谁受益于基于互联网的指导干预? 对治疗结果的预测因子和调节因子进行系统审查
Katrin Haller1,2, Pauline Becker2, Helen Niemeyer1
1Clinical Psychological Interventions, Freie Universität Berlin, Berlin, Germany.
Internet interventions
|July 14, 2023
概括
预测成年人基于互联网的指导干预 (IBIs) 的结果具有挑战性. 虽然坚持和治疗联盟显示出希望,但需要更多的研究来确定在各种诊断中可靠的预测因素.
科学领域:
- 心理学 心理学 心理学
- 数字健康数字健康
- 临床研究 临床研究
背景情况:
- 基于互联网的指导干预 (IBIs) 越来越多地用于成人心理健康治疗.
- 在各种诊断的指导性IBI中,治疗结果的预测和调节者仍然不清楚.
- 需要进行系统审查,以综合现有证据,以了解影响指导IBI有效性的因素.
研究的目的:
- 系统地审查和综合治疗结果的预测因子和调节因子,用于跨不同诊断的成年人的基于互联网的指导干预 (IBIs).
- 确定与引导IBI治疗结果更好相关的因素.
- 为未来的研究提供信息,以改善数字心理健康干预措施中的患者治疗适应性.
主要方法:
- 在PsycInfo,Ovid Medline和Pubmed数据库中进行了全面的文献搜索,并补充了雪球.
- 在2021年4月/5月和2022年10月,对2100篇文章进行了选.
- 包括的研究 (N=60) 分析了基于预测因素类别和效果方向的投票计数,并评估了偏差风险.
主要成果:
- 坚持,治疗可信度和工作联盟被确定为指导IBI中更好的结果的决定性预测/调节因素.
- 较高的基线症状得分预测了更可靠的变化,但也预测了更高的治疗后症状.
- 对于其他评估的预测因素/调节因素 (共88项) 的结果是不确定的或缺乏足够的数据.
结论:
- 目前很难预测谁将从跨诊断的基于互联网的指导干预 (IBIs) 中受益.
- 坚持和治疗关系因素是成功引导IBI结果的关键.
- 需要进行进一步的严格研究,进行足够的研究,以确定个性化的数字心理健康治疗的强有力的预测因素和调节者.
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