Use of the Internet and Mobile Phones for Self-Management of Severe Mental Health Problems: Qualitative Study of Staff Views.
Use of the Internet and Mobile Phones for Self-Management of Severe Mental Health Problems: Qualitative Study of Staff Views.
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DOI：
10.2196/mental.8311
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发表时间：
2017-11-01
影响因子：
5.2
通讯作者：
Lobban F
中科院分区：
文献类型：
--
作者：
Berry N;Bucci S;Lobban F
研究人员目前正在调查数字健康干预措施对于患有精神病和双相情感障碍等严重心理健康问题的人的可行性、可接受性和有效性。尽管针对严重心理健康问题的数字健康干预措施的接受度似乎相对较高，并且一些人报告成功地使用互联网和手机来管理自己的心理健康，但精神卫生保健人员对这种方法的态度还有待考虑。本研究的目的是探讨精神卫生保健人员对患有严重心理健康问题的客户使用互联网和手机进行自我管理心理健康的体验以及他们对这些行为的看法。该研究还试图研究精神卫生保健人员对针对严重精神健康问题的数字健康干预措施所表达的意见，以确定实施的潜在促进因素和障碍。使用主题指南，对英格兰西北部从事精神卫生保健服务的 20 名工作人员进行了四个焦点小组讨论。焦点小组包括 12 名二级护理心理服务工作人员（焦点小组 1 的 7 名参与者和焦点小组 4 的 5 名参与者）、康复部门的 4 名工作人员（焦点小组 2）和社区心理健康团队的 4 名工作人员（焦点小组 3）。焦点小组逐字转录，并对转录内容进行主题分析，以确定从数据中出现的关键主题。确定了四个总体主题，其中两个具有相关的子主题：(1) 工作人员对于使用基于网络的资源和数字健康干预措施来管理心理健康的利弊存在相互矛盾的看法； (2) 数字健康干预措施可以增加针对严重心理健康问题的心理健康支持选择，但可能会使数字鸿沟永久化； (3) 数字健康干预措施对员工角色和职责的影响； (4) 数字健康干预措施应用于加强而不是取代面对面的支持。据我们所知，这项研究是第一个定性探讨精神卫生保健人员使用互联网、手机和数字健康干预措施自我管理心理健康对患有严重心理健康问题的个人的经历和态度的研究。了解工作人员对当前和潜在的数字健康干预措施使用所分享的积极和消极的经验和观点，有助于确定实施时的几个考虑因素。此外，研究结果表明，精神卫生保健人员需要明确的指导和培训，以履行其在推荐信誉良好且安全的网站、论坛和数字健康干预措施以及如何管理互联网上的专业界限方面的责任。总体而言，该研究强调，数字健康干预措施可能会受到精神卫生服务工作人员的欢迎，但重要的是，必须向一线工作人员提供此类管理选项，作为加强护理和扩大选择的途径，而不是作为降低成本的方法。
Researchers are currently investigating the feasibility, acceptability, and efficacy of digital health interventions for people who experience severe mental health problems such as psychosis and bipolar disorder. Although the acceptability of digital health interventions for severe mental health problems appears to be relatively high and some people report successfully using the Internet and mobile phones to manage their mental health, the attitudes of mental health care staff toward such approaches have yet to be considered. The aim of this study was to explore mental health care staff experiences of clients with severe mental health problems engaging with the Internet and mobile phones to self-manage their mental health and their views toward these behaviors. The study also sought to examine the opinions expressed by mental health care staff toward digital health interventions for severe mental health problems to identify potential facilitators and barriers to implementation. Four focus groups were conducted with 20 staff working in mental health care services in the North West of the England using a topic guide. Focus groups involved 12 staff working in secondary care psychological services (7 participants in focus group 1 and 5 participants in focus group 4), 4 staff working in a rehabilitation unit (focus group 2), and 4 staff working in a community mental health team (focus group 3). Focus groups were transcribed verbatim, and transcripts were analyzed thematically to identify key themes that emerged from the data. Four overarching themes, two with associated subthemes, were identified: (1) staff have conflicting views about the pros and cons of using Web-based resources and digital health interventions to manage mental health; (2) digital health interventions could increase access to mental health support options for severe mental health problems but may perpetuate the digital divide; (3) digital health interventions’ impact on staff roles and responsibilities; and (4) digital health interventions should be used to enhance, not replace, face-to-face support. This study is the first, to our knowledge, to qualitatively explore the experiences and attitudes of mental health care staff toward individuals with severe mental health problems using the Internet, mobile phones, and digital health interventions to self-manage their mental health. Understanding the positive and negative experiences and views shared by staff toward both current and potential digital health intervention use has enabled the identification of several considerations for implementation. Additionally, the findings suggest mental health care staff need clear guidance and training in relation to their responsibilities in recommending reputable and secure websites, forums, and digital health interventions and in how to manage professional boundaries on the Internet. Overall, the study highlights that digital health interventions could be well received by staff working in mental health services but importantly, such management options must be presented to frontline staff as an avenue to enhance care and extend choice, rather than as a method to reduce costs.
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影响因子：
2.5
作者：
Bucci S;Barrowclough C;Ainsworth J;Morris R;Berry K;Machin M;Emsley R;Lewis S;Edge D;Buchan I;Haddock G
通讯作者：
Haddock G
影响因子：
6.6
作者：
Hidalgo-Mazzei, Diego;Mateu, Ainoa;Colom, Francesc
通讯作者：
Colom, Francesc
影响因子：
6.6
作者：
Firth, Joseph;Cotter, Jack;Yung, Alison R.
通讯作者：
Yung, Alison R.
影响因子：
3.1
作者：
Barazzone, Natalie;Cavanagh, Kate;Richards, David A.
通讯作者：
Richards, David A.
影响因子：
5.2
作者：
Biagianti, Bruno;Schlosser, Danielle;Vinogradov, Sophia
通讯作者：
Vinogradov, Sophia