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数字心理健康干预的安全性:系统审查和建议

Rayan Taher¹, Che-Wei Hsu¹, Chloe Hampshire²

¹Psychosis Studies Department, Institute of Psychiatry, Psychology & Neuroscience (IoPPN), King's College London, London, United Kingdom.

JMIR mental health

|October 9, 2023

概括

数字心理健康干预 (DMHI) 显示安全数据收集不一致,许多研究缺乏不良事件 (AE) 评估. 对于DMHIs,需要标准化的安全实践,以确保好处超过风险.

科学领域:

心理健康心理健康
数字健康数字健康
临床安全临床安全

背景情况:

数字心理健康干预 (DMHI) 对常见的心理健康状况有希望.
然而,像传统疗法一样,DMHIs具有潜在的风险.
确保患者安全需要利益超过减轻风险.

研究的目的:

审查DMHIs如何评估安全.
在研究和市场后阶段识别报告的风险和缓解策略.
为DMHIs提供标准化的安全评估和报告.

主要方法:

在PsycINFO,Embase和MEDLINE搜索了关于DMHI安全性的研究.
包括评估成年人群安全性的研究,无论主要结果如何.
采用定性分析来对结果进行对比;尽可能使用表格,百分比和赔率比率合成定量数据.

主要成果:

包括23项研究;35%未能收集任何安全数据.
安全数据收集的方法各不相同,统计分析有限.
症状恶化是主要报告的不良事件;排除高风险群体是常见的缓解策略.

结论:

在DMHIs中存在对标准化的AE分类和评估方法的需求.
在研究和市场后阶段都需要基于证据的风险减轻策略.
制定了建议,以提高DMHI安全数据的质量和对利益风险评估的信心.

关键词:

不良事件是不良事件.数字数字数字数字数字数字数字.数字治疗学数字治疗学伤害伤害伤害的伤害心理健康心理健康手机电话手机电话手机电话负面影响的负面影响.心理上的心理心理上的心理.危险的风险危险的风险降低风险降低风险在安全方面,安全是安全的.

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