对物质使用的电子健康干预措施的遵守以及影响它的因素:系统审查,元分析和元回归
Farhud Shams1, Andy M Y Tai1, Jane Kim1
1Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Digital health
|October 2, 2023
概括
对于物质使用障碍的电子健康干预措施的遵守率平均为模块完成的60%. 指导,混合治疗和招聘策略预测了更好的坚持,这对于开发有效的数字健康解决方案至关重要.
科学领域:
- 数字健康数字健康
- 药物使用障碍 药物使用障碍
- 行为科学 行为科学
背景情况:
- 药物使用障碍 (SUDs) 影响全球数百万人,治疗机会有限.
- 电子健康干预提供可扩展的解决方案,以改善SUD治疗的可访问性.
- 参与者的参与和坚持仍然是电子健康干预的关键挑战.
研究的目的:
- 系统地审查和评估SUD电子健康干预措施的遵守率.
- 识别对这些数字干预措施的坚持的假设预测因素.
主要方法:
- 针对SUDs的电子健康干预措施的系统文献综述 (2009-2020年)
- 进行元分析和元回归,以评估依从度和预测指标.
- 研究的共变量:指导,混合治疗,干预时间和招聘策略.
主要成果:
- 聚合的坚持率为0.60 (平均模块完成率) 和0.47 (所有模块完成率).
- 指导,混合治疗和招聘策略显著预测了坚持.
- 干预的持续时间不是坚持的重要预测因素.
结论:
- 需要进一步的研究来确定增强干预设计的特定坚持预测因素.
- 关于遵守和预测指标的标准化报告将改善元分析和干预开发.
- 识别预测因素对于为SUDs创建更有效的电子健康干预措施至关重要.
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