背景:COVID-19大流行给个人和家庭带来了额外的心理健康负担,导致广泛的服务访问问题。数字心理健康干预措施有望改善可访问性。最近的评论显示了个人使用的新证据和多用户的早期证据。然而,数字心理健康干预措施的流失率仍然很高,和额外的复杂性存在时,多个家庭成员在一起。
目标:因此,本范围审查旨在详细介绍为家庭使用设计的数字心理健康干预措施的报告证据,重点是促进可访问性和参与度并使家庭共同完成的构建和设计特征。
方法:MEDLINE系统文献检索,Embase,PsycINFO,WebofScience,对2002年1月至2024年3月以英语发表的文章进行了和CINAHL数据库。合格的记录包括对数字平台的实证研究,其中包含一些旨在由相关人员共同完成的元素,以及一些旨在在没有治疗师参与的情况下完成的组件。已记录临床证据的病例包括平台。
结果:在所审查的9527篇论文中,85(0.89%)符合资格标准。总共确定了24个供相关方共同使用的独特平台。参与者之间的关系包括夫妻,父子二元组合,家庭照顾者护理接受者,和家庭。常见的平台功能包括通过结构化干预来交付内容,而无需提供最少的剪裁或个性化。一些干预措施提供了与治疗师的现场接触。用户参与度指标和调查结果各不相同,包括用户体验,满意,完成率,和可行性。我们的发现对于文献中没有的比现在的更显著。与预期相反,很少有研究报告任何设计和建造特征,使联排。没有研究报告关于实现共同完成的平台功能或确保个人隐私和安全的考虑因素。没有人检查平台构建或设计特征作为干预效果的调节者,没有人对平台本身进行形成性评估。
结论:在数字心理健康平台设计的早期时代,这项新颖的评论表明,与多个相关用户在治疗过程的任何方面的成功参与相关的设计元素的信息明显缺失。在详细介绍和评估平台设计的文献中仍然存在很大差距,突出未来跨学科研究的重要机会。这篇综述详细介绍了开展此类研究的动机;提出了构建供家庭使用的数字心理健康平台时的设计考虑因素;并为未来的发展提供了建议,包括平台协同设计和形成性评价。
BACKGROUND: The COVID-19 pandemic placed an additional mental health burden on individuals and families, resulting in widespread service access problems. Digital mental health interventions suggest promise for improved accessibility. Recent reviews have shown emerging evidence for individual use and early evidence for multiusers. However, attrition rates remain high for digital mental health interventions, and additional complexities exist when engaging multiple family members together.
OBJECTIVE: As such, this scoping review aims to detail the reported evidence for digital mental health interventions designed for family use with a focus on the build and design characteristics that promote accessibility and
engagement and enable cocompletion by families.
METHODS: A systematic literature search of MEDLINE, Embase, PsycINFO, Web of Science, and CINAHL databases was conducted for articles published in the English language from January 2002 to March 2024. Eligible records included empirical studies of digital platforms containing some elements designed for cocompletion by related people as well as some components intended to be completed without therapist
engagement. Platforms were included in cases in which clinical evidence had been documented.
RESULTS: Of the 9527 papers reviewed, 85 (0.89%) met the eligibility criteria. A total of 24 unique platforms designed for co-use by related parties were identified. Relationships between participants included couples, parent-child dyads, family caregiver-care recipient dyads, and families. Common platform features included the delivery of content via structured interventions with no to minimal tailoring or personalization offered. Some interventions provided live contact with therapists. User
engagement indicators and findings varied and included user experience, satisfaction, completion rates, and feasibility. Our findings are more remarkable for what was absent in the literature than what was present. Contrary to expectations, few studies reported any design and build characteristics that enabled coparticipation. No studies reported on platform features for enabling cocompletion or considerations for ensuring individual privacy and safety. None examined platform build or design characteristics as moderators of intervention effect, and none offered a formative evaluation of the platform itself.
CONCLUSIONS: In this early era of digital mental health platform design, this novel review demonstrates a striking absence of information about design elements associated with the successful
engagement of multiple related users in any aspect of a therapeutic process. There remains a large gap in the literature detailing and evaluating platform design, highlighting a significant opportunity for future cross-disciplinary research. This review details the incentive for undertaking such research; suggests design considerations when building digital mental health platforms for use by families; and offers recommendations for future development, including platform co-design and formative evaluation.