Abstract：
BACKGROUND: Self-help interventions have the potential to increase access to evidence-based mental health care. Self-help can be delivered via different formats, including print media or digital mental health interventions (DMHIs). However, we do not know which delivery format is more likely to result in higher engagement.
OBJECTIVE: The aims of this study were to identify if there is a preference for engaging in print media versus DMHIs and whether there are individual differences in relative preferences.
METHODS: Participants were 423 adults between the ages of 18 and 82 years (201/423, 47.5% female) recruited on Prolific as a nationally representative sample of the US population, including non-Hispanic White (293/423, 69.2%), non-Hispanic Black (52/423, 12%), Asian (31/423, 7%), Hispanic (25/423, 6%), and other individuals (22/423, 5%). We provided individuals with psychoeducation in different self-help formats and measured their willingness to use print media versus DMHIs. We also assessed participants\' demographics, personality, and perception of each format\'s availability and helpfulness and used these to predict individual differences in the relative preferences.
RESULTS: Participants reported being more willing to engage with print media than with DMHIs (B=0.41, SE 0.08; t422=4.91; P<.001; d=0.24, 95% CI 0.05-0.43). This preference appeared to be influenced by education level (B=0.22, SE 0.09; t413=2.41; P=.02; d=0.13, 95% CI -0.06 to 0.32), perceived helpfulness (B=0.78, SE 0.06; t411=13.66; P<.001; d=0.46, 95% CI 0.27-0.66), and perceived availability (B=0.20, SE 0.58; t411=3.25; P=.001; d=0.12, 95% CI 0.07-0.30) of the self-help format.
CONCLUSIONS: This study suggests an overall preference for print media over DMHIs. Future work should investigate whether receiving mental health treatment via participants\' preferred delivery format can lead to higher engagement.
OBJECTIVE: The aims of this study were to identify if there is a preference for engaging in print media versus DMHIs and whether there are individual differences in relative preferences.
METHODS: Participants were 423 adults between the ages of 18 and 82 years (201/423, 47.5% female) recruited on Prolific as a nationally representative sample of the US population, including non-Hispanic White (293/423, 69.2%), non-Hispanic Black (52/423, 12%), Asian (31/423, 7%), Hispanic (25/423, 6%), and other individuals (22/423, 5%). We provided individuals with psychoeducation in different self-help formats and measured their willingness to use print media versus DMHIs. We also assessed participants\' demographics, personality, and perception of each format\'s availability and helpfulness and used these to predict individual differences in the relative preferences.
RESULTS: Participants reported being more willing to engage with print media than with DMHIs (B=0.41, SE 0.08; t422=4.91; P<.001; d=0.24, 95% CI 0.05-0.43). This preference appeared to be influenced by education level (B=0.22, SE 0.09; t413=2.41; P=.02; d=0.13, 95% CI -0.06 to 0.32), perceived helpfulness (B=0.78, SE 0.06; t411=13.66; P<.001; d=0.46, 95% CI 0.27-0.66), and perceived availability (B=0.20, SE 0.58; t411=3.25; P=.001; d=0.12, 95% CI 0.07-0.30) of the self-help format.
CONCLUSIONS: This study suggests an overall preference for print media over DMHIs. Future work should investigate whether receiving mental health treatment via participants\' preferred delivery format can lead to higher engagement.
摘要：
背景：自助干预有可能增加获得循证精神卫生保健的机会。自助可以通过不同的格式提供，包括印刷媒体或数字心理健康干预措施（DMHI）。然而,我们不知道哪种交付形式更有可能导致更高的参与度。
目的：本研究的目的是确定与DMHI相比，是否有从事印刷媒体的偏好，以及相对偏好是否存在个体差异。
方法：参与者是423名年龄在18至82岁之间的成年人（201/423，47.5％女性），作为美国人口的全国代表性样本，包括非西班牙裔白人（293/423，69.2％），非西班牙裔黑人（52/423，12%），亚洲（31/423，7%），西班牙裔（25/423，6%），和其他个人（22/423，5%）。我们以不同的自助形式为个人提供了心理教育，并衡量了他们使用印刷媒体与DMHI的意愿。我们还评估了参与者的人口统计学，个性,以及对每种格式的可用性和有用性的感知，并用这些来预测相对偏好的个体差异。
结果：参与者报告说，与DMHI相比，他们更愿意使用印刷媒体（B=0.41，SE0.08；t422=4.91；P<.001；d=0.24，95%CI0.05-0.43）。这种偏好似乎受到教育水平的影响（B=0.22，SE0.09;t413=2.41;P=.02;d=0.13，95％CI-0.06至0.32），感知的帮助(B=0.78，SE0.06；t411=13.66；P<.001；d=0.46，95%CI0.27-0.66)，自助格式和感知可用性(B=0.20，SE0.58；t411=3.25；P=.001；d=0.12，95%CI0.07-0.30)。
结论：这项研究表明，与DMHI相比，印刷介质的总体偏好。未来的工作应该调查是否通过参与者的首选分娩方式接受心理健康治疗可以带来更高的参与度。
目的：本研究的目的是确定与DMHI相比，是否有从事印刷媒体的偏好，以及相对偏好是否存在个体差异。
方法：参与者是423名年龄在18至82岁之间的成年人（201/423，47.5％女性），作为美国人口的全国代表性样本，包括非西班牙裔白人（293/423，69.2％），非西班牙裔黑人（52/423，12%），亚洲（31/423，7%），西班牙裔（25/423，6%），和其他个人（22/423，5%）。我们以不同的自助形式为个人提供了心理教育，并衡量了他们使用印刷媒体与DMHI的意愿。我们还评估了参与者的人口统计学，个性,以及对每种格式的可用性和有用性的感知，并用这些来预测相对偏好的个体差异。
结果：参与者报告说，与DMHI相比，他们更愿意使用印刷媒体（B=0.41，SE0.08；t422=4.91；P<.001；d=0.24，95%CI0.05-0.43）。这种偏好似乎受到教育水平的影响（B=0.22，SE0.09;t413=2.41;P=.02;d=0.13，95％CI-0.06至0.32），感知的帮助(B=0.78，SE0.06；t411=13.66；P<.001；d=0.46，95%CI0.27-0.66)，自助格式和感知可用性(B=0.20，SE0.58；t411=3.25；P=.001；d=0.12，95%CI0.07-0.30)。
结论：这项研究表明，与DMHI相比，印刷介质的总体偏好。未来的工作应该调查是否通过参与者的首选分娩方式接受心理健康治疗可以带来更高的参与度。
