数字化支持的同行支持干预来解决孤独和心理健康问题:前性队列分析
Dena M Bravata1,2, Joseph Kim2,3, Daniel W Russell2,3
1Center for Primary Care and Outcomes Research, Stanford University, San Francisco, CA, United States.
JMIR formative research
|November 6, 2023
概括
一个数字同行支持计划显著减少了成年人的孤独,抑郁和焦虑. 这种干预改善了生活质量,并提供了行为健康资源的转介,显示了广泛使用的希望.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 心理健康支持 心理健康支持
- 社会流行病学 社会流行病学
背景情况:
- 社会孤立和孤独影响了超过60%的美国成年人,增加了发病率和死亡率.
- 对于社会孤立的个人来说,医疗保健费用要高得多,平均每年增加1643美元.
研究的目的:
- 评估数字支持的同行支持干预对孤独,抑郁,焦虑和生活质量的影响.
- 评估该计划在经历孤独的多元成人群体中的有效性.
主要方法:
- 通过社交媒体在科罗拉多州招募18岁以上的成年人参加同行支持计划.
- 干预包括同行支持,小组指导,同行助手机会和行为健康推.
- 使用经过验证的尺度 (UCLA孤独,PHQ-2,GAD-7) 和不健康日的测量,通过多层回归分析.
主要成果:
- 815名多元参与者表现出高参与度 (90%在60天,86%在90天).
- 观察到的统计学意义上的改善:14.6%的孤独感下降,50.1%的抑郁症下降,29%的焦虑症下降,以及13%的生活质量提高.
- 估计每年每名参与者医疗费用减少615美元,并成功转介到行为健康资源.
结论:
- 数字化支持的同行支持对于改善孤独的成年人的心理健康结果是有效的.
- 该计划显示了识别和连接个人与必要的行为健康资源的潜力.
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