Abstract：
Objectives: Digital interventions can offer accessible and scalable treatment for chronic conditions, though often focus separately on physical or mental health. People accessing digital health services may live with multiple conditions or experience overlapping symptoms. This study aimed to describe the breadth and characteristics of chronic health conditions and self-reported disability among routine users of a digital mental health service, and to examine related motivations to engage with digital mental health interventions.
Methods: A cross-sectional survey of adults registered with a digital mental health service in the Australian community (THIS WAY UP) was conducted. Participant demography, chronic health conditions, self-reported disability and motivations for accessing digital treatment were collected and analyzed descriptively.
Results: 366 participants responded (77% female, mean age 50 ± 15 years). 71.6% of participants (242/338) reported ≥1 chronic health condition and one-third reported multimorbidity (112/338, 33.1%). Chronic pain, musculoskeletal and connective tissue disorders were most common. 26.9% of respondents (90/334) reported a disability, most commonly physical disabilities. 95% of those with chronic conditions reported negative mental health effects and 46% reported heightened interest in digital mental health treatments because of their condition. Primary motivations for digital service use were receiving a recommendation from a health professional and service accessibility.
Discussion: People who access digital mental health services in routine care report high rates of heterogenous chronic illness and related disability. There is interest in accessible digital treatments to support mental health at scale among people who live with varied chronic conditions and disabilities.
Heterogenous chronic health conditions and disability are prevalent among people who engage with digital mental health interventions in the community.Approximately three-quarters of people (72%) who access digital mental health interventions have at least one chronic condition, and approx. one quarter (27%) have a disability.The accessibility of digital mental health treatments appealed to people with chronic conditions and/or disabilities.Digital mental health services may have a role to play in supporting mental health and wellbeing at scale among people with varied, disabling chronic conditions.
Methods: A cross-sectional survey of adults registered with a digital mental health service in the Australian community (THIS WAY UP) was conducted. Participant demography, chronic health conditions, self-reported disability and motivations for accessing digital treatment were collected and analyzed descriptively.
Results: 366 participants responded (77% female, mean age 50 ± 15 years). 71.6% of participants (242/338) reported ≥1 chronic health condition and one-third reported multimorbidity (112/338, 33.1%). Chronic pain, musculoskeletal and connective tissue disorders were most common. 26.9% of respondents (90/334) reported a disability, most commonly physical disabilities. 95% of those with chronic conditions reported negative mental health effects and 46% reported heightened interest in digital mental health treatments because of their condition. Primary motivations for digital service use were receiving a recommendation from a health professional and service accessibility.
Discussion: People who access digital mental health services in routine care report high rates of heterogenous chronic illness and related disability. There is interest in accessible digital treatments to support mental health at scale among people who live with varied chronic conditions and disabilities.
Heterogenous chronic health conditions and disability are prevalent among people who engage with digital mental health interventions in the community.Approximately three-quarters of people (72%) who access digital mental health interventions have at least one chronic condition, and approx. one quarter (27%) have a disability.The accessibility of digital mental health treatments appealed to people with chronic conditions and/or disabilities.Digital mental health services may have a role to play in supporting mental health and wellbeing at scale among people with varied, disabling chronic conditions.
摘要：
目标：数字干预可以为慢性病提供可访问和可扩展的治疗，虽然通常分别关注身体或心理健康。访问数字医疗服务的人可能患有多种疾病或出现重叠症状。这项研究旨在描述数字心理健康服务的常规用户中慢性健康状况和自我报告残疾的广度和特征。并研究参与数字心理健康干预的相关动机。
方法：对在澳大利亚社区注册了数字心理健康服务的成年人进行了横断面调查（THISWAYUP）。参与者人口统计，慢性健康状况,我们收集并描述性分析了自我报告的残疾和获得数字治疗的动机.
结果：366名参与者回答（77%为女性，平均年龄50±15岁)。71.6％（242/338）的参与者报告了≥1种慢性健康状况，三分之一的参与者报告了多发病（112/338，33.1％）。慢性疼痛,肌肉骨骼和结缔组织疾病是最常见的。26.9%的受访者(90/334)报告残疾，最常见的是身体残疾。95％的慢性病患者报告了负面的心理健康影响，46％的人报告说，由于他们的病情，他们对数字心理健康治疗的兴趣增加。使用数字服务的主要动机是收到健康专业人员和服务可访问性的建议。
讨论：在常规护理中获得数字心理健康服务的人报告说，异质性慢性疾病和相关残疾的发生率很高。人们对可访问的数字治疗感兴趣，以支持患有各种慢性疾病和残疾的人的大规模心理健康。
异源性慢性健康状况和残疾在社区参与数字心理健康干预的人群中普遍存在。大约四分之三（72％）使用数字心理健康干预措施的人至少有一种慢性疾病。和大约。四分之一(27%)有残疾。数字心理健康治疗的可及性吸引了患有慢性病和/或残疾的人。数字心理健康服务可能在支持不同人群的心理健康和福祉方面发挥作用，禁用慢性疾病。
方法：对在澳大利亚社区注册了数字心理健康服务的成年人进行了横断面调查（THISWAYUP）。参与者人口统计，慢性健康状况,我们收集并描述性分析了自我报告的残疾和获得数字治疗的动机.
结果：366名参与者回答（77%为女性，平均年龄50±15岁)。71.6％（242/338）的参与者报告了≥1种慢性健康状况，三分之一的参与者报告了多发病（112/338，33.1％）。慢性疼痛,肌肉骨骼和结缔组织疾病是最常见的。26.9%的受访者(90/334)报告残疾，最常见的是身体残疾。95％的慢性病患者报告了负面的心理健康影响，46％的人报告说，由于他们的病情，他们对数字心理健康治疗的兴趣增加。使用数字服务的主要动机是收到健康专业人员和服务可访问性的建议。
讨论：在常规护理中获得数字心理健康服务的人报告说，异质性慢性疾病和相关残疾的发生率很高。人们对可访问的数字治疗感兴趣，以支持患有各种慢性疾病和残疾的人的大规模心理健康。
异源性慢性健康状况和残疾在社区参与数字心理健康干预的人群中普遍存在。大约四分之三（72％）使用数字心理健康干预措施的人至少有一种慢性疾病。和大约。四分之一(27%)有残疾。数字心理健康治疗的可及性吸引了患有慢性病和/或残疾的人。数字心理健康服务可能在支持不同人群的心理健康和福祉方面发挥作用，禁用慢性疾病。
