Designing a Positive Health Dialogue Tool for Adolescents and Young Adults: A Mixed Methods Study

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-10-24 DOI:10.1111/hex.70042

Marja van Vliet, Machteld Huber, Sigrid van der Zanden

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引用次数: 0

Abstract

Objectives

Being able to express and address strengths and needs related to health is an important asset to enhance resilience during emerging adulthood. Towards this end, we aimed to develop a specific version of the My Positive Health (MPH) dialogue tool for this developmental period (ages 16–25). By adopting a broad perspective on health and striving for applicability in various settings, this tool ultimately seeks to promote integrated collaboration across various domains (healthcare, social care, school).

Methods

The tool was co-designed with end users, using mixed methods: a descriptive cross-sectional survey questionnaire (N = 118) followed by qualitative focus groups and interview sessions (N = 36). Participants were Dutch citizens (mean age 21.6; 79% female) who were stratified by educational level and chronic disease status (yes/no). The final selection of the content of the tool was made during expert sessions.

Results

A preference appeared for the following dimensions to be part of the dialogue tool: My body, My feelings and thoughts, Meaningfulness, Quality of life, Participation and Daily life. Each dimension was operationalised by aspects (43 in total) to facilitate reflection and dialogue. The following new aspects that are typical for emerging adulthood were formulated and included in the dialogue tool: ‘Confidence in yourself’, ‘Being in control’, ‘Having confidence in the future’, ‘Self-expression’, ‘Meaningful relationships’, ‘Being able to work or study’ and ‘Ability to plan’. Other aspects derived from the adult and children's versions of the MPH dialogue tool.

Conclusion

A dialogue tool was designed for individuals aged 16–25 in various health- and vulnerability-related conditions and with applicability in various domains.

Patient or Public Contribution

The development of the dialogue tool was specifically driven by the needs expressed by the users themselves. Planned public and patient contribution comprised consultation and collaboration in (i) design, (ii) recruitment, (iii) focus group sessions, (iv) analysis and discussion of the data and (v) dissemination.

Trial Registration: Not applicable.

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为青少年设计积极健康对话工具：混合方法研究

目标：能够表达和解决与健康有关的优势和需求，是增强新兴成人期复原力的重要资产。为此，我们旨在为这一成长阶段（16-25 岁）开发一个特定版本的 "我的积极健康"（MPH）对话工具。该工具采用广阔的健康视角，力求适用于各种环境，最终旨在促进各领域（医疗保健、社会关怀、学校）的综合合作：该工具是与最终用户共同设计的，采用了混合方法：描述性横断面调查问卷（118 人），然后是定性焦点小组和访谈会议（36 人）。参与者为荷兰公民（平均年龄 21.6 岁；79% 为女性），按教育水平和慢性病状况（是/否）进行分层。在专家会议上对工具内容进行了最终选择：结果：人们倾向于将以下方面作为对话工具的一部分：我的身体、我的感受和想法、意义、生活质量、参与和日常生活。每个维度都有具体的方面（共 43 个），以促进思考和对话。在对话工具中加入了以下新的方面，这些方面是成年期的典型特征："对自己有信心"、"能够控制自己"、"对未来有信心"、"自我表达"、"有意义的人际关系"、"能够工作或学习 "和 "有计划的能力"。其他方面来自成人版和儿童版的 MPH 对话工具：为 16-25 岁的个人设计了一个对话工具，该工具适用于与健康和脆弱性有关的各种情况，并适用于各个领域：患者或公众的贡献：对话工具的开发是由用户自己表达的需求具体推动的。计划中的公众和患者贡献包括以下方面的咨询与合作：(i) 设计；(ii) 招募；(iii) 焦点小组会议；(iv) 数据分析与讨论；(v) 宣传：试验注册：不适用。

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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