发表机构
College of Information Sciences and Technology, Penn State University; Penn State College of Medicine; School of Psychology, University of Southampton; School of Computer Science, University College Dublin(宾夕法尼亚州立大学信息与科技学院; 宾夕法尼亚州立大学医学院; 南安普顿大学心理学院; 都柏林大学计算机科学学院)
机构由 AI 辅助整理,请以论文原文为准。AI 中文总结
本研究通过500名双相情感障碍患者的因子情境调查,发现患者更愿与护理伙伴共享财务数据,偏好症状期临时支出限制,且破产经历和关系信任影响接受度,为数字财务干预设计提供依据。
AI 中文摘要
双相情感障碍与财务不稳定密切相关。我们研究了不同干预措施如何激励双相情感障碍患者与他人共享财务数据。该方法可为开发旨在促进该人群财务稳定的数字监测和干预工具提供信息。500名双相情感障碍患者完成了一项预注册的因子情境调查,以评估其在症状期和情绪正常期涉及第三方财务干预的假设情境中的舒适度。情境组成部分在第三方行动者、情绪状态和干预类型之间系统变化。参与者以0-10分制对共享舒适度进行评分。多水平模型检验了临床和财务史、关系信任及人格方面的差异。参与者最倾向于让护理伙伴参与财务规划。与情绪正常期相比,他们在症状期对临时支出限制感到更舒适,这强调了准确情绪检测对干预实施的重要性。先前的财务求助行为和更高的关系信任预示着更大的舒适度。破产经历——11.4%的人曾宣布破产,31.7%的人考虑过破产——与对支出限制的舒适度增加相关。拥有精神科预先指示(8%)的个体在共享支出行为方面显著比没有该指示的个体更舒适。在先前有财务挑战或求助史的个体中,对财务干预的舒适度更高。参与者区分了症状期和情绪正常期,倾向于有针对性的、有时间限制的限制而非一般性监测。这些发现扩展了先前关于财务数据共享用于疾病自我管理的研究。
英文摘要
Bipolar disorder is strongly associated with financial instability. We examine how different interventions motivate individuals with bipolar disorder to share financial data with others. This approach can inform the development of tools for digital monitoring and intervention designed to promote financial stability in this population. 500 individuals with BD completed a pre-registered factorial vignette survey to examine level of comfort with hypothetical scenarios involving third-party financial interventions during symptomatic and euthymic periods. Scenario components were systematically varied between third-party actors, mood states, and intervention types. Participants rated sharing comfort on a 0-10 point scale. Multilevel models tested differences alongside clinical and financial histories, relational trust, and personality. Participants were most comfortable involving care partners in financial planning. They were more comfortable with temporary spending restrictions during symptomatic states than euthymic periods, underscoring the importance of accurate mood detection for intervention delivery. Prior financial help-seeking behavior and higher relational trust predicted greater comfort. Bankruptcy experience --- declared by 11.4% and considered by 31.7% --- was associated with increased comfort with spending restrictions. Individuals with psychiatric advance directives (8%) were significantly more comfortable sharing spending behaviors than those without. Comfort with financial interventions was higher among those with prior financial challenges or help-seeking histories. Participants distinguished between symptomatic and euthymic periods, favoring targeted, time-limited restrictions over general monitoring. These findings extend prior work on financial data sharing for illness self-management.
Comments13 pages, 5 figures, preregistration available at https://doi.org/10.17605/OSF.IO/5AKEB