Feasibility of online psychosocial interventions to promote mental health recovery and well-being.

IF 2.5 4区 医学 Q2 PSYCHIATRY
Peanchanan Leah, Wachara Riewpaiboon, Issavara Sirirungruang, Paranee Visuttipun
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引用次数: 0

Abstract

Background: Amid the increasing trend and huge impact of mental illness, psychosocial support (PSS) has been asserted to support individuals' recovery. Unfortunately, about 80% of affected people cannot access care as needed. Meanwhile, digital technology has a considerable role in closing service gaps.

Aims: This convergent parallel mixed methods study examines existing mental health service utilization, users' needs for PSS, and feasibility of online PSS development.

Methods: A cross-sectional interview survey was conducted using a semi-structured questionnaire at a super tertiary psychiatric hospital in Thailand from March to May 2023, with three groups of service users, having self-perceived conditions/diagnosis of schizophrenia (n = 100), mood disorders (n = 84), and others including alcohol and substance use, anxiety and personality disorders (n = 52). Four focus group discussions with three user groups (n = 16) and one multidisciplinary provider group (n = 7) were parallelly executed. Quantitative and qualitative data were convergently analyzed using descriptive and inferential statistics, and thematic and content analysis.

Results: Critical shortcomings of PSS were indicated by 75.8% of user participants. Six common types of self-determined PSS were psychoeducational program, support group, skills training, counseling, supported employment, and complimentary therapy. While psychoeducational program was feasible, support group, and counseling were possibly featured within the 'all-at-once' online intervention development.

Conclusions: PSS development based on users' needs can promote clinical and personal recovery outcomes, and close the service gaps. Users with mood disorders have the potential for online interventions. Peer-provider formalization, co-production approach, community engagement, digital literacy, infrastructures, and equal access factors are crucial for sustainable development.

在线心理干预促进心理健康恢复和幸福的可行性。
背景:在精神疾病日益增长的趋势和巨大影响下,心理社会支持(PSS)被认为可以帮助个人康复。遗憾的是,约 80% 的患者无法获得所需的护理。同时,数字技术在缩小服务差距方面发挥着相当大的作用。目的:这项融合平行混合方法研究探讨了现有心理健康服务的使用情况、用户对心理支持服务的需求以及在线心理支持服务开发的可行性:方法:2023 年 3 月至 5 月,我们在泰国一家超级三级精神病医院使用半结构式问卷对三组服务用户进行了横断面访谈调查,这三组用户的自我感觉状况/诊断为精神分裂症(n = 100)、情绪障碍(n = 84)以及其他包括酒精和药物使用、焦虑和人格障碍(n = 52)。同时还与三个用户群体(n = 16)和一个多学科提供者群体(n = 7)进行了四次焦点小组讨论。使用描述性和推论性统计以及主题和内容分析对定量和定性数据进行了综合分析:结果:75.8%的用户指出了 PSS 的关键缺陷。六种常见的自我决定 PSS 类型是心理教育计划、支持小组、技能培训、咨询、辅助就业和辅助疗法。虽然心理教育计划是可行的,但支持小组和心理咨询可能是 "一次性 "在线干预发展的特色:结论:根据用户需求开发心理健康服务可以促进临床和个人康复效果,缩小服务差距。患有情绪障碍的用户具有在线干预的潜力。朋辈提供者的正规化、共同生产方式、社区参与、数字扫盲、基础设施和平等获取等因素对于可持续发展至关重要。
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来源期刊
CiteScore
12.30
自引率
1.30%
发文量
120
期刊介绍: The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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