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Metsäranta K, Anttila M, Pajamäki T, Holappa H, Välimäki M. The Usage of a Chat-Based Help Service for Young People: A Nationwide Descriptive Study. Issues Ment Health Nurs 2024:1-11. [PMID: 39121493 DOI: 10.1080/01612840.2024.2381128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/11/2024]
Abstract
Adolescents with subclinical depression are at high risk of developing mental disorders. Early interventions are effective but expensive. Affordable and accessible mental health services are needed. This multimethod study obtained its sample from the database of the Finnish national chat room service and describes the usage of the service among young people in Finland. All chats between 1.1-31.12.2018 were extracted and analysed using quantitative and qualitative methods. The usage frequency was analysed with descriptive statistics, while the specific content of the chat topics was first categorised with content analysis and then quantified and analysed using descriptive statistics. The association between the demographic characteristics and the usage were analysed. A total of 839 young people used chat room services. The great majority of the chat users were girls, and half were 12-14 years old. The use of the chat room varied in terms of the number of words and the duration of the chat discussions. Based on the chat room topics, young people had complex life situations with psychological distress, difficulties related to their social living environment, or they were involved in risky behaviour. The gender and the age of the users influenced their chat room usage. The results of this study can be used in the development of mental health services for young people.
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Affiliation(s)
- Kiki Metsäranta
- Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland
- Helsinki University Hospital and University of Helsinki, Helsinki, Finland
| | - Minna Anttila
- Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland
| | | | - Heidi Holappa
- Mannerheim League for Child Welfare (MLL), Helsinki, Finland
| | - Maritta Välimäki
- Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland
- Xiangya School of Nursing, Central South University, Changsha, Hunan, China
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Ådnanes M, Kaasbøll J, Kaspersen SL, Krane V. Videoconferencing in mental health services for children and adolescents receiving child welfare services: a scoping review. BMC Health Serv Res 2024; 24:729. [PMID: 38877459 PMCID: PMC11177372 DOI: 10.1186/s12913-024-11157-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 05/31/2024] [Indexed: 06/16/2024] Open
Abstract
BACKGROUND Videoconferencing is considered an alternative to face-to-face consultations and a possibility to help overcome access-to-care barriers in mental health care services. Barriers to child and adolescent mental health services are particularly apparent in the case of children and adolescents receiving child welfare services. This scoping review aims to provide an overview of research on videoconferencing in the mental health treatment of children and adolescents receiving support from child welfare services. METHODS This scoping review follows the review framework outlined by the Joanna Briggs Institute. The following databases were searched from January 2012 to April 2024: Scopus, Web of Science, PubMed, PsycINFO (Ovid), CINAHL Plus, Social Services Abstracts (ProQuest), Sociological Abstracts (ProQuest), and Google Scholar. RESULTS The search yielded 4322 unique records and resulted in the inclusion of 22 articles that met the inclusion criteria. The studies originated from Denmark, England, Australia, Norway, Canada, Chile, and the USA, and were grouped into four areas: (1) videoconferencing to increase access to mental health treatment for vulnerable groups (2) young people's perspectives (3) videoconferencing in interdisciplinary collaborative meetings, and (4) use, awareness, and acceptance of videoconferencing among health and social care providers. CONCLUSIONS This scoping review shows that if videoconferencing in mental health care is to become an established and trusted method aimed at children and adolescents receiving child welfare services, several unresolved and potentially negative issues need attention and more research. This particularly applies to whether videoconferencing decreases or exacerbates inequalities in access to mental health services. A further question is whether new barriers are raised by screen-based treatment to threaten good therapeutic relationships, and by extension treatment quality and clinical outcomes.
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Affiliation(s)
- Marian Ådnanes
- Department of Health Research, SINTEF Digital, Trondheim, Norway.
| | - Jannike Kaasbøll
- Department of Mental Health, Norwegian University of Science and Technology (NTNU), Regional Centre for Child and Youth Mental Health and Child Welfare (RKBU Central Norway), Trondheim, Norway
| | | | - Vibeke Krane
- Department of Health, Social and Welfare Studies, Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway
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Zanchetta MS, Sarpong A, Osei-Boateng J, Nazzal A, Teixeira M, Lainé A, Rémy-Thélusma M. Genetic literacy and experiential knowledge on sickle cell disease among Canadian- and foreign-born male and female Anglophone and Francophone youth in Canada. Int J Adolesc Med Health 2023; 35:443-455. [PMID: 37903730 DOI: 10.1515/ijamh-2022-0102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Accepted: 10/04/2023] [Indexed: 11/01/2023]
Abstract
OBJECTIVES Growing global human mobility raises concerns about impacts on global health, particularly on the prevalence of sickle cell disease. This research unveiled the level of genetic literacy on sickle cell disease of male and female Anglophone and Francophone youth living in Canada. The research responded to questions about whether the type of information about the disease has been more prevalent among the youth's family, friends, acquaintances and school circles, and the influence of such information on shaping the current youth level of genetic literacy on the disease. METHODS An online survey hosted by a Canadian university (2019/2020) platform was conducted with youth (n=87, aged 16-29) recruited in their natural, social environments in seven Canadian provinces. Data analysis used descriptive statistics and manual qualitative content analysis. RESULTS Youth, mostly Canadian-born, 71.42 % Francophones and 67.12 % Anglophones, descend from parents who had been born in countries at risk for the disease. Results indicated that experiential knowledge is due to the familiarity with the disease occurrence among family members and acquaintances. Participants did not comment about how academic-gained knowledge could influence their own decision on becoming a parent. CONCLUSIONS Independently of their country of birth, Canadian youth seem to have unmet information needs: a complex challenge requiring creativity and simplicity to deliver information through attractive media.
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Affiliation(s)
| | - Anita Sarpong
- Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Canada
| | - Juliet Osei-Boateng
- Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Canada
| | - Alessar Nazzal
- Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Canada
| | | | - Agnès Lainé
- Institut des mondes africains & Unity of Research of Migration and Health-Université Paris Diderot, Paris, France
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Biddle L, Derges J, Cliffe B, Gooberman-Hill R, Linton MJ, Moran P, Bould H. "Pouring their heart out in Sainsbury's": qualitative study of young people's, parents' and mental health practitioners' experiences of adapting to remote online mental health appointments during COVID-19. BMC Psychiatry 2023; 23:641. [PMID: 37658298 PMCID: PMC10474770 DOI: 10.1186/s12888-023-05126-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 08/21/2023] [Indexed: 09/03/2023] Open
Abstract
BACKGROUND During the COVID-19 pandemic, technologies such as videoconferencing were used to deliver mental health appointments remotely online. For many people, this was a change from previous methods of mental healthcare receipt and delivery. We aimed to explore in-depth how practitioners, young people and parents in the UK experienced this transition. METHODS We used qualitative methods to collect data, triangulating between free-text online survey data (n = 38), focus groups (n = 5) (3 young adult groups (total n = 11); 2 practitioner groups (total n = 7)), and semi-structured interviews (practitioners n = 8; parents n = 4). Data were analysed using reflexive thematic analysis. RESULTS Participants held mixed views about remote appointments, which were encompassed within the five themes of: home as clinic; disrupted therapeutic relationships; difficulties with engagement; uncontained risk; and scope of care provision. While appointments at home could be regarded as more comfortable, naturalistic and accessible, it was also recognised that remoteness compromised practitioner control with consequences for their ability to monitor patient engagement, manage risk and ensure confidentiality when others were present in the home. This could create an additional burden for parents as they tried to facilitate appointments but felt unsupported in this role. Relatedly, remoteness was seen to hinder interpersonal communication, formation of trust, communication of empathy and opportunities to observe body language, all of which were deemed important to building and maintaining effective therapeutic relationships. Despite this, others thought the anonymity of a remote exchange may allow earlier disclosure. There was disagreement as to whether remote provision narrowed or expanded the scope of practice. CONCLUSIONS While some had positive views of remote mental health appointments, others found them challenging. Findings highlight key areas requiring attention and mitigation in future offerings of remote provision, namely: risk management, parental burden, and problematic engagement.
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Affiliation(s)
- Lucy Biddle
- Population Health Sciences, Bristol University Medical School, Canynge Hall, 39 Whatley Road, Bristol, UK.
- The National Institute for Health Research Applied Research Collaboration West (NIHR ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
- Centre for Academic Mental Health, Bristol University Medical School, Oakfield House, Oakfield Road, Bristol, UK.
- Biomedical Research Centre at University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
| | - Jane Derges
- Population Health Sciences, Bristol University Medical School, Canynge Hall, 39 Whatley Road, Bristol, UK
| | - Bethany Cliffe
- Population Health Sciences, Bristol University Medical School, Canynge Hall, 39 Whatley Road, Bristol, UK
- The National Institute for Health Research Applied Research Collaboration West (NIHR ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK
| | - Rachael Gooberman-Hill
- Translational Health Sciences, Bristol University Medical School, Learning and Research Building, Southmead Hospital, Bristol, UK
- Elizabeth Blackwell Institute, University of Bristol, Royal Fort House, Bristol, UK
| | - Myles-Jay Linton
- Population Health Sciences, Bristol University Medical School, Canynge Hall, 39 Whatley Road, Bristol, UK
| | - Paul Moran
- Population Health Sciences, Bristol University Medical School, Canynge Hall, 39 Whatley Road, Bristol, UK
- The National Institute for Health Research Applied Research Collaboration West (NIHR ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK
- Centre for Academic Mental Health, Bristol University Medical School, Oakfield House, Oakfield Road, Bristol, UK
- Biomedical Research Centre at University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK
| | - Helen Bould
- Population Health Sciences, Bristol University Medical School, Canynge Hall, 39 Whatley Road, Bristol, UK
- Centre for Academic Mental Health, Bristol University Medical School, Oakfield House, Oakfield Road, Bristol, UK
- Gloucestershire Health and Care NHS Foundation Trust, Gloucester, UK
- Medical Research Council Integrative Epidemiology Unit, University of Bristol, Bristol, UK
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Rose SB, Garrett SM, McKinlay E. Experience of telehealth for receipt of primary health care: an online survey of young people in a geographic region of Aotearoa New Zealand. Aust J Prim Health 2023; 29:319-326. [PMID: 36657735 DOI: 10.1071/py22073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 12/13/2022] [Indexed: 01/21/2023]
Abstract
BACKGROUND Telehealth became more widely used when the global COVID-19 pandemic restricted access to in-person consultations for primary care during periods of 'lockdown'. METHODS In 2021 (August-September), 15-to 25-year-olds in the Wellington region of Aotearoa New Zealand were invited to participate in an online survey that aimed to find out about telehealth experiences, perceived advantages and disadvantages, and willingness to use it for receipt of primary care. RESULTS Surveys were completed by 346 participants, 133 of whom had ever used telehealth (38%). Overall, 73% (84/115) were happy with health care received via telehealth, but only 26% preferred it to in-person consultations. Perceived benefits related to convenience and time efficiency, but participants had concerns about the inability to be physically examined, technological issues, clarity around follow-up actions, payment and lack of privacy. All participants had access to a phone or device, yet almost half reported challenges with connectivity, coverage or data that might limit their ability to access telehealth (47.3%, 159/336). Half of participants wanted to use telehealth in future (preferring phone over video (160/315)). CONCLUSIONS Young people surveyed acknowledged the convenience of telehealth, but many were hesitant about receiving primary care in this way. Understanding young people's reservations and provision of detailed information about what telehealth entails will help prepare and support them to use telehealth in future.
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Affiliation(s)
- Sally B Rose
- Department of Primary Health Care and General Practice, University of Otago, Wellington, PO Box 7343, Wellington South 6242, New Zealand
| | - Susan M Garrett
- Department of Primary Health Care and General Practice, University of Otago, Wellington, PO Box 7343, Wellington South 6242, New Zealand
| | - Eileen McKinlay
- Department of Primary Health Care and General Practice, University of Otago, Wellington, PO Box 7343, Wellington South 6242, New Zealand
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Perry MF. Confidential Telehealth Care for Adolescents: Challenges and Solutions Identified During the COVID-19 Pandemic. CURRENT PEDIATRICS REPORTS 2023; 11:1-8. [PMID: 37363323 PMCID: PMC10258077 DOI: 10.1007/s40124-023-00288-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/08/2023] [Indexed: 06/28/2023]
Abstract
Purpose of review To identify lessons learned about maintaining confidentiality for adolescent telehealth care during the COVID-19 pandemic. Recent findings Adolescents, parents, and providers recognize benefits of telehealth for confidential care while also identifying potential risks for confidentiality breach unique to the telehealth care setting. Summary Rapid implementation of telehealth care during COVID-19 presented an opportunity to test strategies that protect confidentiality for adolescents accessing care through telehealth. Policy, practice, and provider-level interventions are needed to ensure that adolescents can access confidential care through telehealth.
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Affiliation(s)
- Martha F. Perry
- Department of Pediatrics, UNC School of Medicine, Chapel Hill, NC USA
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Patient centered care in primary health care teleconsultations: an exploratory study. PROCEDIA COMPUTER SCIENCE 2023; 219:1349-1356. [PMID: 36968667 PMCID: PMC10030182 DOI: 10.1016/j.procs.2023.01.420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/24/2023]
Abstract
With the current evolution of health digitalization driven by the COVID-19 pandemic, it is expected that teleconsultations - specifically, synchronous audio consultations (by telephone) or video-based (video calls) between health professionals (Doctors and Nurses) and patients - will be more used in Primary Health Care. The provision of health care through teleconsultations must be evaluated by the quality management of health organizations to ensure that the needs of patients are met. For this reason, this study was carried out under the objective of identifying indicators to create a culture of Patient-Centered Care (PCC) in teleconsultations in Primary Health Care. The methodology followed was based on the Delphi method. The research aimed to analyze the suitability of 48 indicators (organized in Donabedian's quality dimensions) to assess the implementation of PCC in Primary Health Care. Despite all indicators were viewed as very important, the disparity in responses was significant. Future research should extend this study by involving other groups of experts (like academics who study the subject and members of patient associations).
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Manski-Nankervis JA, Davidson S, Hiscock H, Hallinan C, Ride J, Lingam V, Holman J, Baird A, McKeown E, Sanci L. Primary care consumers' experiences and opinions of a telehealth consultation delivered via video during the COVID-19 pandemic. Aust J Prim Health 2022; 28:224-231. [PMID: 35287793 DOI: 10.1071/py21193] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2021] [Accepted: 12/22/2021] [Indexed: 11/23/2022]
Abstract
This study examined consumers' experiences and opinions of a videoconference with a primary healthcare professional, and estimated the value of travel and time savings for consumers compared with face-to-face consultations. The online survey was conducted in Melbourne, Australia, between October 2020 and May 2021. The sample (n = 499) was highly educated (Bachelor degree or higher, 79%; 393/499), predominately female (70%; 347/499), mainly spoke English at home (78%; 390/499) and had a mean age of 31.8 years (s.d. 11.40). Reduced travel time (27%; 271/499) and avoiding exposure to COVID-19 (23%; 228/499) were the main reasons consumers chose a videoconference. Mental health and behavioural issues were the main reason for the consultation (38%; 241/499) and 69% (346/499) of consultations were with a general practitioner. Perceptions of the quality of care were uniformly high, with 84% (419/499) of respondents believing videoconference was equivalent to a face-to-face consultation. No association was found between reporting that telehealth was equivalent to a face-to-face consultation and education, language, health status, reason for consultation or provider type. The average time saved per consultation was 1 h and 39 min, and the average transport-related saving was A$14.29. High rates of acceptance and substantial cost savings observed in this study warrant further investigation to inform the longer-term role of videoconferences, and telehealth more broadly, in the Australian primary care system.
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Affiliation(s)
- Jo-Anne Manski-Nankervis
- Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Vic. 3010, Australia; and Centre for Digital Transformation of Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Vic. 3010, Australia
| | - Sandra Davidson
- Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Vic. 3010, Australia
| | - Harriet Hiscock
- Health Services Research Unit, The Royal Children's Hospital, 50 Flemington Road, Melbourne, Vic. 3052, Australia; and Health Services, Murdoch Children's Research Institute, 50 Flemington Road, Melbourne, Vic. 3052, Australia; and Department of Paediatrics, The University of Melbourne, Melbourne, Vic. 3010, Australia
| | - Christine Hallinan
- Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Vic. 3010, Australia
| | - Jemimah Ride
- Health Economics Unit, School of Population and Global Health, The University of Melbourne, Melbourne, Vic. 3010, Australia
| | - Vignesh Lingam
- South Eastern Melbourne Primary Health Network, Heatherton, Vic. 3202, Australia
| | - Jessica Holman
- North Western Melbourne Primary Health Network, Parkville, Vic. 3052, Australia
| | - Andrew Baird
- Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Vic. 3010, Australia
| | - Emma McKeown
- Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Vic. 3010, Australia; and North Western Melbourne Primary Health Network, Parkville, Vic. 3052, Australia
| | - Lena Sanci
- Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Vic. 3010, Australia
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