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在患有重度抑郁症的参与者中使用远程症状跟踪平台:随机对照试验

Katie M White¹, Ewan Carr², Daniel Leightley¹

¹Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.

JMIR mHealth and uHealth

|January 19, 2024

概括

这项研究发现,添加额外的应用程序功能并没有改善患有严重抑郁症 (MDD) 的患者使用远程测量技术 (RMTs) 来追踪症状的频率. 需要进一步的研究来了解RMT在临床环境中的参与.

科学领域:

数字健康数字健康
心理健康技术心理健康技术
临床研究方法临床研究方法

背景情况:

使用智能手机和可穿戴设备的多参数远程测量技术 (RMTs) 对了解主要抑郁障碍 (MDD) 充满希望.
对研究有效性和长期使用而言,对RMT的有效参与至关重要,包括客观数据可用性和主观用户体验.
行为变化轮框架可以指导用户界面的设计,以最大限度地提高RMT参与度.

研究的目的:

评估一个适应的RMT系统,包括理论上有根据的通知,进度跟踪和支持访问,是否可以加强对MDD的远程症状监测的参与.
为了测试这样的假设,即使用适应应用程序的参与者将在症状监测中比标准护理更高的客观和主观参与度.

主要方法:

一个为期12周的,双臂随机对照试验,涉及100名患有MDD的参与者.
参与者使用了RADAR基础系统 (智能手机应用程序和可穿戴的Fitbit);干预组获得了额外的应用程序组件.
客观参与 (每周填写问卷) 和主观参与 (系统可用性,用户参与,情感自我意识) 分别是主要和次要结果.

主要成果:

干预组和对照组之间没有观察到客观参与 (问卷填写率) 的显著差异 (68%与69%).
虽然干预组在用户参与度,情感自我意识和系统可用性方面报告得分略高,但这些差异在统计学上并不显著.
过程评估表明,参与者发现应用程序中的组件有助于完成任务,尽管对整体参与度量没有重大影响.

结论:

在本研究中,调整后的RMT系统并没有显著改善MDD患者在远程症状跟踪中的客观或主观参与.
这项研究为RMT参与和方法论提供了宝贵的见解,以便在社区和临床环境中在未来复制.
了解和优化用户参与仍然是成功实施RMT在心理健康研究的关键因素.

关键词:

应用程序应用程序应用程序社区社区社区社区社区社区社区社区社区抑郁抑郁症抑郁症抑郁症是一种参与参与参与参与手机电话手机电话手机电话远程测量是一种远程测量.自我意识自我意识自我意识智能手机就是智能手机.症状跟踪症状跟踪症状跟踪技术技术的技术技术的技术.可穿戴设备可穿戴设备.

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