1
|
Morgan AJ, Ross AM, Yap MBH, Reavley NJ, Parker A, Simmons MB, Scanlan F, Jorm AF. What works for mental health problems in youth? Survey of real-world experiences of treatments and side effects. Early Interv Psychiatry 2021; 15:1502-1512. [PMID: 33260268 DOI: 10.1111/eip.13087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 09/28/2020] [Accepted: 11/14/2020] [Indexed: 11/26/2022]
Abstract
AIM Despite youth being the most common age group for onset of mental disorders, there is less knowledge on the benefits and harms of treatments in young people. In addition, efficacy data from randomized controlled trials may not generalize to how treatment works outside of research settings. This study aimed to investigate young people's perceived effectiveness of different treatments for mental health problems, the professionals who delivered these, and the experience of negative effects. METHODS We developed a consumer report website where young people who were ever diagnosed with a mental disorder provided ratings on the helpfulness or harmfulness of different types of professionals, mental health treatments (medical, psychological complementary/alternative) and self-help strategies, and whether they had experienced particular negative effects. RESULTS Here, 557 young people aged 12-25 years, who were recruited from English-speaking, high-income countries, provided 1258 ratings of treatments. All treatments showed varied perceptions of effectiveness. Medical and psychological treatments were rated moderately helpful on average with low rates of harmfulness. Self-help strategies were rated as being as helpful as professional treatments. Side effects related to the head or mind (e.g., concentration difficulties, inability to feel emotions, depression and irritability) were the most common across all types of medicines. For psychological treatments, treatment being too expensive and feeling worse at the end of a session were the most commonly reported negative effects. CONCLUSIONS Study findings may be a useful guide to clinicians, researchers, young people and their families about what is likely to work in real-world settings.
Collapse
Affiliation(s)
- Amy J Morgan
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.,School of Psychology and Public Health, La Trobe University, Melbourne, Australia
| | - Anna M Ross
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.,Orygen, Parkville, Australia.,Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia
| | - Marie B H Yap
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.,Orygen, Parkville, Australia.,Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.,School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Clayton, Australia
| | - Nicola J Reavley
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.,Orygen, Parkville, Australia.,Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia
| | - Alexandra Parker
- Orygen, Parkville, Australia.,Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.,Institute for Health and Sport, Victoria University, Melbourne, Australia
| | - Magenta B Simmons
- Orygen, Parkville, Australia.,Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia
| | - Faye Scanlan
- Orygen, Parkville, Australia.,Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.,headspace, The National Youth Mental Health Foundation, Melbourne, Australia
| | - Anthony F Jorm
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.,Orygen, Parkville, Australia.,Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia
| |
Collapse
|
2
|
Köhnen M, Dreier M, Freuck J, Härter M, Dirmaier J. [Acceptance and Use of the e-Mental Health Website - www.psychenet.de]. PSYCHIATRISCHE PRAXIS 2021; 49:205-212. [PMID: 34102698 DOI: 10.1055/a-1502-0961] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
OBJECTIVES Aim of our study was to investigate acceptance and use of the German e-mental health website - www.psychenet.de offering evidence-based health information, self-tests and patient decision aids concerning mental disorders and issues. METHODS The website was evaluated by means of an online survey (acceptance) and automatically generated data by web analysis software (use). RESULTS Overall, the website psychenet.de achieved high acceptance ratings among its users. In addition, the number of visitors to the website has increased steadily. CONCLUSION Results indicate that psychenet.de offers mental health information that are more likely to be used by certain groups (e. g., highly educated persons). Future research should focus on different presentation modes of health information (e. g. text- vs. video-based) for hard to reach target groups in order to potentially increase reach of health information to a broader audience.
Collapse
Affiliation(s)
- Moritz Köhnen
- Institut und Poliklinik für Medizinische Psychologie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf
| | - Mareike Dreier
- Institut und Poliklinik für Medizinische Psychologie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf
| | - Jannis Freuck
- Institut und Poliklinik für Medizinische Psychologie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf
| | - Martin Härter
- Institut und Poliklinik für Medizinische Psychologie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf
| | - Jörg Dirmaier
- Institut und Poliklinik für Medizinische Psychologie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf
| |
Collapse
|
3
|
Reen GK, Muirhead L, Langdon DW. Usability of Health Information Websites Designed for Adolescents: Systematic Review, Neurodevelopmental Model, and Design Brief. J Med Internet Res 2019; 21:e11584. [PMID: 31012856 PMCID: PMC6658246 DOI: 10.2196/11584] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2018] [Revised: 12/12/2018] [Accepted: 02/11/2019] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND Adolescence is a unique developmental period characterized by biological, social, and cognitive changes, as well as an interest in managing one's own health care. Many adolescents use the internet to seek health care information. However, young people face barriers before they can understand and apply the health information that they access on the web. It is essential that usability of adolescent health websites on the internet is improved to help adolescents overcome these barriers and allow them to engage successfully with web-based health care content. OBJECTIVE The aim of this review was to synthesize the usability of specific health information websites. These findings were mapped onto the adolescent neurodevelopmental profile, and a design brief based on the findings was developed to tailor future websites for specific adolescent requirements. METHODS A systematic search conducted using PubMed, PsycINFO, and Education Resources Information Center (ERIC) identified 25 studies that assessed the usability of health information websites. Adolescent feedback was collected by a mixture of surveys, focus groups, interviews, and think-aloud procedures. RESULTS A majority of the information websites were developed for specific health issues that may be relevant to adolescents. The most preferred website features were interactive content such as games and quizzes, as well as videos, images, audio clips, and animations. Participants also preferred communicating with other adolescents with similar conditions or learning about their experience through real stories and testimonials. Adolescents found it difficult to use health information websites if they contained too much text, were too cluttered, or had features that made it difficult to access. The findings are considered in the context of adolescent social processes, low tolerance of delayed gratification, and attraction to novelty and mapped onto a neurodevelopmental model of adolescence. CONCLUSIONS Young people's feedback can determine usability and content that make a health information website easy or informative to use. Neurodevelopmental profiles and the users' specific preferences and skills should be addressed in future development of health information websites for adolescents.
Collapse
Affiliation(s)
- Gurpreet Kaur Reen
- Royal Holloway, University of London, Egham, United Kingdom.,University of Oxford, Oxford, United Kingdom
| | | | | |
Collapse
|