应用数字健康创新预防青少年首发精神病患者复发和支持康复:卡塔尔世界杯8强波胆分析来自加拿大horyzons - 1期研究的结果%A Lal,Shalini %A Gleeson,John %A riard,Lysanne %A D'Alfonso,Simon %A Joober,Ridha %A Malla,Ashok %A Alvarez-Jimenez,Mario %+蒙特卡罗大学医学院康复学院，C.P. 6128, succursale Centre-ville，蒙特卡罗大学，QC, H3C 3J7，加拿大，1514 890 8000 ext 31581，shalini.lal@umontreal.ca %K精神障碍%K心理健康%K远程医疗%K青少年%K心理健康服务%K文化适应%K手机%K电子心理健康%K虚拟护理%K精神分裂症%K电子健康%D 2020 %7 29.10.2020 %9原文%J JMIR表格Res %G英语%X开发数字卫生创新可能需要大量的财政和人力资源投资，然后才能在地理、文化和卫生保健环境中推广实施。因此，人们越来越有兴趣利用在一个国家或司法管辖区开发和测试的电子卫生创新，并在当地环境中使用这些创新。然而，在适当调整数字卫生创新以优化其跨地理、文化和环境设置的可转移性所需的过程方面，知识有限。目的:我们报告了最初在澳大利亚开发和测试的数字健康创新产品horizons的适应性研究结果。horizon旨在预防复发，并支持接受首发精神病(FEP)服务的年轻人康复。本研究的目的是评估地平线的初步可接受性，并使其适应加拿大试点测试的准备工作。方法:本研究在加拿大2个省的2个专门的FEP早期干预诊所进行，分别位于1个城市和1个城乡。 A total of 26 participants were recruited: 15 clinicians (age range 26-56 years) and 11 patients (age range 19-37 years). Following the digital health adaptation framework developed by our team, we used a mixed methods approach, combining descriptive quantitative and qualitative methods across 3 stages of data collection (focus groups, interviews, and consultations), analysis, and adaptations. Results: Overall, patients and clinicians appreciated the strengths-based approach and social media features of Horyzons. However, participants expressed concerns related to implementation, especially in relation to capacity (eg, site moderation, crisis management, internet speed in rural locations). They also provided suggestions for adapting content and features, for example, in relation to community resources, volume of text, universal accessibility (eg, for individuals with limitations in vision), and optimization of platform accessibility through mobile devices. Additional aspects of the innovation were flagged for adaptation during the final stages of preparing it for live implementation. These included terms of use, time zone configuration to reflect local time and date, safety and moderation protocols, the need help now feature, and the list of trigger words to flag posts indicative of potential risk. Conclusions: In the context of the COVID-19 pandemic and public health guidelines for social distancing, there is an increasing interest and need to leverage the internet and mobile technologies for delivering youth mental health services. As countries look to one another for guidance on how to navigate changing social dynamics, knowledge on how to utilize and adapt existing innovations across contexts is now more important than ever. Using a systematic approach, this study illustrates the methods, processes, results, and lessons learned on adapting a digital health innovation to enhance its local acceptability. International Registered Report Identifier (IRRID): RR2-10.2196/resprot.8810 %M 33118945 %R 10.2196/19887 %U http://formative.www.mybigtv.com/2020/10/e19887/ %U https://doi.org/10.2196/19887 %U http://www.ncbi.nlm.nih.gov/pubmed/33118945