Patterns of engagement in a digital mental health service during COVID-19: a cohort study for children and young people.
Patterns of engagement in a digital mental health service during COVID-19: a cohort study for children and young people.
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DOI：
10.3389/fpsyt.2023.1143272
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发表时间：
2023
影响因子：
4.7
通讯作者：
DelPozo-Banos, Marcos
中科院分区：
文献类型：
--
作者：
Bernard, Aynsley;Garcia, Santiago de Ossorno;Salhi, Louisa;John, Ann;DelPozo-Banos, Marcos
关键词：
COVID-19 大流行增加了公众对数字心理健康技术的使用。然而，人们对大流行期间用户与这些平台的互动变化知之甚少。本研究旨在评估 COVID-19 期间数字心理保健服务的参与度变化。一项队列研究基于从英国数字心理健康支持服务中定期收集的服务使用数据。其中包括互动时间最长为两个月、年龄在 14 至 25 岁之间的回访用户。研究人群分为新冠疫情前和新冠疫情队列。比较群组之间的人口统计和使用信息，并确定每个群组内的使用集群。使用卡方、双样本 Kolmogorov-Smirnov 检验和 Logit 回归来测试差异。在 2019 年 5 月 1 日至 2021 年 10 月 1 日期间加入该服务的 624,103 名用户中，有 18,889 名 (32.81%) 符合纳入标准：新冠疫情前队列中有 5,048 名用户，新冠疫情队列中有 13,841 名用户。新冠肺炎群体撰写了更多期刊；对消息传递从业者、发布讨论、评论帖子和预约聊天保持同样的关注；更少地参与写日记、设定个人目标、发表文章和进行临时聊天。在这两个群体中发现了四种使用情况：一种相对不参与，一种专注于通过聊天/消息联系从业者，另两种对在数字社区内撰写讨论和评论广泛感兴趣。尽管有广泛的相似之处，但不同群体之间的使用模式也表现出差异。例如，在所有四个集群中，超过 70% 的用户尝试与新冠疫情前队列中的从业者进行临时聊天，而在新冠肺炎队列中，只有四分之一的用户尝试与从业者进行临时聊天。总体而言，COVID-19 大流行期间各集群的参与度变化模式并不相同。敏感性分析揭示了这些定义的簇的不同强度。我们的研究发现了新冠肺炎 (COVID-19) 大流行期间数字心理医疗服务中用户活动和参与行为的变化。这些发现表明，数字心理健康服务的使用模式可能容易因流行病等外部事件而发生变化。持续监控参与模式对于知情设计和个性化干预非常重要。
The COVID-19 pandemic increased public use of digital mental health technologies. However, little is known about changes in user engagement with these platforms during the pandemic. This study aims to assess engagement changes with a digital mental healthcare service during COVID-19. A cohort study based on routinely collected service usage data from a digital mental health support service in the United Kingdom. Returning users aged 14–25 years that interacted for a maximum of two months were included. The study population was divided into pre-COVID and COVID cohorts. Demographic and usage information between cohorts were compared and usage clusters were identified within each cohort. Differences were tested using Chi-squared, two-sample Kolmogorov–Smirnov tests and logit regressions. Of the 624,103 users who joined the service between May 1, 2019, and October 1, 2021, 18,889 (32.81%) met the inclusion criteria: 5,048 in the pre-COVID cohort and 13,841 in the COVID cohort. The COVID cohort wrote more journals; maintained the same focus on messaging practitioners, posting discussions, commenting on posts, and having booked chats; and engaged less in writing journals, setting personal goals, posting articles, and having ad-hoc chats. Four usage profiles were identified in both cohorts: one relatively disengaged, one focused on contacting practitioners through chats/messages, and two broadly interested in writing discussions and comments within the digital community. Despite their broad similarities, usage patterns also exhibited differences between cohorts. For example, all four clusters had over 70% of users attempting to have ad-hoc chats with practitioners in the pre-COVID cohort, compared to one out of four clusters in the COVID cohort. Overall, engagement change patterns during the COVID-19 pandemic were not equal across clusters. Sensitivity analysis revealed varying strength of these defined clusters. Our study identified changes in user activity and engagement behavior within a digital mental healthcare service during the COVID-19 pandemic. These findings suggest that usage patterns within digital mental health services may be susceptible to change in response to external events such as a pandemic. Continuous monitoring of engagement patterns is important for informed design and personalized interventions.
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影响因子：
7.4
作者：
Sanatkar，Samineh;Baldwin，Peter Andrew;Proudfoot，Judy
通讯作者：
Proudfoot，Judy
影响因子：
1.6
作者：
Pearson, Karl
通讯作者：
Pearson, Karl
DOI：
10.1016/s2468-2667(20)30288-7
发表时间：
2021-03
期刊：
The Lancet. Public health
影响因子：
--
作者：
Carr MJ;Steeg S;Webb RT;Kapur N;Chew-Graham CA;Abel KM;Hope H;Pierce M;Ashcroft DM
通讯作者：
Ashcroft DM
DOI：
10.1192/bjp.2020.212
发表时间：
2021-06
期刊：
The British journal of psychiatry : the journal of mental science
影响因子：
--
作者：
O'Connor RC;Wetherall K;Cleare S;McClelland H;Melson AJ;Niedzwiedz CL;O'Carroll RE;O'Connor DB;Platt S;Scowcroft E;Watson B;Zortea T;Ferguson E;Robb KA
通讯作者：
Robb KA
影响因子：
2.9
作者：
Bakolis I;Stewart R;Baldwin D;Beenstock J;Bibby P;Broadbent M;Cardinal R;Chen S;Chinnasamy K;Cipriani A;Douglas S;Horner P;Jackson CA;John A;Joyce DW;Lee SC;Lewis J;McIntosh A;Nixon N;Osborn D;Phiri P;Rathod S;Smith T;Sokal R;Waller R;Landau S
通讯作者：
Landau S