PDF(Pubmed)
Abstract：
BACKGROUND: The Improving Mental Health Literacy Among Children and Young People in Indonesia (IMPeTUs) intervention is a co-produced, evidence-based digital intervention designed to improve anxiety and depression focused mental health literacy and self-management among people aged 11-15 in Java, Indonesia. This study aimed to evaluate the usability, feasibility and preliminary impact of our intervention.
METHODS: Mixed methods, multi-site case studies based on a theory of change. Pre-and post-assessments of a range of outcomes and qualitative interviews/focus groups with children and young people (CYP), parents and facilitators. The intervention was implemented in 8 health, school and community sites across Java, Indonesia (Megelang, Jakarta and Bogor). Quantitative data designed to understand the impact of and feasibility of evaluating the intervention collected from 78 CYP who used the intervention were analysed descriptively. Qualitative data from interviews and focus groups collected from 56 CYP, 49 parents/caregivers and 18 facilitators were analysed using framework analysis.
RESULTS: Qualitative data analysis indicated high levels of usability and acceptability for the interface aesthetic, personalisation, message presentation and navigation. Participants reported minimal burden and no negative outcomes associated with the intervention. CYP, parents and facilitators identified a range of direct and spill over effects of interventions engagement, some of which were not anticipated at study outset. Quantitative data highlighted the feasibility of intervention evaluation, with high levels of recruitment and retention across study time points. Minimal changes were identified in outcomes pre-to-post intervention, which may in part be due to a lack of scale relevance and/or sensitivity to the intervention mechanisms indicated in the qualitative data.
CONCLUSIONS: Digital mental health literacy applications are potentially an acceptable and feasible way to prevent burdens of common mental health problems amongst CYP in Indonesia. Our intervention and evaluative processes will be further refined prior to definitive evaluation.
METHODS: Mixed methods, multi-site case studies based on a theory of change. Pre-and post-assessments of a range of outcomes and qualitative interviews/focus groups with children and young people (CYP), parents and facilitators. The intervention was implemented in 8 health, school and community sites across Java, Indonesia (Megelang, Jakarta and Bogor). Quantitative data designed to understand the impact of and feasibility of evaluating the intervention collected from 78 CYP who used the intervention were analysed descriptively. Qualitative data from interviews and focus groups collected from 56 CYP, 49 parents/caregivers and 18 facilitators were analysed using framework analysis.
RESULTS: Qualitative data analysis indicated high levels of usability and acceptability for the interface aesthetic, personalisation, message presentation and navigation. Participants reported minimal burden and no negative outcomes associated with the intervention. CYP, parents and facilitators identified a range of direct and spill over effects of interventions engagement, some of which were not anticipated at study outset. Quantitative data highlighted the feasibility of intervention evaluation, with high levels of recruitment and retention across study time points. Minimal changes were identified in outcomes pre-to-post intervention, which may in part be due to a lack of scale relevance and/or sensitivity to the intervention mechanisms indicated in the qualitative data.
CONCLUSIONS: Digital mental health literacy applications are potentially an acceptable and feasible way to prevent burdens of common mental health problems amongst CYP in Indonesia. Our intervention and evaluative processes will be further refined prior to definitive evaluation.
摘要：
背景：提高印度尼西亚儿童和年轻人的心理健康素养（IMPeTU）干预措施是共同制作的，基于证据的数字干预，旨在改善11-15岁人群的焦虑和抑郁心理健康素养和自我管理，印度尼西亚。本研究旨在评估可用性，我们干预的可行性和初步影响。
方法：混合方法，基于变革理论的多站点案例研究。对一系列结果进行前后评估，并与儿童和年轻人进行定性访谈/焦点小组（CYP），父母和促进者。干预措施在8个卫生部门实施，跨Java的学校和社区网站，印度尼西亚（Megelang，雅加达和茂物）。描述性分析了旨在了解评估干预措施的影响和可行性的定量数据，这些数据是从78名使用干预措施的CYP收集的。来自56个CYP的访谈和焦点小组的定性数据，使用框架分析法对49名父母/照顾者和18名促进者进行了分析。
结果：定性数据分析表明界面美学具有很高的可用性和可接受性，个性化,消息演示和导航。参与者报告了最小的负担，没有与干预相关的负面结果。CYP,父母和促进者确定了一系列干预措施参与的直接和溢出效应，其中一些在研究开始时没有预料到。定量数据强调了干预评估的可行性，在整个学习时间点具有高水平的招聘和保留。干预前后的结果变化最小，这可能部分是由于对定性数据中指出的干预机制缺乏量表相关性和/或敏感性。
结论：数字心理健康素养应用可能是预防印度尼西亚CYP常见心理健康问题负担的一种可接受且可行的方法。在进行最终评估之前，我们的干预和评估过程将得到进一步完善。
方法：混合方法，基于变革理论的多站点案例研究。对一系列结果进行前后评估，并与儿童和年轻人进行定性访谈/焦点小组（CYP），父母和促进者。干预措施在8个卫生部门实施，跨Java的学校和社区网站，印度尼西亚（Megelang，雅加达和茂物）。描述性分析了旨在了解评估干预措施的影响和可行性的定量数据，这些数据是从78名使用干预措施的CYP收集的。来自56个CYP的访谈和焦点小组的定性数据，使用框架分析法对49名父母/照顾者和18名促进者进行了分析。
结果：定性数据分析表明界面美学具有很高的可用性和可接受性，个性化,消息演示和导航。参与者报告了最小的负担，没有与干预相关的负面结果。CYP,父母和促进者确定了一系列干预措施参与的直接和溢出效应，其中一些在研究开始时没有预料到。定量数据强调了干预评估的可行性，在整个学习时间点具有高水平的招聘和保留。干预前后的结果变化最小，这可能部分是由于对定性数据中指出的干预机制缺乏量表相关性和/或敏感性。
结论：数字心理健康素养应用可能是预防印度尼西亚CYP常见心理健康问题负担的一种可接受且可行的方法。在进行最终评估之前，我们的干预和评估过程将得到进一步完善。
