PDF(Pubmed)
Abstract：
BACKGROUND: Given the physical health disparities associated with mental illness, targeted lifestyle interventions are required to reduce the risk of cardiometabolic disease. Integrating physical health early in mental health treatment among young people is essential for preventing physical comorbidities, reducing health disparities, managing medication side effects, and improving overall health outcomes. Digital technology is increasingly used to promote fitness, lifestyle, and physical health among the general population. However, using these interventions to promote physical health within mental health care requires a nuanced understanding of the factors that affect their adoption and implementation.
OBJECTIVE: Using a qualitative design, we explored the attitudes of mental health care professionals (MHCPs) toward digital technologies for physical health with the goal of illuminating the opportunities, development, and implementation of the effective use of digital tools for promoting healthier lifestyles in mental health care.
METHODS: Semistructured interviews were conducted with MHCPs (N=13) using reflexive thematic analysis to explore their experiences and perspectives on using digital health to promote physical health in youth mental health care settings.
RESULTS: Three overarching themes from the qualitative analysis are reported: (1) motivation will affect implementation, (2) patients\' readiness and capability, and (3) reallocation of staff roles and responsibilities. The subthemes within, and supporting quotes, are described.
CONCLUSIONS: The use of digital means presents many opportunities for improving the provision of physical health interventions in mental health care settings. However, given the limited experience of many MHCPs with these technologies, formal training and additional support may improve the likelihood of implementation. Factors such as patient symptomatology, safety, and access to technology, as well as the readiness, acceptability, and capability of both MHCPs and patients to engage with digital tools, must also be considered. In addition, the potential benefits of data integration must be carefully weighed against the associated risks.
OBJECTIVE: Using a qualitative design, we explored the attitudes of mental health care professionals (MHCPs) toward digital technologies for physical health with the goal of illuminating the opportunities, development, and implementation of the effective use of digital tools for promoting healthier lifestyles in mental health care.
METHODS: Semistructured interviews were conducted with MHCPs (N=13) using reflexive thematic analysis to explore their experiences and perspectives on using digital health to promote physical health in youth mental health care settings.
RESULTS: Three overarching themes from the qualitative analysis are reported: (1) motivation will affect implementation, (2) patients\' readiness and capability, and (3) reallocation of staff roles and responsibilities. The subthemes within, and supporting quotes, are described.
CONCLUSIONS: The use of digital means presents many opportunities for improving the provision of physical health interventions in mental health care settings. However, given the limited experience of many MHCPs with these technologies, formal training and additional support may improve the likelihood of implementation. Factors such as patient symptomatology, safety, and access to technology, as well as the readiness, acceptability, and capability of both MHCPs and patients to engage with digital tools, must also be considered. In addition, the potential benefits of data integration must be carefully weighed against the associated risks.
摘要：
背景：鉴于与精神疾病相关的身体健康差异，需要有针对性的生活方式干预,以降低心脏代谢疾病的风险.在年轻人的心理健康治疗中早期整合身体健康对于预防身体合并症至关重要，减少健康差距，管理药物副作用，改善整体健康结果。数字技术越来越多地用于促进健身，生活方式,和一般人群的身体健康。然而,在精神保健中使用这些干预措施来促进身体健康需要对影响其采用和实施的因素有细微差别的理解.
目的：使用定性设计，我们探索了精神卫生保健专业人员（MHCP）对身体健康的数字技术的态度，目的是阐明机会，发展,和实施有效使用数字工具来促进精神卫生保健中更健康的生活方式。
方法：使用反身主题分析对MHCP（N=13）进行了半结构化访谈，以探索他们在青年心理健康护理环境中使用数字健康促进身体健康的经验和观点。
结果：报告了定性分析的三个总体主题：（1）动机会影响实施，(2)患者的准备和能力，(3)重新分配员工角色和职责。其中的次主题，和支持报价，被描述。
结论：数字手段的使用为改善心理健康护理环境中的身体健康干预措施提供了许多机会。然而,鉴于许多MHCP对这些技术的经验有限，正式培训和额外支持可能会提高实施的可能性。患者症状等因素，安全,和获得技术，以及准备，可接受性,以及MHCP和患者使用数字工具的能力，也必须考虑。此外,必须仔细权衡数据集成的潜在好处与相关风险。
目的：使用定性设计，我们探索了精神卫生保健专业人员（MHCP）对身体健康的数字技术的态度，目的是阐明机会，发展,和实施有效使用数字工具来促进精神卫生保健中更健康的生活方式。
方法：使用反身主题分析对MHCP（N=13）进行了半结构化访谈，以探索他们在青年心理健康护理环境中使用数字健康促进身体健康的经验和观点。
结果：报告了定性分析的三个总体主题：（1）动机会影响实施，(2)患者的准备和能力，(3)重新分配员工角色和职责。其中的次主题，和支持报价，被描述。
结论：数字手段的使用为改善心理健康护理环境中的身体健康干预措施提供了许多机会。然而,鉴于许多MHCP对这些技术的经验有限，正式培训和额外支持可能会提高实施的可能性。患者症状等因素，安全,和获得技术，以及准备，可接受性,以及MHCP和患者使用数字工具的能力，也必须考虑。此外,必须仔细权衡数据集成的潜在好处与相关风险。
