背景:对于许多年轻人来说,从儿童到成人心理健康服务的过渡是与治疗脱离和疾病进展相关的脆弱时期。为青年提供服务信息和选择,吸引他们,在此期间,根据他们的需求进行调整可以帮助克服成功过渡的系统性障碍。我们对如何利用基于短信的干预措施来支持动机,信息性,以及这段时间年轻人的行为需求。确定青少年对SMS文本消息服务的内容和功能的偏好可以为原型开发提供信息。
目的:本研究调查了青少年对重要内容的共识偏好,技术特点,和参与支持通知以过渡为重点的SMS文本消息服务。
方法:使用改进的e-Delphi调查设计来收集人口统计信息,目前的技术使用水平,对邮件内容的重要性评级,首选技术特征,以及在过去5年内获得精神卫生服务的加拿大16-26岁青年参与的障碍和促进因素。根据信息-动机-行为技能(IMB)模型对内容的调查项目进行分类。根据说服系统设计(PSD)模型对技术特征的调查项目进行了分类。使用预定义的共识评级矩阵和描述性统计来表征样品。高共识阈值为70%。
结果:共有100名参与者,主要是非白人(n=47,47%),20-26岁(n=59,59%),首次获得精神卫生服务的年龄在13至19岁之间(n=60,60%),被选中。大多数(n=90,90%)被确定为每日短信用户。根据IMB模型,在45%(9/20)的内容项目中报告了对重要性评级的高度共识。与行为领域项目(3/3,100%)相关的重要性等级的共识水平高于信息领域项目(4/9,44%)或动机领域项目(2/8,25%)。根据PSD模型,仅在19%(4/21)的特征和功能项目中报告了对重要性等级的高度共识。在PSD模型类别中,在8%(1/12)的主要任务支持领域项目和100%(3/3)的系统可信度支持领域项目中,对重要性评级有高度共识。对话支持和社会支持领域项目均未达到共识门槛。总的来说,27%(27/100)的年轻人表示,参与以过渡为重点的SMS文本消息干预的最重要推动者是文本消息的个性化。
结论:为该人群开发下一代SMS短信干预措施的科学家需要考虑对不同特征的共识水平如何影响可行性和个性化努力。青年可以(而且应该)在制定这些干预措施中发挥不可或缺的作用。
BACKGROUND: For many young people, the transition from child to adult mental health services is a vulnerable time associated with treatment disengagement and illness progression. Providing service information and options to youth, appealing to them, and tailoring to their
needs during this period could help overcome systematic barriers to a successful transition. We know little about how SMS text message-based interventions might be leveraged to support the motivational, informational, and behavioral
needs of youth during this time. Ascertaining youth preferences for the content and functionality of an SMS text message service could inform prototype development.
OBJECTIVE: This study investigated consensus preferences among youth on important content, technology features, and engagement supports to inform a transition-focused SMS text message service.
METHODS: A modified e-Delphi survey design was used to collect demographics, current levels of technology use, importance ratings on message content, preferred technical features, and barriers and enablers to engagement for youth in Canada aged 16-26 years who have accessed mental health services within the past 5 years. Survey items on content were categorized according to the information-motivation-behavioral skills (IMB) model. Survey items on technical features were categorized according to the persuasive system design (PSD) model. A predefined consensus rating matrix and descriptive statistics were used to characterize the sample. The high consensus threshold was 70%.
RESULTS: A total of 100 participants, predominantly non-White (n=47, 47%), aged 20-26 years (n=59, 59%), and who had first accessed mental health services between the ages of 13 and 19 years (n=60, 60%), were selected. The majority (n=90, 90%) identified as daily SMS text message users. A high level of consensus on importance ratings was reported in 45% (9/20) of content items based on the IMB model. There were higher levels of consensus on importance ratings related to behavior domain items (3/3, 100%) than information domain items (4/9, 44%) or motivation domain items (2/8, 25%). A high level of consensus on importance ratings was reported in only 19% (4/21) of feature and functionality items based on the PSD model. Among PSD model categories, there was a high level of consensus on importance ratings in 8% (1/12) of the primary task support domain items and 100% (3/3) of the system credibility support domain items. None of the dialogue-support and social-support domain items met the high level of consensus thresholds. In total, 27% (27/100) of youth indicated that the most significant enabler for engaging with a transition-focused SMS text message intervention was the personalization of text messages.
CONCLUSIONS: Scientists developing next-generation SMS text messaging interventions for this population need to consider how levels of consensus on different features may impact feasibility and personalization efforts. Youth can (and should) play an integral role in the development of these interventions.