Jessica E. Opie, An Vuong, Ellen T. Welsh, Timothy B. Esler, Urooj Raza Khan, Hanan Khalil
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引用次数: 0
摘要
尽管许多年轻人表现出了坚韧和力量，但研究和临床证据表明，12 至 25 岁年轻人的心理健康问题呈上升趋势。针对青少年的数字心理健康干预措施（DMHIs）旨在通过为青少年（12-25 岁）提供及时的心理健康支持来应对这一趋势。然而，在了解青少年用户对数字干预措施的体验方面还存在相当大的差距。本综述是与澳大利亚领先的心理健康组织 Beyond Blue 共同设计的，采用系统的方法来综合面向青少年的完全或部分引导式数字心理健康干预措施的用户体验方面的证据。我们在五个相关的在线数据库中搜索了2018年至2023年发表的文章，共筛选出22482篇文章，本分析共纳入22项研究。对每项纳入的干预措施进行了与满意度和参与度相关的用户体验结果评估，并考察了与有用性、可用性、价值、可信度和可取性相关的体验指标。提取了与积极/消极结果相关的要素。对用户体验产生积极影响的因素包括同伴参与、基于现代应用程序的交付、异步支持和个性化内容。相比之下，用户不喜欢静态内容、家庭作业/日志记录、对多种设备的要求以及社交媒体整合。异步干预的满意度较高，但也面临参与问题，异步/同步相结合的干预报告了较高的完成率。DMHIs 为青少年心理健康支持提供了一个前景广阔的平台，通过采用技术和用户体验方面的最佳实践，它有可能极大地提高干预的覆盖面。虽然年轻人对干预现代化的许多方面（如互动式、基于应用程序的设计）反应积极，但其他概念（如社交媒体整合）需要更谨慎地采用，以确保信任度和参与度。
Outcomes of Best-Practice Guided Digital Mental Health Interventions for Youth and Young Adults with Emerging Symptoms: Part II. A Systematic Review of User Experience Outcomes
Although many young people demonstrate resilience and strength, research and clinical evidence highlight an upward trend in mental health concerns among those aged 12 to 25 years. Youth-specific digital mental health interventions (DMHIs) aim to address this trend by providing timely access to mental health support for young people (12–25 years). However, there is a considerable gap in understanding young people user experiences with digital interventions. This review, co-designed with Australia’s leading mental health organization Beyond Blue, utilizes a systematic methodology to synthesize evidence on user experience in youth-oriented digital mental health interventions that are fully or partially guided. Five relevant online databases were searched for articles published from 2018 to 2023, yielding 22,482 articles for screening and 22 studies were included in the present analysis. User experience outcomes relating to satisfaction and engagement were assessed for each included intervention, with experience indicators relating to usefulness, usability, value, credibility, and desirability being examined. Elements associated with positive/negative outcomes were extracted. Elements shown to positively influence user experience included peer engagement, modern app-based delivery, asynchronous support, and personalized content. In contrast, users disliked static content, homework/log-keeping, the requirement for multiple devices, and social media integration. Asynchronous interventions showed high satisfaction but faced engagement issues, with combined asynchronous/synchronous interventions reporting better completion rates. DMHIs offer a promising platform for youth mental health support and has the potential to dramatically increase the reach of interventions through the adoption of technological and user experience best practices. While young people respond positively to many aspects of intervention modernization, such as interactive, app-based design, other concepts, such as social media integration, they need to be adopted by the field more cautiously to ensure trust and engagement.
期刊介绍：
Editors-in-Chief: Dr. Ronald J. Prinz, University of South Carolina and Dr. Thomas H. Ollendick, Virginia Polytechnic Institute Clinical Child and Family Psychology Review is a quarterly, peer-reviewed journal that provides an international, interdisciplinary forum in which important and new developments in this field are identified and in-depth reviews on current thought and practices are published. The Journal publishes original research reviews, conceptual and theoretical papers, and related work in the broad area of the behavioral sciences that pertains to infants, children, adolescents, and families. Contributions originate from a wide array of disciplines including, but not limited to, psychology (e.g., clinical, community, developmental, family, school), medicine (e.g., family practice, pediatrics, psychiatry), public health, social work, and education. Topical content includes science and application and covers facets of etiology, assessment, description, treatment and intervention, prevention, methodology, and public policy. Submissions are by invitation only and undergo peer review. The Editors, in consultation with the Editorial Board, invite highly qualified experts to contribute original papers on topics of timely interest and significance.
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