在心理健康领域的数字健康应用
Stefanie Schreiter1, Lea Mascarell-Maricic, Orestis Rakitzis
1Department of Psychiatry and Neurosciences, CCM, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Deutsches Arzteblatt international
|September 21, 2023
概括
数字健康应用 (DiGA) 显示治疗对心理健康的影响,但需要更严格的试验. 证据表明有好处,但高偏差风险和缺乏与既有治疗方法的比较需要谨慎.
科学领域:
- 数字健康应用程序 (DiGA)
- 心理健康干预措施 心理健康干预
- 精神病治疗方式 精神病治疗方式
背景情况:
- 数字健康应用 (DiGA) 是德国医疗保健系统的一个重大创新.
- 许多DiGA可用于心理健康状况,在临床试验中证明了一些疗效.
- 该研究评估了推在精神卫生保健中使用DiGA的证据基础.
研究的目的:
- 对支持DiGA在心理健康方面的证据进行范围审查.
- 提供有关DiGA及其支持研究的注释表格列表.
- 讨论使用DiGA用于精神病患者的当前优势和障碍.
主要方法:
- 系统的文献搜索,以确定有关精神健康的DiGA相关出版物.
- 范围审查方法来总结现有证据.
- 检查研究特征,包括制造商参与和盲目化.
主要成果:
- 17个DiGA被确定为包括抑郁,焦虑,成,睡眠障碍,压力,阴道症和慢性疼痛在内的疾病.
- 证据包括3个元分析,39个随机对照试验 (RCT) 和2个单臂试验.
- 大多数RCT (29/39) 没有失明,6/39使用主动对照;23/36试验涉及制造商.
结论:
- 大多数研究显示,由于制造商参与和方法缺陷,存在偏差的高风险.
- DiGA正在成为精神病学中重要的治疗工具,显示出治疗效果的证据.
- 对已建立的治疗方法进行前性比较研究至关重要.
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