The association of socioeconomic status with the success of chat-based online counseling for children and youth: A latent change score modeling approach

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2024-06-14 DOI:10.1016/j.invent.2024.100753

Franziska Rarey , Julia Thomas , Anne Berghöfer , Lars Kuchinke , Gunther Meinlschmidt , Christine Rummel-Kluge , Richard Wundrack , Matthias Ziegler

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引用次数: 0

Abstract

Children and youth from lower subjective socioeconomic status (SES) backgrounds are at a heightened risk of mental disorders. Online counseling is a valuable tool to reach those less likely to seek professional help, but its success across different SES backgrounds remains unclear. This study explores the association between subjective SES and online counseling outcomes. Children and youth (N = 2139) between 10 and 24 years-of-age received chat-based online counseling and reported on SES, negative feelings before and after the chat, and perceived helpfulness of the chat via an online assessment tool. The results of a latent change score model showed a significant association between SES and negative feelings before chatting, indicating that lower SES predicted more negative feelings (r = −0.26, p < .001). Further, SES was indirectly associated with the change in negative feelings from before to after counseling, mediated by the extent of negative feelings before the chat (β = 0.07, 95%CFI = [0.05–0.10]). Current findings extend research on online counseling programs in the context of SES. Despite higher counseling needs among low SES individuals, they do not benefit proportionally from existing online services in this sample. Future research should investigate barriers to help-seeking and implement specialized counselor training programs.

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社会经济地位与儿童和青少年在线聊天咨询成功与否的关系：潜在变化分数建模方法

主观社会经济地位（SES）较低的儿童和青少年罹患精神障碍的风险较高。在线心理咨询是一种很有价值的工具，可以帮助那些不太可能寻求专业帮助的人，但它在不同社会经济地位背景下的成功与否仍不清楚。本研究探讨了主观社会经济地位与在线咨询结果之间的关系。年龄在 10 到 24 岁之间的儿童和青少年（人数 = 2139）接受了基于聊天的在线咨询，并通过在线评估工具报告了社会经济地位、聊天前后的负面情绪以及聊天的帮助感知。潜在变化分数模型的结果显示，社会经济地位与聊天前的负面情绪之间存在显著关联，表明社会经济地位越低，负面情绪越多（r = -0.26, p <.001）。此外，在聊天前负面情绪程度的中介作用下，SES 与咨询前到咨询后的负面情绪变化间接相关（β = 0.07，95%CFI = [0.05-0.10]）。目前的研究结果扩展了在社会经济地位背景下对在线咨询项目的研究。尽管低社会经济地位的人有更高的心理咨询需求，但在本样本中，他们从现有在线服务中受益的比例并不高。未来的研究应调查寻求帮助的障碍，并实施专门的心理咨询师培训计划。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions