TY  - JOUR
PY  - 2024//
TI  - Implementation of a digital health intervention for young people exposed to technology assisted sexual abuse
JO  - Child abuse and neglect
A1  - Hewins, William
A1  - Green, Victoria
A1  - Chitsabesan, Prathiba
A1  - Chan, Cindy
A1  - Shafi, Sara
A1  - Radford, Gillian
A1  - Niebauer, Erica
A1  - Newton, Alice
A1  - Cartwright, Kim
A1  - Allsop, Kate
A1  - Varese, Filippo
A1  - Schwannauer, Matthias
A1  - Bucci, Sandra
A1  - Whelan, Pauline
A1  - Larkin, Amanda
A1  - Quayle, Ethel
A1  - Sandys, Marina
A1  - Richards, Cathy
A1  - Ward, Jennifer
SP  - e106883
EP  - e106883
VL  - 154
IS  - 
N2  - BACKGROUND: The internet has become a place of increased risk of abuse, including sexual abuse, for young people (YP). One potential risk factor to online abuse and exploitation is the ability to mentalise. We developed the i-Minds app, a mentalisation-based digital health intervention (DHI) for YP who have experienced technology assisted sexual abuse (TASA), which we tested in a clinical feasibility trial. Nested within the trial was a qualitative implementation study with clinicians who referred to the trial. <br><br>OBJECTIVE: To explore the barriers and enablers to the future integration of i-Minds into clinical practice. PARTICIPANTS AND SETTING: Twelve HCPs were recruited from across two trial recruitment sites (Manchester and Edinburgh). <br><br>METHODS: Semi-structured interviews were informed by Normalisation Process Theory (NPT). Framework analysis was used; transcripts were coded deductively to NPT constructs. <br><br>RESULTS: Practitioners were positive about the need for, and added value of, the i-Minds app over existing interventions, including other DHIs. While they felt confident with the app, concerns remained around the safety of using the app without practitioner support. i-Minds promoted changes in practitioners' work and impacted online behaviour of YP. There was an identified need for further training and organisational support. <br><br>CONCLUSIONS: Practitioners are aware of TASA but have limited knowledge, skills and tools to work with TASA in clinical practice with YP. There is a need for awareness raising and education about TASA and DHI. i-Minds offers a theory-informed DHI for working with YP exposed to TASA that is acceptable to practitioners and YP.<p />  <p>Language: en</p>
LA  - en
SN  - 0145-2134
UR  - http://dx.doi.org/10.1016/j.chiabu.2024.106883
ID  - ref1
ER  -