インドの農村部におけるうつ病の短期的な行動活性化治療の提供を支援する対話型エージェント (PracticePal):開発と試験試験
Ravindra Agrawal1,2,3, Kimberley Monteiro1, Nityasri Sankha Narasimhamurti1
1Sangath, Panaji, India.
JMIR formative research
|August 29, 2025
まとめ
PracticePalのチャットボットは,インドの非専門医から短期間の心理的介入を受けた患者のうつ病の治療への関与と従順性を改善しました. すべての被験者は治療を完了し,抑うつ症状の減少を示し,可行性と許容性を示した.
科学分野:
- デジタルメンタルヘルスの介入
- 心理社会的な介入
- 人とコンピュータの相互作用
背景:
- 非専門の提供者 (NSP) が提供する健康活動プログラム (HAP) のような短期的な心理的介入は,うつ病に対して費用対効果的です.
- HAPの成功には 患者の関与と宿題の遵守が不可欠です
- 紙のワークブックでは 取り組みと遵守が制限されています
研究 の 目的:
- PracticePalのユーザー中心的な開発について説明します 患者の関わりと宿題の遵守を向上させるチャットボットです
- インドでPracticePalを治療補助薬として使用する可能性を評価する.
主な方法:
- ヒンディー語会話の流れとビデオスクリプトによるユーザー中心のデザインアプローチ.
- インドの農村部で30人のうつ病患者と15人のNSPを対象としたパイロット研究
- 実現可能性と受け入れ可能性は,エンゲージメントデータ,インタビュー,フォーカスグループを通じて評価されます.
主要な成果:
- 治療の進行とともに増加した.
- 30人の患者のうち20人 (67%) がチャットボットのマルチメディアコンテンツの半分以上にアクセスしました.
- すべての患者は治療を終え,平均うつ病スコアは13から4に低下した.
- 患者とNSPはチャットボットが役に立ちました. 課題としては,インターネットの帯域幅が低く,読み書き能力が限られています.
結論:
- PracticePalは,心理学的治療を補完するための実行可能で許容可能な治療補助剤です.
- このチャットボットは,資源が少ない環境でNSPが提供する心理社会的な介入を強化する可能性を 示しています.
- ランダム化制御試験で,精神衛生の改善効果を評価する計画です.
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