在常规临床护理中提供无指导,指导和混合治疗抑郁症的使用:经验教训
Fien Buelens1, Patrick Luyten2,3, Herwig Claeys4
1Expertise Unit Psychology, Technology & Society, Thomas More University of Applied Sciences, Campus Sanderus, Molenstraat 8, 2018 Antwerp, Belgium.
Internet interventions
|September 28, 2023
概括
治疗师的支持显著提高了在线抑郁症治疗的参与度. 纯粹的自助在线程序看到快速脱离,而指导和混合治疗保持更高的用户参与.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 心理治疗研究 心理治疗研究
背景情况:
- 通过互联网提供的心理治疗为全球心理健康服务提供了可扩展的解决方案.
- 以前的研究支持在线干预的有效性,但现实世界的使用模式仍未得到充分探索.
研究的目的:
- 调查比利时在线抑郁症平台 (depressiehulp.be) 的现实使用情况.
- 分析不同治疗模式的参与模式:纯自助,指导自助和混合治疗.
- 确定影响用户参与和遵守在线心理健康保健的因素.
主要方法:
- 在2018年5月至2022年5月期间,利用了来自depressioniehulp.be的2656名参与者的数据.
- 检查了平台参与的持续时间和在线练习的完成率.
- 在自助,指导和混合治疗格式中比较参与.
主要成果:
- 更高的治疗师指导与更长的参与时间和炼完成度相关.
- 纯粹的自助使用者表现出参与度下降最快,许多人没有开始或完成初始练习.
- 引导和混合治疗表明持续的更高的参与水平.
- 在所有模式中,一个一致的用户子集显示了高参与度.
- 在抑郁症的严重程度和参与时间之间没有发现任何联系.
结论:
- 治疗师的支持对于增强用户参与在线心理健康干预的关键.
- 了解特定的使用模式是优化在线平台设计和交付的关键.
- 需要进一步的研究来评估这些发现的临床影响和政策影响.
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