“任何共同设计过程都不能真正满足每个人的需求”：澳大利亚年轻人对共同设计预防心理健康挑战的看法

Q2 Medicine

Mental Health and Prevention Pub Date : 2025-03-28 DOI:10.1016/j.mhp.2025.200414

Abigail Juras , Nicola Reavley , Minahil Abbas Mehr , Shixin Wang , Thao Duyen Nguyen , Sankara Santosa , Duc-Binh Tran , Wangpeng Gui , Stephanie Dumuid , Sam Phung , Edward Satria Antony , Alison Turner , Lakshmi Neelakantan

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引用次数: 0

摘要

青少年的心理健康已经成为一个重要的全球性问题。与年轻人共同设计提供和调整精神卫生服务和规划的情况日益普遍。然而，关于共同设计普遍预防战略以解决年轻人的精神疾病问题的指导仍然相对较少。目的探讨共同设计在青少年普遍心理健康预防（UMHP）工作中的概念，并提出建议，以支持共同设计在心理健康预防研究中的实践。方法在澳大利亚的21名年轻人（16-24岁）在线完成了8个参与式共同设计研讨会。反身性主题分析从年轻人的观点和贡献中产生关键主题。结果产生了四个主要主题，以综合如何在UMHP工作中与年轻人进行共同设计：(1)参与；(2)包容;(3)协同作用;(4)过程。副主题包括批判性地检查权力动力学，探索不同利益相关者之间的关系以及协同设计实践的机制。青年强调青年和非青年个人的多样性、无障碍的招聘和参与方法，以及维护年轻人的生活经验知识，是UMHP共同设计实践的基本因素。本研究为年轻人的观点提供了新的见解，即如何将共同设计原则适用于UMHP研究。

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“No co-design process can ever truly cater to every single person”: Perspectives of young people in Australia on co-design for the prevention of mental health challenges

Background

Young people's mental health has become a critical global issue. Co-design with young people to deliver and adapt mental health services and programmes has become increasingly widespread. However, there remains relatively little guidance on undertaking co-design for universal prevention strategies to address mental ill-health among young people.

Purpose

This study aimed to explore the concept of co-design in universal mental health prevention (UMHP) efforts with young people and generate recommendations to support co-design practice in mental health prevention research.

Methods

Eight participatory co-design workshops were completed online with 21 young people (aged 16–24 years old) in Australia. Reflexive thematic analysis was used to generate key themes from the young people's perspectives and contributions.

Results

Four main themes were generated to synthesise how co-design could be undertaken with young people in UMHP efforts: (1) Participation; (2) Inclusion; (3) Synergy; and (4) Process. Subthemes included examining power dynamics critically, exploring relationships between different stakeholders as well as the mechanics of co-design practices. Young people emphasised the need for diversity of both youth and non-youth individuals, accessible methods of recruitment and participation, and upholding young people's lived experience knowledge, as essential factors in UMHP co-design practice.