Article Dans Une Revue Asian Journal of Advanced Research and Reports Année : 2025

Knowledge, Attitude, and Perception of Young Adults to Online Psychotherapy in Conflict-affected Areas in Nigeria: A Cross-sectional Survey

Résumé

Young adults are especially susceptible to psychosocial challenges in post-conflict war regions, yet have very limited access to mental health care services. Considering the rapid shift towards enhanced digital health services worldwide, exploring the acceptability of online psychotherapy during conflict is important for developing inclusive aids. The objective of this study was to assess the knowledge, attitudes, and perceptions (KAP) regarding online psychotherapy of young adults aged 18-35 years living in conflict-affected areas of northeastern Nigeria. A community-based cross-sectional survey was conducted among 420 young adults (18-35 years) recruited via multistage cluster sampling from IDP camps and host communities in Borno and Yobe states. Data were collected through a structured interviewer-administered questionnaire based on KAP surveys. Other tools included the Internet Use Survey Scale and selected items from WHOQOL- BREF for contextual digital readiness and psychosocial wellbeing assessment. SPSS v25 was used for data analysis through descriptive statistics, chi-square tests, and multivariable logistic regression to ascertain the determinants of favorable attitudes towards online psychotherapy. Although 58% of the participants knew about online psychotherapy, only 22% had utilized it in the past. Nonetheless, 63% of participants had a positive attitude towards online psychotherapy, which they associated with convenience, privacy, and accessibility. Barriers consisted of restricted internet access (47%) and worries regarding data privacy (48%). Greater educational achievement and the experience of conflict-related trauma significantly predicted positive attitudes (p < 0.01). Age and gender were not significant predictors. Although psychotherapy over the internet is welcomed by younger people in conflict regions of Nigeria, especially those who are more educated or have been exposed to trauma, the use of a single-source, self-reported dataset may introduce response bias and compromise the external validity of the findings. Customizable, culture-informed digital mental health resources can help improve accessibility to care in humanitarian settings. Culturally sensitive solutions for mental health, taught digitally, have the potential to improve care accessibility in humanitarian aid regions.

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Dates et versions

hal-05130247 , version 1 (26-06-2025)

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Citer

Chiamaka Goodness Ujam, Peace Chinonyerem Ike, Agness Sheilla Aneno, Blessing Emilola, Eseoghene Oderhohwo, et al.. Knowledge, Attitude, and Perception of Young Adults to Online Psychotherapy in Conflict-affected Areas in Nigeria: A Cross-sectional Survey. Asian Journal of Advanced Research and Reports, 2025, 19 (6), pp.290-313. ⟨10.9734/ajarr/2025/v19i61060⟩. ⟨hal-05130247⟩
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