Application of a Digital Mental Health Clinic in Secondary Schools: Functionality and Effectiveness Evaluation

doi:10.2196/46494

科研成果详情

题名	Application of a Digital Mental Health Clinic in Secondary Schools: Functionality and Effectiveness Evaluation
作者	Xu, Yi 1,2; Yang, Hongshen 2; Jin, Zhou3,4; Xiang, Jian 1,2; Xu, Haiyun 1,2; Pokay, Yili Huang 5; Mao, Haibo1,2; Cai, Xugong 1,2; Wu, Yili2,3,4; Wang, Deborah Baofeng 2,6
发表日期	2023-10-26
发表期刊	JMIR formative research 影响因子和分区
语种	英语
原始文献类型	Journal Article
关键词	adolescents digital mental health clinic emotional distress mental health service secondary school
其他关键词	CHILDREN ; METAANALYSIS ; DISORDERS ; SEEKING ; ANXIETY ; HELP
摘要	Adolescents experience relatively more stress than other populations as they are facing rapid physical changes and adapting to complex social environments. However, access for this population to professional service providers is limited. Therefore, there is an increasing need for access to mental health services and new mental health care resources tailored to adolescents., The aim of this study was to evaluate the functionality and effectiveness of a school digital mental health clinic (DMHC) created by a Chinese psychiatric hospital and provided to secondary school students for a trial., The trial period of the DMHC was from January to July 2021 at three secondary schools in Taizhou City, China. Under a collaborative agreement between the local educational bureau and provider, use of the DMHC was free to all students, teachers, and staff of the schools. The functionality of the DMHC was compared with existing digital health interventions introduced in the literature and its effectiveness was quantitatively analyzed in terms of the volume of received counseling calls, number of calls per 100 students, length and time of calls, and reasons for the calls. The mini course video views were analyzed by topics and viewing time., The design functions of the DMHC are well aligned with required factors defined in the literature. The first advantage of this DMHC is its high accessibility to students in the three schools. All functions of the DMHC are free to use by students, thereby eliminating the economic barriers to seeking and receiving care. Students can receive virtual counseling during or after regular working hours. Acceptability of the DHMC was further ensured by the full support from a national top-tier mental health facility. Any audio or video call from a student user would connect them to a live, qualified professional (ie, a psychiatrist or psychologist). Options are provided to view and listen to resources for stress relief or tips to help address mental health needs. The major reasons for the counseling calls included difficulties in learning, interpersonal relationships, and emotional distress. The three topics with the highest level of interest for the mini course videos were emotional assistance, personal growth, and family member relationships. The DMHC served as an effective tool for crisis prevention and intervention during nonworking hours as most of the live calls and mini video viewing occurred after school or over the weekend. Furthermore, the DMHC helped three students at high risk for suicide and self-injury through live-call intervention., The DMHC is an effective complementary solution to improve access to professional mental health care facilities, especially during nonworking hours, thereby helping adolescents meet their mental health needs. Extension of the DMHC into more schools and other settings is recommended.
资助项目	Science Technology Department of Zhejiang Province [2021C04003]; Wenzhou Science and Technology Bureau [Y20220835]
出版者	JMIR PUBLICATIONS, INC
ISSN	2561-326X
EISSN	2561-326X
卷号	7
DOI	10.2196/46494
页数	11
WOS类目	Health Care Sciences & Services ; Medical Informatics
WOS研究方向	Health Care Sciences & Services ; Medical Informatics
WOS记录号	WOS:001107518700001
收录类别	PUBMED ; ESCI
URL	查看原文
PubMed ID	37883144
通讯作者地址	[Wang, Deborah Baofeng]Wenzhou Med Univ, Affiliated Kangning Hosp, Zhejiang Prov Clin Res Ctr Mental Disorders, 1 Shengjin Rd, Wenzhou 325007, Peoples R China.
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/183693
专题	其他_附属康宁医院（温州市康宁医院）卓越中心_老年研究院
通讯作者	Wang, Deborah Baofeng
作者单位	1.Zhejiang Jerinte Hlth Technol Co Ltd, Wenzhou, Peoples R China; 2.Wenzhou Med Univ, Affiliated Kangning Hosp, Zhejiang Prov Clin Res Ctr Mental Disorders, Wenzhou, Peoples R China; 3.Wenzhou Med Univ, Sch Mental Hlth, Key Lab Alzheimers Dis Zhejiang Prov, Wenzhou, Peoples R China; 4.Wenzhou Med Univ, Affiliated Kangning Hosp, Wenzhou, Peoples R China; 5.Lyons Insights Consulting LLC, Lyons, IL USA; 6.Wenzhou Med Univ, Affiliated Kangning Hosp, Zhejiang Prov Clin Res Ctr Mental Disorders, 1 Shengjin Rd, Wenzhou 325007, Peoples R China
第一作者单位	其他_附属康宁医院（温州市康宁医院）
通讯作者单位	其他_附属康宁医院（温州市康宁医院）
推荐引用方式 GB/T 7714	Xu, Yi,Yang, Hongshen,Jin, Zhou,et al. Application of a Digital Mental Health Clinic in Secondary Schools: Functionality and Effectiveness Evaluation[J]. JMIR formative research,2023,7.
APA	Xu, Yi., Yang, Hongshen., Jin, Zhou., Xiang, Jian., Xu, Haiyun., ... & Wang, Deborah Baofeng. (2023). Application of a Digital Mental Health Clinic in Secondary Schools: Functionality and Effectiveness Evaluation. JMIR formative research, 7.
MLA	Xu, Yi,et al."Application of a Digital Mental Health Clinic in Secondary Schools: Functionality and Effectiveness Evaluation".JMIR formative research 7(2023).