Preferences of Non-Metropolitan Youth Towards Accessing Mental Health Services: A Choice-Based Conjoint Analysis

IF 1.9 4区医学 Q2 NURSING

Australian Journal of Rural Health Pub Date : 2025-04-24 DOI:10.1111/ajr.70052

Edwin Paul Mseke, Belinda Jessup, Tony Barnett

{"title":"Preferences of Non-Metropolitan Youth Towards Accessing Mental Health Services: A Choice-Based Conjoint Analysis","authors":"Edwin Paul Mseke, Belinda Jessup, Tony Barnett","doi":"10.1111/ajr.70052","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To investigate the preferences of non-metropolitan youth towards mental health service access.</p>\n </section>\n \n <section>\n \n <h3> Setting</h3>\n \n <p>Tasmania, Australia.</p>\n </section>\n \n <section>\n \n <h3> Participants</h3>\n \n <p>Youth aged 13 to 25 years (<i>n</i> = 214).</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Choice-based conjoint analysis (CBC) which is a quantitative study design, was employed. In this CBC study, an online survey presented twelve choice sets reflecting seven different mental health service attributes (<i>mental health concern</i>, <i>service provider</i>, <i>cost</i>, <i>wait time</i>, <i>service delivery method</i>, <i>travel time</i> and <i>transport mode</i>), with youth asked to choose their preferred option for access. Choice-based conjoint analysis determined preferred mental health service attributes and the relative weighting of different levels within each attribute.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Of the seven attributes, service provider, cost, wait time and service delivery method were of the highest importance to youth when considering mental health service access. Within the listed health service attributes, youth ranked: psychologists; no cost; no wait time; face-to-face delivery; travel time of 15 min; and travel by private car highest. Various socio-demographic variables were associated with attribute and level choices.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Tasmanian youth prefer to access mental health services when provided in person, by a psychologist, for free and with no waiting time. Further research is required to investigate whether mental healthcare preferences for non-metropolitan youth change depending on geographical location, mental health status, level of mental health literacy, a greater choice of service providers and service delivery methods.</p>\n </section>\n </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70052","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australian Journal of Rural Health","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ajr.70052","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

To investigate the preferences of non-metropolitan youth towards mental health service access.

Setting

Tasmania, Australia.

Participants

Youth aged 13 to 25 years (n = 214).

Methods

Choice-based conjoint analysis (CBC) which is a quantitative study design, was employed. In this CBC study, an online survey presented twelve choice sets reflecting seven different mental health service attributes (mental health concern, service provider, cost, wait time, service delivery method, travel time and transport mode), with youth asked to choose their preferred option for access. Choice-based conjoint analysis determined preferred mental health service attributes and the relative weighting of different levels within each attribute.

Results

Of the seven attributes, service provider, cost, wait time and service delivery method were of the highest importance to youth when considering mental health service access. Within the listed health service attributes, youth ranked: psychologists; no cost; no wait time; face-to-face delivery; travel time of 15 min; and travel by private car highest. Various socio-demographic variables were associated with attribute and level choices.

Conclusion

Tasmanian youth prefer to access mental health services when provided in person, by a psychologist, for free and with no waiting time. Further research is required to investigate whether mental healthcare preferences for non-metropolitan youth change depending on geographical location, mental health status, level of mental health literacy, a greater choice of service providers and service delivery methods.

查看原文本刊更多论文

非大都市青少年对获得精神卫生服务的偏好：基于选择的联合分析

目的了解非都市青少年对心理卫生服务获取的偏好。澳大利亚塔斯马尼亚。参与者13至25岁的青少年（n = 214）。方法采用基于选择的联合分析（CBC）定量研究设计。在这项CBC研究中，一项在线调查提供了12个选择集，反映了七种不同的心理健康服务属性（心理健康问题、服务提供者、成本、等待时间、服务提供方式、旅行时间和交通方式），青年被要求选择他们最喜欢的选择。基于选择的联合分析确定了首选的心理健康服务属性和每个属性中不同层次的相对权重。结果在7个属性中，服务提供者、费用、等待时间和服务提供方式是青少年在考虑获得心理健康服务时最重要的因素。在列出的保健服务属性中，青年排名：心理学家；没有成本;没有等待时间；面对面的交付;行车时间15分钟；而乘坐私家车出行最高。各种社会人口变量与属性和关卡选择有关。结论：塔斯马尼亚青年更愿意接受由心理学家亲自提供的免费、不需要等待时间的心理健康服务。需要进一步的研究来调查非大都市青年的心理保健偏好是否会因地理位置、心理健康状况、心理健康素养水平、更多的服务提供者选择和服务提供方法而改变。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.30

自引率

16.70%

发文量

122

审稿时长

12 months

期刊介绍： The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.