背景:使用信息和通信技术(ICT)改善无家可归青年(YEH)获得精神卫生服务的兴趣越来越大;但是,已经做出了有限的努力来综合这些文献。
目的:本研究旨在回顾有关使用ICT为YEH提供心理健康服务和干预措施的研究。
方法:我们使用了根据Arksey和O\'Malley框架和JoannaBriggs研究所《证据综合手册》的指南进行范围审查的方法。根据PRISMA(系统审查和荟萃分析的首选报告项目)声明和PRISMA-ScR(系统审查和范围审查的荟萃分析扩展的首选报告项目)报告结果。2005年至2021年在MEDLINE进行了系统的搜索,Embase,CINAHL,PsycInfo,科克伦,WebofScience,和大师,在ProQuest论文和论文中,纸莎草,无家可归的枢纽,和谷歌灰色文学学者。如果参与者的平均年龄在13到29岁之间,有心理健康问题的年轻人正在经历无家可归或住在避难所,信通技术被用作干预手段,这项研究提供了对该技术的描述。排除标准是不允许相互作用的技术(例如,电视)和法语或英语以外的语言。使用描述性统计和定性方法对数据进行分析。与第三位审阅者协商,两名审阅者参与了筛选和数据提取过程。数据汇总在表格和叙述性综合中。
结果:从筛选的2153篇摘要和标题中,分析中包括12个。使用的最常见的信息通信技术类型是通信技术(例如,电话,视频,和短信)和移动应用程序。干预目标在研究中差异很大;最常见的目标是减少危险行为,其次是认知功能,提供情感支持,提供重要资源,减少焦虑。大多数研究(9/11,82%)关注干预措施的可行性。几乎所有研究都报告了高水平的可接受性(8/9,89%)和中等至高的使用频率(5/6,83%)。主要挑战与技术问题有关,例如需要更换电话,数据服务的问题,手机充电。
结论:我们的结果表明,信息通信技术在向YEH提供精神卫生服务方面的作用正在显现,并且基于早期可行性研究,存在高度可接受性。然而,我们的结果应该谨慎解释,考虑到分析中纳入的研究数量有限以及退出水平升高.需要通过更大和更长的研究来推进该领域的功效和有效性研究。
UNASSIGNED:RR2-10.1136/bmjopen-2022-061313。
There is growing interest in using information and communication technologies (ICTs) to improve access to mental health services for youth experiencing homelessness (YEH); however, limited efforts have been made to synthesize this literature.
This study aimed to review the research on the use of ICTs to provide mental health services and interventions for YEH.
We used a scoping review methodology following the Arksey and O\'Malley framework and guidelines from the Joanna Briggs Institute Manual for Evidence Synthesis. The results are reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). A systematic search was conducted from 2005 to 2021 in MEDLINE, Embase, CINAHL, PsycInfo, Cochrane, Web of Science, and Maestro and in ProQuest Thesis and Dissertations, Papyrus, Homeless Hub, and Google Scholar for gray literature. Studies were included if participants\' mean age was between 13 and 29 years, youth with mental health issues were experiencing homelessness or living in a shelter, ICTs were used as a means of intervention, and the study provided a description of the technology. The exclusion criteria were technology that did not allow for interaction (eg, television) and languages other than French or English. The data were analyzed using descriptive statistics and qualitative approaches. Two reviewers were involved in the screening and data extraction process in consultation with a third reviewer. The data were summarized in tables and by narrative synthesis.
From the 2153 abstracts and titles screened, 12 were included in the analysis. The most common types of ICTs used were communication technologies (eg, phone, video, and SMS text messages) and mobile apps. The intervention goals varied widely across studies; the most common goal was reducing risky behaviors, followed by addressing cognitive functioning, providing emotional support, providing vital resources, and reducing anxiety. Most studies (9/11, 82%) focused on the feasibility of interventions. Almost all studies reported high levels of acceptability (8/9, 89%) and moderate to high frequency of use (5/6, 83%). The principal challenges were related to technical problems such as the need to replace phones, issues with data services, and phone charging.
Our results indicate the emerging role of ICTs in the delivery of mental health services to YEH and that there is a high level of acceptability based on early feasibility studies. However, our results should be interpreted cautiously, considering the limited number of studies included in the analysis and the elevated levels of dropout. There is a need to advance efficacy and effectiveness research in this area with larger and longer studies.
RR2-10.1136/bmjopen-2022-061313.