Adaptation of the trauma group intervention ‘Teaching Recovery Techniques’ for online delivery: A participatory design and usability study

Background: Video-telehealth delivery of trauma-based care is promising and may help address structural and perceptual barriers to receiving support. However, existing evidence relies heavily on samples from adult populations. There is potential to transfer existing child and adolescent trauma inter...

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Main Authors: Anna Pérez-Aronsson, Maria Thell, Elin Lampa, Sandra Gupta Löfving, Antónia Tökés, Naqib Torakai, Kalid Ibrahim, Reem Aljeshy, Georgina Warner
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Internet Interventions
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214782922000963
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author Anna Pérez-Aronsson
Maria Thell
Elin Lampa
Sandra Gupta Löfving
Antónia Tökés
Naqib Torakai
Kalid Ibrahim
Reem Aljeshy
Georgina Warner
author_facet Anna Pérez-Aronsson
Maria Thell
Elin Lampa
Sandra Gupta Löfving
Antónia Tökés
Naqib Torakai
Kalid Ibrahim
Reem Aljeshy
Georgina Warner
author_sort Anna Pérez-Aronsson
collection DOAJ
description Background: Video-telehealth delivery of trauma-based care is promising and may help address structural and perceptual barriers to receiving support. However, existing evidence relies heavily on samples from adult populations. There is potential to transfer existing child and adolescent trauma interventions to a video-telehealth delivery format; but, this requires careful consideration. The aim of this project was to adapt a group-based intervention called Teaching Recovery Techniques for online delivery and investigate the usability of the new intervention format. Methods: A qualitative needs assessment was performed (n = 3 intervention leaders, 4 youth), followed by participatory workshops and advisory panel consultation to generate adaptation recommendations. Usability testing was performed in two cycles; the first tested the adapted manual with intervention leaders (n = 5), and the second tested newly developed digital resources with youth (n = 5). Results: The needs assessment uncovered a number of issues that, when generating recommendations, were distilled into three topics: safety, participation and learning. Recommendations included safety rules, an emergency response protocol, communication strategies, and guidance on group composition and intervention delivery. Usability testing indicated acceptability but highlighted the need for more detailed and explicit guidance, particularly on safety processes. Discussion: The present study demonstrates the potential for delivery format to affect intervention feasibility and acceptability, and provides recommendations that can be used to guide the transfer of other group-based mental health interventions to an online format. The young people, parents and professionals involved in the project provided rich and varied perspectives, which illustrated the value of broad stakeholder engagement.
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spelling doaj.art-11c32f784e51400eb729200111e2b8822022-12-22T04:35:44ZengElsevierInternet Interventions2214-78292022-12-0130100589Adaptation of the trauma group intervention ‘Teaching Recovery Techniques’ for online delivery: A participatory design and usability studyAnna Pérez-Aronsson0Maria Thell1Elin Lampa2Sandra Gupta Löfving3Antónia Tökés4Naqib Torakai5Kalid Ibrahim6Reem Aljeshy7Georgina Warner8Child Health and Parenting (CHAP), Department of Public Health and Caring Science, Uppsala University, Uppsala, Sweden; Corresponding author at: BMC, Husargatan 3, Uppsala 751 23, Sweden.Child Health and Parenting (CHAP), Department of Public Health and Caring Science, Uppsala University, Uppsala, SwedenChild Health and Parenting (CHAP), Department of Public Health and Caring Science, Uppsala University, Uppsala, SwedenChild Health and Parenting (CHAP), Department of Public Health and Caring Science, Uppsala University, Uppsala, SwedenChild Health and Parenting (CHAP), Department of Public Health and Caring Science, Uppsala University, Uppsala, SwedenPublic contributor, Uppsala, SwedenPublic contributor, Uppsala, SwedenPublic contributor, Uppsala, SwedenChild Health and Parenting (CHAP), Department of Public Health and Caring Science, Uppsala University, Uppsala, SwedenBackground: Video-telehealth delivery of trauma-based care is promising and may help address structural and perceptual barriers to receiving support. However, existing evidence relies heavily on samples from adult populations. There is potential to transfer existing child and adolescent trauma interventions to a video-telehealth delivery format; but, this requires careful consideration. The aim of this project was to adapt a group-based intervention called Teaching Recovery Techniques for online delivery and investigate the usability of the new intervention format. Methods: A qualitative needs assessment was performed (n = 3 intervention leaders, 4 youth), followed by participatory workshops and advisory panel consultation to generate adaptation recommendations. Usability testing was performed in two cycles; the first tested the adapted manual with intervention leaders (n = 5), and the second tested newly developed digital resources with youth (n = 5). Results: The needs assessment uncovered a number of issues that, when generating recommendations, were distilled into three topics: safety, participation and learning. Recommendations included safety rules, an emergency response protocol, communication strategies, and guidance on group composition and intervention delivery. Usability testing indicated acceptability but highlighted the need for more detailed and explicit guidance, particularly on safety processes. Discussion: The present study demonstrates the potential for delivery format to affect intervention feasibility and acceptability, and provides recommendations that can be used to guide the transfer of other group-based mental health interventions to an online format. The young people, parents and professionals involved in the project provided rich and varied perspectives, which illustrated the value of broad stakeholder engagement.http://www.sciencedirect.com/science/article/pii/S2214782922000963PTSDVideo-telehealthGroup interventionParticipatoryUsability testing
spellingShingle Anna Pérez-Aronsson
Maria Thell
Elin Lampa
Sandra Gupta Löfving
Antónia Tökés
Naqib Torakai
Kalid Ibrahim
Reem Aljeshy
Georgina Warner
Adaptation of the trauma group intervention ‘Teaching Recovery Techniques’ for online delivery: A participatory design and usability study
Internet Interventions
PTSD
Video-telehealth
Group intervention
Participatory
Usability testing
title Adaptation of the trauma group intervention ‘Teaching Recovery Techniques’ for online delivery: A participatory design and usability study
title_full Adaptation of the trauma group intervention ‘Teaching Recovery Techniques’ for online delivery: A participatory design and usability study
title_fullStr Adaptation of the trauma group intervention ‘Teaching Recovery Techniques’ for online delivery: A participatory design and usability study
title_full_unstemmed Adaptation of the trauma group intervention ‘Teaching Recovery Techniques’ for online delivery: A participatory design and usability study
title_short Adaptation of the trauma group intervention ‘Teaching Recovery Techniques’ for online delivery: A participatory design and usability study
title_sort adaptation of the trauma group intervention teaching recovery techniques for online delivery a participatory design and usability study
topic PTSD
Video-telehealth
Group intervention
Participatory
Usability testing
url http://www.sciencedirect.com/science/article/pii/S2214782922000963
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