Parental consent: A potential barrier for underage teens' participation in an mHealth mental health intervention
Parental consent: A potential barrier for underage teens' participation in an mHealth mental health intervention
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DOI：
10.1016/j.invent.2020.100328
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发表时间：
2020-09-01
期刊：
影响因子：
4.3
通讯作者：
Wilfley, Denise
中科院分区：
文献类型：
--
作者：
Cavazos-Rehg, Patricia;Min, Caroline;Wilfley, Denise
目的：我们试图检查未成年青少年是否表现出精神疾病的症状（即，一个饮食失调）愿意获得父母的同意参加一项研究，以测试的有效性，以证据为基础的移动的心理健康干预针对青少年与饮食disorders.Methods的参与者（n = 366）是15至17岁的英语发言者谁张贴或遵循社交媒体帐户上的Instagram，强调瘦的重要性或吸引力。参与者通过Qualtrics进行了一项调查，以评估饮食失调的病理学，在尝试以证据为基础的移动的心理健康干预的兴趣，并获得父母同意参加这样的intervention.Results研究的舒适度：约85%的参与者符合临床或亚临床标准的饮食失调，但是，只有12%的人在过去的六个月内接受了治疗。虽然83%的参与者有兴趣尝试移动的健康干预应用程序，但只有35%的参与者表示愿意获得父母的同意才能参与研究。不愿意获得同意的主要原因包括保留隐私的重要性和感觉父母缺乏对心理健康问题的认识或理解。结论：虽然存在障碍，以获得治疗饮食失调，移动的干预应用程序可能会关闭一些这些差距。许多未成年参与者表示有兴趣获得这种治疗，但只有三分之一的人愿意获得父母的同意。未来的研究应该调查如何减少这些障碍，以获得父母的同意，以促进青少年获得研究和移动的心理健康治疗。
Purpose: We sought to examine whether underage adolescents displaying symptoms for a mental illness (i.e., an eating disorder) would be willing to obtain parental consent to participate in a study to test the efficacy of an evidence-based mobile mental health intervention targeting teens with eating disorders.Methods: The participants (n = 366) were 15 to 17 year-old English-speakers who post or follow social media accounts on Instagram that emphasize being thin as important or attractive. The participants were administered a survey through Qualtrics to assess eating disorder pathology, interest in trying an evidence-based mobile mental-health intervention, and comfort level with obtaining parental consent to partake in a research study about such an intervention.Results: About 85% of participants met clinical or subclinical criteria for an eating disorder; however, only 12% had received a treatment within the past six months. While 83% of participants were interested in trying a mobile health interventions app, only 35% indicated willingness to obtain parental consent to participate in a research study. The primary reasons presented for unwillingness to obtain consent included importance of retaining privacy and feeling that parents lack awareness or understanding about mental health issues.Conclusions: While barriers exist to obtaining treatment for eating disorders, a mobile intervention app may close some of these gaps. Many underage participants indicated interest in obtaining such treatment, yet only a third were willing to obtain parental consent. Future studies should investigate how to reduce these barriers to obtaining parental consent to facilitate teen access to research and mobile mental health treatment.