having an important role in the delivery of mental health services for youth. Recent studies have evaluated young people’s access and use of technology, as well as their perspectives on using technology to receive mental health information, services, and support; however, limited attention has been given to the perspectives of family members in this regard. The aim of this study was to explore the perspectives of family members on the use of ICTs to deliver mental health services to youth within the context of specialized early intervention for a first-episode psychosis (FEP). Six focus groups were conducted with family members recruited from an early intervention program for psychosis. Twelve family members participated in the study (target sample was 12-18, and recruitment efforts took place over the duration of 1 year). A 12-item semistructured focus group guide was developed to explore past experiences of technology and recommendations for the use of technology in youth mental health service delivery. A qualitative thematic analysis guided the identification and organization of common themes and patterns identified across the dataset. Findings were organized by the following themes: access and use of technology, potential negative impacts of technology on youth in recovery, potential benefits of using technology to deliver mental health services to youth, and recommendations to use technology for (1) providing quality information in a manner that is accessible to individuals of diverse socioeconomic backgrounds, (2) facilitating communication with health care professionals and services, and (3) increasing access to peer support. To our knowledge, this is among the first (or the first) to explore the perspectives of family members of youth being treated for FEP on the use of technology for mental health care. Our results highlight the importance of considering diverse experiences and attitudes toward the role of technology in youth mental health, digital literacy skills, phases of recovery, and sociodemographic factors when engaging family members in technology-enabled youth mental health care research and practice. Innovative methods to recruit and elicit the perspectives of family members on this topic are warranted. It is also important to consider educational strategies to inform and empower family members on the role, benefits, and use of ICTs in relation to mental health care for FEP.