从健康质量角度来看,基于网络的同步心理治疗精神障碍:范围审查
Raman Dhaliwal1, Sidney Yap1, Fernanda Talarico1
1Department of Psychiatry, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada.
Journal of medical Internet research
|November 3, 2023
概括
基于网络的心理治疗是有前途的,但研究必须解决可访问性和安全性等质量方面. 需要进行更多的研究,以确保为不同人群提供公平有效的数字心理健康护理.
科学领域:
- 数字健康数字健康
- 心理治疗研究 心理治疗研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19的流行,数字化提供心理治疗的采用加速了.
- 随着这一转变,有关临床,文化,实践,隐私和安全问题的担忧仍然存在.
研究的目的:
- 系统地审查关于诊断精神疾病的同步,治疗师提供的基于网络的心理治疗的研究.
- 通过阿尔伯塔卫生质量矩阵 (AQMH) 评估文献对医疗保健质量指标的覆盖范围.
- 识别基于网络的心理治疗研究中的知识差距.
主要方法:
- 根据PRISMA-ScR指南进行范围审查.
- 包括同行评审的同步,治疗师为成年人诊断精神疾病的远程心理治疗的研究.
- 在多个数据库 (MEDLINE,PsycINFO,Embase,Web of Science,Cochrane,Scopus) 搜索了2021年3月18日之前发表的研究.
- 数据由两位评论员绘制图表,并根据AQMH维度进行主题分析.
主要成果:
- 包括48篇文章,主要来自北美.
- 有效性 (100%) 和可接受性 (60%) 是最常测量的质量维度.
- 对创伤后应激障碍,情绪或焦虑障碍的干预显示出与人身治疗相似的结果.
- 安全性 (10%) 被低估;可访问性,适当性和效率没有被明确地衡量.
结论:
- 在科学检查基于网络的心理治疗质量方面存在重大差距,包括可访问性,适当性,效率和安全性.
- 由于不同地理区域,文化,人口和临床背景的代表性不足,目前研究的概括性是有限的.
- 未来对代表性不足的群体进行定性研究对于改善优质网络心理治疗的实施至关重要.
关键词:
在DSM中,它是DSM.精神疾病的诊断和统计手册.在ICD中,ICD是指ICD.疾病的国际统计分类.普里斯玛是什么意思 普里斯玛是什么意思系统审查和元分析的首选报告项目可以接受的可接受性.可访问性可访问性应用程序应用程序应用程序申请申请表 申请表 申请表临床临床临床临床临床临床临床有关认知性的认知.电脑化疗法是一种计算机化疗法.文化 文化 文化 文化我们的数据库数据库数据库数据库.诊断 诊断 诊断 诊断 诊断 诊断有效性 有效性.卫生质量 卫生质量文献审查 文献审查精神的精神的精神的精神的精神.精神障碍 精神障碍是一种精神障碍.心理健康 心理健康隐私 隐私 隐私 隐私 隐私 隐私心理教育是一种精神教育.心理治疗 心理治疗心理治疗是一种心理治疗.远程遥控器远程遥控器是什么意思远程传递远程传递是什么意思远程心理治疗 远程心理治疗范围审查 范围审查审查安全的安全的安全的安全的安全.它们是同步同步的.治疗师辅助的治疗师提供治疗师的治疗师.一个治疗师.相关概念视频
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