KIOS:一种智能手机应用程序,用于双相情感障碍患者的自我监测
Mehak Pahwa1, Susan L McElroy2, Richard Priesmeyer3
1Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, Louisville, Kentucky, USA.
Bipolar disorders
|June 20, 2023
概括
与eMoods相比,KIOS智能手机应用程序在52周内表现出优异的患者坚持和满意度,用于双相情感障碍自我管理. 两种应用程序之间的临床结果相似.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 双极性障碍管理的管理方法
- 以患者为中心的软件系统
背景情况:
- 智能手机应用程序 (APP) 越来越多地用于心理健康自我管理.
- 双极性障碍需要一致的监测和管理策略.
- 现有的应用程序在设计和患者参与度上有所不同.
研究的目的:
- 为了比较一种新的以患者为中心的应用程序 (KIOS) 的有效性和患者的坚持,与用于双相情感障碍自我管理的既定应用程序 (eMoods) 相比.
- 为了评估患者对 KIOS 应用的满意度.
- 评估应用程序设计对长期参与的影响.
主要方法:
- 这是一项为期52周的随机化,活跃的比较研究,在三个学术中心进行.
- 患有双相情感障碍的患者被分配到KIOS应用程序或eMoods应用程序.
- 每月使用双极症状目录表 (BISS) 进行评估;主要结果是应用程序的持久性.
主要成果:
- 与eMoods组 (73.69%) (p=0.03) 相比,KIOS组的持久率 (87.70%) 显著更高.
- 更多的KIOS用户在52周后输入数据 (84.4%),而不是eMoods用户 (54%) (p=0.0002).
- 对于KIOS (p=0.025) 患者的满意度显著更高,效果大小中等 (科恩d=0.41).
结论:
- 这是两种双相情感障碍自我管理应用程序的第一次随机比较.
- 以患者为中心的KIOS应用程序比eMoods应用程序带来了更大的坚持和满意度.
- 虽然坚持和满意度有所不同,但两组之间在临床结果上没有显著差异.
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