Adolescence, digital technology and mental health care: exploring opportunity and harm.

青春期、数字技术和心理健康保健:探索机会和伤害。

基本信息

  • 批准号:
    MR/T046716/1
  • 负责人:
  • 金额:
    $ 12.85万
  • 依托单位:
  • 依托单位国家:
    英国
  • 项目类别:
    Research Grant
  • 财政年份:
    2020
  • 资助国家:
    英国
  • 起止时间:
    2020 至 无数据
  • 项目状态:
    已结题

项目摘要

This work will pave the way for a substantial programme of research focused on the relevance of adolescents' digital technology use to consultations about mental health. We will explore both opportunities and harms posed by digital technology use and if addressing these in consultations can help clinicians to manage patient risk. Specifically, we will pose questions around whether young people's technology use can be drawn upon to enrich face-to-face consultations, used as a tool to make these work better and more efficiently; and whether clinicians have a role to play in safeguarding against harmful use. There will be three workstreams of activity: 1) we will work closely with young people, their carers, mental health practitioners, general practitioners, social care workers, and technology providers to involve them in shaping our plans. We will ask what they consider to be the most important questions and needs in this area and explore their ideas about possible solutions and the type of research that would be acceptable to carry out. To do this, we will run a series of discussion workshops with these groups, consult practitioners to find out how they currently address issues relating to digital technology, and run a programme of arts-based activities with young people to help them express themselves and think about the issues under discussion. We will generate an online hub to make us a working community. This will help us jointly create research plans for a programme of research. 2) we will work with other researchers, especially those in general practice and data science, taking time to consider the best ways to include these important areas in our programme of research. 3) we will conduct two pilot projects. The first will look at a newly emerging example of where technology use may provide an opportunity: in this instance, for the MeeTwo teenage mental health app to provide information to mental health clinicians about a distressed young person, to help with history-taking and triage. We will build cases studies of where this happens, interviewing the young person and clinician involved to find out whether this was helpful, acceptable, and if it may have improved their relationship and the young person's care. Our second project stems from recent advice issued by the Royal College of Psychiatrists that mental health clinicians should ask young people about their online activities when assessing risk. This is in recognition of the harmful effects of some content, for instance, in relation to body image and self-harm. We know from our previous research that clinicians agree this is important but have concerns about how to engage in such conversations safely. Our project will gather together a virtual panel of mental health clinicians and of young people with experience of mental health difficulties. Each panel will be asked to rate statements (a Delphi study) about how clinicians should ask young people about technology use, including what should be asked, when and by whom. We will look for agreement, keeping the statements that receive a high level of endorsement. We will use the results to design a set of guidelines agreed by clinicians and young people about the best ways for mental health clinicians to talk to young people about technology use. Our pilot projects will provide the foundations for full-scale research. Project 1 leads into feasibility work exploring opportunities for technology enriched history taking and triage to be used more widely. Project 2 leads into research on clinical benefits and interventions that could follow from adding questions about technology use to mental health assessment. Our activities will allow us to design a comprehensive programme of research informed by the key needs, questions, and possible solutions of those to whom it matters most; and to develop relationships with partners (clinical, academic, digital technology providers, and young people) to bring this to fruition
这项工作将为一项实质性研究方案铺平道路,该方案侧重于青少年使用数字技术与心理健康咨询的相关性。我们将探讨数字技术使用带来的机遇和危害,以及在咨询中解决这些问题是否有助于临床医生管理患者风险。具体来说,我们将提出的问题是,年轻人的技术使用是否可以用来丰富面对面的咨询,作为一种工具,使这些工作更好,更有效;以及临床医生是否有一个角色,以防止有害的使用。活动将有三个工作流程:1)我们将与年轻人,他们的照顾者,心理健康从业人员,全科医生,社会护理工作者和技术提供者密切合作,让他们参与制定我们的计划。我们将询问他们认为这一领域最重要的问题和需求,并探讨他们对可能的解决方案和可以接受的研究类型的想法。为此,我们将与这些团体举办一系列的讨论工作坊,咨询从业人员,了解他们目前如何处理与数字技术有关的问题,并与年轻人一起举办一个以艺术为基础的活动计划,帮助他们表达自己和思考正在讨论的问题。我们将建立一个在线中心,使我们成为一个工作社区。这将有助于我们共同制定研究方案的研究计划。2)我们将与其他研究人员,特别是全科医学和数据科学领域的研究人员合作,花时间考虑将这些重要领域纳入我们研究计划的最佳方法。3)我们会进行两项试验计划。第一个将着眼于一个新出现的例子,说明技术的使用可能提供一个机会:在这种情况下,MeeTwo青少年心理健康应用程序可以向心理健康临床医生提供有关一个苦恼的年轻人的信息,以帮助进行病史采集和分类。我们将建立这种情况发生的案例研究,采访年轻人和临床医生,以了解这是否是有帮助的,可接受的,如果它可能改善他们的关系和年轻人的照顾。我们的第二个项目源于皇家精神病医学院最近发布的建议,即心理健康临床医生在评估风险时应该询问年轻人的在线活动。这是为了认识到某些内容的有害影响,例如,与身体形象和自我伤害有关。我们从之前的研究中了解到,临床医生同意这一点很重要,但对如何安全地进行此类对话表示担忧。我们的项目将召集一个由心理健康临床医生和有心理健康困难经历的年轻人组成的虚拟小组。每个小组将被要求对关于临床医生应该如何向年轻人询问技术使用情况的陈述(一项德尔菲研究)进行评分,包括应该询问什么、何时询问以及由谁询问。我们将寻求达成一致,保留得到高度赞同的发言。我们将利用研究结果设计一套由临床医生和年轻人商定的指导方针,指导心理健康临床医生与年轻人谈论技术使用的最佳方式。我们的试点项目将为全面研究奠定基础。项目1导致可行性工作,探索技术丰富的历史和分类更广泛地使用的机会。项目2导致对临床益处和干预措施的研究,这些干预措施可以从增加有关技术使用的问题到心理健康评估中得出。我们的活动将使我们能够设计一个全面的研究计划,了解最重要的人的关键需求,问题和可能的解决方案;并与合作伙伴(临床,学术,数字技术提供商和年轻人)建立关系,以实现这一目标

项目成果

期刊论文数量(9)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Mental Health Practitioners' and Young People's Experiences of Talking About Social Media During Mental Health Consultations: Qualitative Focus Group and Interview Study.
心理健康从业者和青少年在心理健康咨询中谈论社交媒体的经历: 焦点小组和访谈定性研究。
  • DOI:
    10.2196/43115
  • 发表时间:
    2023-04-07
  • 期刊:
  • 影响因子:
    2.2
  • 作者:
    Derges, Jane;Bould, Helen;Gooberman-Hill, Rachael;Moran, Paul;Linton, Myles-Jay;Rifkin-Zybutz, Raphael;Biddle, Lucy
  • 通讯作者:
    Biddle, Lucy
Additional file 1 of Developing good practice indicators to assist mental health practitioners to converse with young people about their online activities and impact on mental health: a two-panel mixed-methods Delphi study
附加文件 1:制定良好实践指标,帮助心理健康从业者与年轻人讨论他们的在线活动及其对心理健康的影响:一项两小组混合方法德尔菲研究
  • DOI:
    10.6084/m9.figshare.20341659
  • 发表时间:
    2022
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Biddle L
  • 通讯作者:
    Biddle L
Mental health practitioners and young people's experiences talking about social media within mental health consultations: a qualitative study
心理健康从业者和年轻人在心理健康咨询中谈论社交媒体的经历:一项定性研究
"Pouring their heart out in Sainsbury's": qualitative study of young people's, parents' and mental health practitioners' experiences of adapting to remote online mental health appointments during Covid-19
“在塞恩斯伯里倾注心血”:对年轻人、父母和心理健康从业者在 Covid-19 期间适应远程在线心理健康预约的体验进行定性研究
  • DOI:
    10.21203/rs.3.rs-3069202/v1
  • 发表时间:
    2023
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Biddle L
  • 通讯作者:
    Biddle L
Digital technology use and the mental health consultation: a survey of the views and experiences of clinicians and young people.
数字技术的使用和心理健康咨询:临床医生和年轻人的观点和经验调查。
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Lucy Biddle其他文献

Factors influencing help seeking in mentally distressed young adults: a cross-sectional survey.
影响精神困扰的年轻人寻求帮助的因素:一项横断面调查。
person is crazy person. It doesn’t differentiate”: An exploration into Somali views of mental health and access to in an established
人是疯狂的人,这没有区别”:对索马里人对心理健康和获取的既定观点的探索。
  • DOI:
    10.1016/b978-0-12-809633-8.20877-7
  • 发表时间:
    2020
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Catherine Linney;Siyan Ye;S. Redwood;Abdi Mohamed;Abdullah Farah;Lucy Biddle;E. Crawley
  • 通讯作者:
    E. Crawley
Co-Designing an Experience Sampling Method Digital Platform to Investigate Self-Harm Among Young People
共同设计一个体验采样法数字平台来调查年轻人的自残行为
Barriers to students opting-in to universities notifying emergency contacts when serious mental health concerns emerge: A UK mixed methods analysis of policy preferences
当出现严重的心理健康问题时,学生选择加入大学通知紧急联系人的障碍:英国政策偏好的混合方法分析
Young adults' perceptions of GPs as a help source for mental distress: a qualitative study.
年轻人对全科医生作为精神困扰帮助来源的看法:一项定性研究。

Lucy Biddle的其他文献

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