Abstract

Many young people (YP) are diagnosed with mental illnesses and require support. Web-based mental health interventions (W-MHIs) have been increasingly utilized by YP, healthcare providers, and parents due to reasons including convenience and anonymity. W-MHIs are effective in improving mental health in YP. However, real-world engagement with W-MHIs remains low. Therefore, understanding barriers/facilitators of user engagement with W-MHIs is necessary to promote W-MHIs and help users gain optimal benefits through higher engagement. This review aims to identify barriers/facilitators of user engagement with W-MHIs in YP aged 10–24 years. A systematic search of five databases for English language, peer-reviewed publications was conducted between January 2010 and February 2023. Studies examining factors influencing user engagement with W-MHIs, described as barriers or facilitators, were included. Study quality was assessed using the Mixed Methods Appraisal Tool. A narrative synthesis was performed. Of 4088 articles identified, 69 studies were included. Barriers/facilitators were reported by young people (63 studies), providers (17 studies), and parents/caregivers (8 studies). YP perceived that usefulness and connectedness were the most common facilitators, whereas low-perceived need was the most reported barrier. Both providers and parents reported that perceived usefulness for YP was the most common facilitator, whereas concerns about program effectiveness and privacy were noted as barriers. This review found that program- and individual-related factors were important determinants of engagement with W-MHIs. This review provides guidance on the future design and development of new interventions, narrowing the gap between existing W-MHIs and unmet needs of users.

中文翻译：

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用户参与年轻人网络心理健康干预措施的障碍和促进因素：系统评价

摘要

许多年轻人 (YP) 被诊断患有精神疾病并需要支持。由于方便和匿名等原因，YP、医疗保健提供者和家长越来越多地使用基于网络的心理健康干预措施 (W-MHI)。 W-MHI 可有效改善 YP 的心理健康。然而，现实世界中 W-MHI 的参与度仍然很低。因此，了解用户参与 W-MHI 的障碍/促进因素对于推广 W-MHI 并帮助用户通过更高的参与度获得最佳收益是必要的。本次审查旨在确定 10-24 岁 YP 中用户参与 W-MHI 的障碍/促进因素。 2010 年 1 月至 2023 年 2 月期间，对五个经过同行评审的英语出版物数据库进行了系统检索。其中包括了考察影响用户参与 W-MHI 的因素（被描述为障碍或促进因素）的研究。使用混合方法评估工具评估研究质量。进行了叙事综合。在确定的 4088 篇文章中，纳入了 69 项研究。年轻人（63 项研究）、提供者（17 项研究）和父母/照顾者（8 项研究）报告了障碍/促进因素。 YP 认为有用性和连通性是最常见的促进因素，而低感知需求是报告最多的障碍。提供者和家长都报告说，YP 的感知有用性是最常见的促进因素，而对项目有效性和隐私的担忧则被认为是障碍。本次审查发现，与计划和个人相关的因素是参与 W-MHI 的重要决定因素。本次审查为未来设计和开发新干预措施提供了指导，缩小了现有 W-MHI 与用户未满足需求之间的差距。