Preferences and perceived barriers for internet-based treatment among adolescents with anxiety or depressive disorders: A qualitative study

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 : 2024-09-05 DOI:10.1016/j.invent.2024.100770

J. Emmelkamp , M.A. Wisman , M.H. Nauta , N.I.E. Van Rijn , J.J.M. Dekker , C. Christ

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Abstract

Background

Over the past two decades, the development of internet-based treatments for adolescents with anxiety and depressive disorders has advanced rapidly. To date, adolescents' preferences and perceived barriers for internet-based treatment remain largely unknown, especially in clinical samples. Therefore, this study explored the preferences and perceived barriers of adolescents with anxiety or depression regarding internet-based treatment.

Methods

This qualitative study included 21 adolescent patients with anxiety or depressive disorder, and varied levels of experience with internet-based treatment. Two focus groups (N₁ = 5, N₂ = 6) and semi-structured interviews (N = 10) were conducted, recorded, transcribed, and analyzed using a reflexive thematic analysis approach.

Results

The thematic analysis yielded five main themes, and 12 subthemes. The main themes were: independence, accessibility, content, therapist contact, and appearance. Adolescents highlighted self-direction as a benefit of internet-based treatment, and motivational challenges as a drawback. They found internet-based interventions convenient and particularly fitting for implementation during waiting periods before formal treatment. Guided interventions were preferred over mere self-help. Furthermore, adolescents stressed the importance of a clear, organized design, and recommended accessibility on both mobile phones and computers.

Conclusion

Findings provide a clear overview of the needs and preferences of adolescents with anxiety or depressive disorder regarding internet-based treatment. To address their diverse needs, internet-based interventions should be tailorable, should incorporate therapist guidance, and should already be available during the treatment waiting period. Results of this study can guide the development and implementation of new internet-based interventions, and may thereby help to further optimize their uptake among adolescent patients.

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患有焦虑症或抑郁症的青少年对网络治疗的偏好和认知障碍：定性研究

背景过去二十年来，针对青少年焦虑症和抑郁症的网络治疗发展迅速。迄今为止，青少年对网络治疗的偏好和感知障碍在很大程度上仍不为人所知，尤其是在临床样本中。因此，本研究探讨了患有焦虑症或抑郁症的青少年对基于互联网的治疗的偏好和感知障碍。方法这项定性研究包括 21 名患有焦虑症或抑郁症的青少年患者，他们对基于互联网的治疗有不同程度的经验。采用反思性主题分析方法对两个焦点小组（N1 = 5，N2 = 6）和半结构式访谈（N = 10）进行了记录、转录和分析。这些主题分别是：独立性、可及性、内容、治疗师接触和外观。青少年强调自我指导是网络治疗的优点，而动机挑战则是缺点。他们认为网络干预很方便，尤其适合在正式治疗前的等待期实施。指导性干预比单纯的自助更受欢迎。此外，青少年还强调了设计清晰、有条理的重要性，并建议使用手机和电脑都能进行干预。结论：研究结果清楚地概述了患有焦虑症或抑郁症的青少年对网络治疗的需求和偏好。为了满足他们的不同需求，基于互联网的干预措施应该是量身定制的，应该结合治疗师的指导，并且在治疗等待期间就可以使用。这项研究的结果可以指导新的网络干预的开发和实施，从而有助于进一步优化青少年患者对网络干预的接受程度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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