Background: There is currently an increased interest in and acceptance of technology-enabled mental health care. To adequately harness this opportunity, it is critical that the design and development of digital mental health technologies be informed by the needs and preferences of end users. Despite young people and clinicians being the predominant users of such technologies, few studies have examined their perspectives on different digital mental health technologies. Objective: This study aims to understand the technologies that young people have access to and use in their everyday lives and what applications of these technologies they are interested in to support their mental health. The study also explores the technologies that youth mental health clinicians currently use within their practice and what applications of these technologies they are interested in to support their clients’ mental health. Methods: Youth mental health service users (aged 12-25 years) from both primary and specialist services, young people from the general population (aged 16-25 years), and youth mental health clinicians completed a web-based survey exploring technology ownership, use of, and interest levels in using different digital interventions to support their mental health or that of their clients. Results: A total of 588 young people and 73 youth mental health clinicians completed the survey. Smartphone ownership or private access among young people within mental health services and the general population was universal (611/617, 99%), with high levels of access to computers and social media. Youth technology use was frequent, with 63.3% (387/611) using smartphones several times an hour. Clinicians reported using smartphones (61/76, 80%) and video chat (69/76, 91%) commonly in clinical practice and found them to be helpful. Approximately 50% (296/609) of the young people used mental health apps, which was significantly less than the clinicians (χ²₃=28.8, n=670; P<.001). Similarly, clinicians were significantly more interested in using technology for mental health support than young people (H₃=55.90; P<.001), with 100% (73/73) of clinicians being at least slightly interested in technology to support mental health compared with 88% (520/591) of young people. Follow-up tests revealed no difference in interest between young people from the general population, primary mental health services, and specialist mental health services (all P>.23). Young people were most interested in web-based self-help, mobile self-help, and blended therapy. Conclusions: Technology access is pervasive among young people within and outside of youth mental health services; clinicians are already using technology to support clinical care, and there is widespread interest in digital mental health technologies among these groups of end users. These findings provide important insights into the perspectives of young people and clinicians regarding the value of digital mental health interventions in supporting youth mental health.

中文翻译：

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临床医生和年轻人在各种临床护理需求中对数字心理健康技术的所有权、使用和兴趣：横断面调查

背景：目前人们对技术支持的精神卫生保健的兴趣和接受度越来越高。为了充分利用这一机会，数字心理健康技术的设计和开发必须了解最终用户的需求和偏好。尽管年轻人和临床医生是此类技术的主要用户，但很少有研究考察他们对不同数字心理健康技术的看法。客观的：本研究旨在了解年轻人在日常生活中可以获得和使用的技术，以及他们对这些技术的哪些应用感兴趣，以支持他们的心理健康。该研究还探讨了青年心理健康临床医生目前在其实践中使用的技术，以及他们对这些技术的哪些应用感兴趣，以支持其客户的心理健康。方法：来自初级和专科服务的青年心理健康服务用户（12-25 岁）、普通人群中的年轻人（16-25 岁）和青年心理健康临床医生完成了一项基于网络的调查，探索技术所有权，使用不同的数字干预措施来支持他们或客户的心理健康的使用情况和兴趣水平。结果：共有 588 名青少年和 73 名青少年心理健康临床医生完成了调查。精神卫生服务机构和普通人群中的年轻人拥有或私人使用智能手机是普遍的（611/617, 99%），计算机和社交媒体的使用率很高。青少年技术使用频繁，63.3% (387/611) 的人每小时使用数次智能手机。临床医生报告说在临床实践中经常使用智能手机（61/76, 80%）和视频聊天（69/76, 91%），并发现它们很有帮助。大约 50%（296/609）的年轻人使用心理健康应用程序，显着低于临床医生（χ ² ₃ =28.8，n=670；P<.001)。同样，临床医生对使用技术支持心理健康的兴趣明显高于年轻人（H ₃ =55.90；P <.001），100% (73/73) 的临床医生至少对支持心理健康的技术稍有兴趣与 88% (520/591) 的年轻人相比。后续测试显示，普通人群、初级精神卫生服务和专科精神卫生服务的年轻人之间的兴趣没有差异（所有P >.23）。年轻人对基于网络的自助、移动自助和混合疗法最感兴趣。结论：在青年精神卫生服务内外的年轻人中普遍使用技术；临床医生已经在使用技术来支持临床护理，并且这些最终用户群体对数字心理健康技术产生了广泛的兴趣。这些发现为年轻人和临床医生对数字心理健康干预在支持青年心理健康方面的价值提供了重要见解。