Young People Talk About Digital Support for Mental Health: An Online Survey of 15–30‐Year Olds in New Zealand

Author:

Garrett Susan M.1ORCID,Hilder Jo1ORCID,Tester Rachel1,Dunlop Abby1,Gardiner Tracey1,Dowell Tony1,Brady Soraya Kamau2,Gilbert Nicole2,Shippam Maggie3,Tanirau Shay3,Kenny Neo3,McBride Caitlin3,Wilson Joana3,Rukuwai Ellie3,Aryan Niusha3,Stubbe Maria1

Affiliation:

1. Department of Primary Health Care and General Practice University of Otago Wellington New Zealand

2. Te Paepae Arahi Trust, Lower Hutt Wellington New Zealand

3. Youth Co‐Researcher (CORE) Group University of Otago Wellington New Zealand

Abstract

ABSTRACTBackgroundMental distress is on the rise for young people, and there are high levels of unmet need for support. Increasingly, young people are engaging with online mechanisms of support to avoid cost and wait times; however, online support does have its limitations. We surveyed young people, 15–30 years of age, in Aotearoa New Zealand to explore their views of digital support for mental health. The aim of this study was to find out from young people what they thought about various types of online support and perceived benefits and drawbacks.MethodsA cross‐sectional online survey promoted through social media advertising was used. Participants included anyone aged 15–30 years living in Aotearoa New Zealand. The survey ran for 10 weeks between February and May 2022. It included demographic questions and asked about (i) use of digital support for mental health; (ii) what digital support is best used for; (iii) best ways of publicising mental health supports to young people; and (iv) where they would choose to get information about mental health support. Questions were a mix of forced choice and free text. Participants could opt to take part in a follow‐up interview.ResultsSurveys were completed by 1471 participants; two respondents participated in an interview. A total of 641 participants had used digital support before (44%). The most used forms of digital support were websites (n = 324) and watching videos (n = 260), although these were not necessarily rated as the most helpful. Alternatives that people most wanted to try were podcasts and phone or video consultations with a counsellor or therapist. Drawbacks of digital support included privacy concerns, technical issues, lack of quality and motivation requirements. Benefits included ease of access, anonymity and a non‐threatening starting point.ConclusionsDigital support has a place in mental health care, but strong sentiment was expressed in favour of real‐life support. It may also be worth investing in more innovative types of digital support such as online performing arts and podcasts.Patient or Public ContributionA group of young people were recruited as co‐researchers, had input into survey design, data analysis and interpretation and are co‐authors (list of co‐authors). Survey respondents also included young people with lived experience who are members of the general public.

Publisher

Wiley

Reference33 articles.

1. M.DeFino “E‐Mental Health: Benefits Limitations and the Future ” Interdisciplinary Association for Population Health Science 2022 https://iaphs.org/e-mental-health-benefits-limitations-future/.

2. T.Fleming J.Tiatia‐Seath R.Peiris‐John et al. “Youth19 Rangatahi Smart Survey Initial Findings: Hauora Hinengaro/Emotional and Mental Health ”2020 https://static1.squarespace.com/static/5bdbb75ccef37259122e59aa/t/5f4ac1822d7a7777df35d83b/1598734751328/Youth19+Initial+Findings+Intro+and+Method.pdf.

3. “Annual Data Explorer 2021/22: New Zealand Health Survey” [Data File] Ministry of Health 2022 https://minhealthnz.shinyapps.io/nz-health-survey-2021-22-annual-data-explorer/.

4. Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review

5. Chatbots to Support Mental Wellbeing of People Living in Rural Areas: Can User Groups Contribute to Co-design?

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