Online interventions to prevent mental health problems implemented in school settings: the perspectives from key stakeholders in Austria and Spain.

Autor: Zeiler M; Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria., Kuso S; Ferdinand Porsche FernFH-Distance Learning University of Applied Sciences, Wiener Neustadt, Austria., Nitsch M; Ferdinand Porsche FernFH-Distance Learning University of Applied Sciences, Wiener Neustadt, Austria., Simek M; Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria., Adamcik T; Ferdinand Porsche FernFH-Distance Learning University of Applied Sciences, Wiener Neustadt, Austria., Herrero R; CIBER Pathophysiology of Obesity and Nutrition (CB06/03), Carlos III, Institute of Health, Av. Monforte de Lemos, Madrid, Spain.; Department of Personality, Evaluation and Psychological Treatments, Facultad de Psicología, Universidad de Valencia, València, Spain., Etchemendy E; CIBER Pathophysiology of Obesity and Nutrition (CB06/03), Carlos III, Institute of Health, Av. Monforte de Lemos, Madrid, Spain.; Department of Personality, Evaluation and Psychological Treatments, Facultad de Psicología, Universidad de Valencia, València, Spain., Mira A; Department of Basic and Clinical Psychology and Psychobiology, Universitat Jaume I, Castelló de la Plana, Spain.; Department of Pychology and Sociology, Universidad de Zaragoza. Facultad de Ciencias Sociales y Humanas., Calle Cdad. Escolar, Teruel, Spain., Oliver E; CIBER Pathophysiology of Obesity and Nutrition (CB06/03), Carlos III, Institute of Health, Av. Monforte de Lemos, Madrid, Spain., Jones Bell M; Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria., Karwautz A; Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria., Wagner G; Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria., Baños Rivera RM; CIBER Pathophysiology of Obesity and Nutrition (CB06/03), Carlos III, Institute of Health, Av. Monforte de Lemos, Madrid, Spain.; Department of Personality, Evaluation and Psychological Treatments, Facultad de Psicología, Universidad de Valencia, València, Spain., Botella C; CIBER Pathophysiology of Obesity and Nutrition (CB06/03), Carlos III, Institute of Health, Av. Monforte de Lemos, Madrid, Spain.; Department of Basic and Clinical Psychology and Psychobiology, Universitat Jaume I, Castelló de la Plana, Spain., Waldherr K; Ferdinand Porsche FernFH-Distance Learning University of Applied Sciences, Wiener Neustadt, Austria.
Jazyk: angličtina
Zdroj: European journal of public health [Eur J Public Health] 2021 Jul 07; Vol. 31 (31 Suppl 1), pp. i71-i79.
DOI: 10.1093/eurpub/ckab039
Abstrakt: Background: Schools are key settings for delivering mental illness prevention in adolescents. Data on stakeholders' attitudes and factors relevant for the implementation of Internet-based prevention programmes are scarce.
Methods: Stakeholders in the school setting from Austria and Spain were consulted. Potential facilitators (e.g. teachers and school psychologists) completed an online questionnaire (N=50), policy makers (e.g. representatives of the ministry of education and health professional associations) participated in semi-structured interviews (N=9) and pupils (N=29, 14-19 years) participated in focus groups. Thematic analysis was used to identify experiences with, attitudes and needs towards Internet-based prevention programmes, underserved groups, as well as barriers and facilitators for reach, adoption, implementation and maintenance.
Results: Experiences with Internet-based prevention programmes were low across all stakeholder groups. Better reach of the target groups was seen as main advantage whereas lack of personal contact, privacy concerns, risk for misuse and potential stigmatization when implemented during school hours were regarded as disadvantages. Relevant needs towards Internet-based programmes involved attributes of the development process, general requirements for safety and performance, presentation of content, media/tools and contact options of online programmes. Positive attitudes of school staff, low effort for schools and compatibility to schools' curriculum were seen as key factors for successful adoption and implementation. A sound implementation of the programme in the school routine and continued improvement could facilitate maintenance of online prevention initiatives in schools.
Conclusions: Attitudes towards Internet-based mental illness prevention programmes in school settings are positive across all stakeholder groups. However, especially safety concerns have to be considered.
(© The Author(s) 2021. Published by Oxford University Press on behalf of the European Public Health Association.)
Databáze: MEDLINE