背景:性和性别少数群体青年比异性恋和顺性同龄人面临更大的心理健康受损风险。这被认为是由于耻辱的负担增加,歧视,或欺凌导致日常压力增加。鉴于数字可访问性的增加以及性和性别少数群体青年对基于网络的支持的强烈偏好,数字干预是提供支持以维持其福祉的关键手段。
目的:本文旨在阐明自己的共同设计过程和基础逻辑,针对性和性别少数群体青年的定制网络干预措施。
方法:本研究遵循Hagen等人提出的6个阶段的过程(确定,定义,position,概念,创建,和使用),纳入对现有证据的系统范围审查,有4个利益相关者小组的焦点小组(即,性和性别少数群体青年,直接支持他们的专业人士,父母,和英国公共卫生服务专员),与性和性别少数群体青年的一系列共同设计讲习班和基于网络的协商,任命一家数字开发公司,以及年轻的成人性和性别少数贡献者,以真实的体验为基础创建内容。
结果:自己有一个欢迎和主页,包括所有动画的免费访问,解释使用适当代词的重要性,以及创建用户帐户和登录以访问更多免费内容的机会。创建帐户(为用户和研究团队)提供了记录参与度的机会,评估用户的福祉,并通过可用内容跟踪进度。Oneself中有三个部分的内容集中在通过共同设计确定的优先主题上:(1)安全地出来;(2)管理学校,包括同性恋恐惧症,双恐惧症,或恐惧的欺凌或类似行为;以及(3)与父母和家庭打交道,尤其是不支持的家庭成员,包括父母或照顾者。自己的内容侧重于确定这些为主题领域,并提供潜在资源,以协助性和性别少数群体青年应对这些领域。例如,自己借鉴了诸如认知重构之类的治疗概念,应力降低,和解决问题的技巧。还有一个包含放松练习的部分,一个链接到其他建议的支持和资源的部分,和下载部分,提供更详细的改善福祉的技术和策略。
结论:这项研究通过打开干预发展的黑匣子为研究做出了贡献。它显示了Oneself如何以支持未来开发和评估的逻辑为基础,并包括不同的共同设计师。支持福祉的更多互动技术将有利于进一步发展。特定于更广泛的交叉身份的其他内容(例如来自少数信仰背景的有护理经验的亚洲性和性别少数群体青年)也将有益于未来的自我发展。
■RR2-10.2196/31036。
BACKGROUND: Sexual and gender minority youth are at greater risk of compromised mental health than their heterosexual and cisgender peers. This is considered to be due to an increased burden of stigma, discrimination, or bullying resulting in a heightened experience of daily stress. Given the increasing digital accessibility and a strong preference for web-based support among sexual and gender minority youth, digital interventions are a key means to provide support to maintain their well-being.
OBJECTIVE: This paper aims to explicate the co-design processes and underpinning logic of Oneself, a bespoke web-based intervention for sexual and gender minority youth.
METHODS: This study followed a 6-stage process set out by Hagen et al (identify, define, position, concept, create, and use), incorporating a systematic scoping review of existing evidence, focus groups with 4 stakeholder groups (ie, sexual and gender minority youth, professionals who directly support them, parents, and UK public health service commissioners), a series of co-design workshops and web-based consultations with sexual and gender minority youth, the appointment of a digital development company, and young adult sexual and gender minority contributors to create content grounded in authentic experiences.
RESULTS: Oneself features a welcome and home page, including a free accessible to all animation explaining the importance of using appropriate pronouns and the opportunity to create a user account and log-in to access further free content. Creating an account provides an opportunity (for the user and the research team) to record engagement, assess users\' well-being, and track progress through the available content. There are three sections of content in Oneself focused on the priority topics identified through co-design: (1) coming out and doing so safely; (2) managing school, including homophobic, biphobic, or transphobic bullying or similar; and (3) dealing with parents and families, especially unsupportive family members, including parents or caregivers. Oneself\'s content focuses on identifying these as topic areas and providing potential resources to assist sexual and gender minority youth in coping with these areas. For instance, Oneself drew on therapeutic concepts such as cognitive reframing, stress reduction, and problem-solving techniques. There is also a section containing relaxation exercises, a section with links to other recommended support and resources, and a downloads section with more detailed techniques and strategies for improving well-being.
CONCLUSIONS: This study contributes to research by opening up the black box of intervention development. It shows how Oneself is underpinned by a logic that can support future development and evaluation and includes diverse co-designers. More interactive techniques to support well-being would be beneficial for further development. Additional content specific to a wider range of intersecting identities (such as care-experienced Asian sexual and gender minority youth from a minority faith background) would also be beneficial in future Oneself developments.
UNASSIGNED: RR2-10.2196/31036.