Dealing with Diversity in Digital Psychological Interventions for Young People: A Structured Review

ACI open Pub Date : 2024-07-01 DOI:10.1055/s-0044-1788563
Farzad Jahedi, Paul W. Fay Henman, Jillian C. Ryan
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Abstract

In recent years, despite significant progress in digital psychological interventions (DPIs), the prevalence of psychological issues among young adults remains a concern. While research on the feasibility and effectiveness of DPIs is extensive, there's a growing recognition of the need for a sociotechnical approach to enhance user engagement. This review aims to highlight the importance of integrating diversity, especially sociodemographic characteristics, into DPI design and implementation.The review meticulously examined literature from six academic databases focused on DPIs tailored for users aged 12 to 26, spanning the period between 2009 and 2019. The data extraction process specifically targeted biosocial factors such as gender and ethnicity, as well as sociocultural elements like remoteness and labor force status among users. Among the initial pool of 879 articles, a refined selection of 25 underwent detailed analysis. Intriguingly, 14 of these studies did not treat sociodemographic factors as independent variables, leaving only 11 that did. Notably, gender and ethnicity emerged as the most frequently studied factors, with remoteness and labor force considerations receiving comparatively less attention.Despite the acknowledged importance of user engagement in DPI effectiveness, the review highlights a critical gap: insufficient consideration of young adults' sociodemographic characteristics in intervention design and implementation. Therefore, the findings strongly support further mixed-method studies to fully understand the complex social factors influencing user engagement with DPIs. Closing this gap will undoubtedly refine and optimize DPIs to better meet the diverse needs of young adults dealing with psychological challenges.
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在针对青少年的数字心理干预中处理多样性问题:结构化审查
近年来,尽管数字心理干预(DPIs)取得了重大进展,但青壮年心理问题的普遍性仍然令人担忧。尽管对数字心理干预的可行性和有效性进行了广泛的研究,但越来越多的人认识到需要采用社会技术方法来提高用户的参与度。本综述旨在强调将多样性(尤其是社会人口特征)纳入 DPI 设计和实施的重要性。本综述仔细研究了六个学术数据库中的文献,这些文献关注的是为 12 至 26 岁用户量身定制的 DPI,时间跨度为 2009 年至 2019 年。数据提取过程特别针对用户的性别和种族等生物社会因素以及偏远地区和劳动力状况等社会文化因素。在最初的 879 篇文章中,精选出 25 篇进行了详细分析。耐人寻味的是,其中 14 项研究没有将社会人口因素作为自变量,只有 11 项研究将其作为自变量。值得注意的是,性别和种族是最常被研究的因素,而偏远地区和劳动力因素受到的关注相对较少。尽管用户参与对 DPI 的有效性具有公认的重要性,但本综述强调了一个关键的差距:在干预措施的设计和实施过程中,对青壮年的社会人口特征考虑不足。因此,研究结果强烈支持进一步开展混合方法研究,以充分了解影响用户参与 DPI 的复杂社会因素。缩小这一差距无疑将完善和优化 DPI,以更好地满足应对心理挑战的青壮年的不同需求。
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