Hybrid-delivered community psychoeducation for people aged 50 and older: A mixed-method evaluation and lesson learned

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2023-12-12 DOI:10.1016/j.invent.2023.100699

Dara Kiu Yi Leung , Nicole Hiu Ling Wong , Jessie Ho Yin Yau , Frankie Ho Chun Wong , Tianyin Liu , Wai-wai Kwok , Gloria Hoi Yan Wong , Terry Yat Sang Lum

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Abstract

Introduction

Hybrid training mode comprising in-person and teleconferencing sessions is effective and sustainable, yet no standardized principles guide its development for older people. This study aimed to develop a set of principles for hybrid-mode psychoeducation for older people from the experiences of middle-aged and older people in two folds: (1) examining the effects of hybrid-mode community psychoeducation and (2) identifying features that could enhance participants' experience.

Methods

We delivered 12-hour Older Person Mental Health First Aid and 3-hour late-life depression training to adults aged 50 and older in in-person and hybrid modes. Hybrid group participants received technology-related support, including in-advance training and on-site support. All participants completed assessments on depression literacy, depression stigma, meaning in life, social support, depressive symptoms, and anxiety pre-and post-intervention and evaluated the program in open-ended questions.

Results

A total of 471 in-person and 346 hybrid group participants completed the psychoeducation and post-assessment (80.4 % female, mean age = 64.73 years, SD = 7.29). Linear mixed models revealed improvements in depression literacy, depression stigma, meaning in life, social support, and anxiety (B = −1.43 to 0.13, all p < .001), with no significant difference between in-person and hybrid groups. Thematic analysis of open-ended questions identified three themes: (1) informational content with case studies, (2) hardcopy course handouts, and (3) interactive learning environment.

Discussion/conclusion

Hybrid-mode and in-person psychoeducation had comparable benefits on middle-aged and older people. The TORCH principles, an acronym for Technology provision, On-site technical support, Rehearsal, Connection with group members, and Hardcopy notes, was derived from practice wisdom and qualitative findings to support older people in online learning.

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针对 50 岁及以上人群的混合式社区心理教育：混合方法评估和经验教训

导言：由面授和远程会议组成的混合培训模式是一种有效且可持续的培训模式，但目前还没有针对老年人的标准化原则来指导其发展。本研究旨在从中老年人的经验出发，为混合模式的老年人心理教育制定一套原则，包括两个方面：（1）研究混合模式社区心理教育的效果；（2）确定可以增强参与者体验的特点。方法我们以面授和混合模式为 50 岁及以上的成年人提供了 12 小时的老年人心理健康急救和 3 小时的晚年抑郁培训。混合组参与者可获得与技术相关的支持，包括提前培训和现场支持。所有参与者在干预前和干预后都完成了关于抑郁素养、抑郁耻辱感、生活意义、社会支持、抑郁症状和焦虑的评估，并通过开放式问题对项目进行了评价。结果共有 471 名亲临现场组和 346 名混合组参与者完成了心理教育和后期评估（80.4% 为女性，平均年龄 = 64.73 岁，SD = 7.29）。线性混合模型显示，参与者在抑郁知识、抑郁耻辱感、生活意义、社会支持和焦虑方面均有所改善（B = -1.43 至 0.13，所有 p 均为 0.001），但面对面组和混合组之间无显著差异。对开放式问题的主题分析确定了三个主题：（1）包含案例研究的信息内容；（2）硬拷贝课程讲义；（3）互动学习环境。讨论/结论混合模式和面对面心理教育对中老年人的益处相当。TORCH 原则是技术提供、现场技术支持、排练、与小组成员联系和硬拷贝笔记的首字母缩写，是从实践智慧和定性研究结果中总结出来的，用于支持老年人在线学习。

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions