参与问题:对数字心理健康干预措施的参与进行审查,并为前进的道路提出建议
Jessica M Lipschitz1,2, Chelsea K Pike1, Timothy P Hogan3,4
1Department of Psychiatry, Brigham and Women's Hospital, Boston, MA.
Current treatment options in psychiatry
|February 23, 2024
概括
患者参与数字心理健康干预 (DMHI) 对临床效益至关重要. 了解患者,干预和系统因素是改善使用这些可访问的心理健康工具的关键.
科学领域:
- 数字心理健康数字心理健康
- 实施科学 实施科学
- 医疗服务研究 医疗服务研究
背景情况:
- 数字心理健康干预 (DMHI) 为全球心理健康挑战提供了可访问的解决方案.
- 在现实环境中患者对DMHIs的参与不足限制了临床有效性.
- 了解患者参与的驱动因素对于最大限度地发挥DMHI潜力至关重要.
研究的目的:
- 审查关于患者参与DMHIs的现有文献.
- 确定影响参与的患者,干预和系统级因素.
- 突出研究缺口,并提出未来的方向,以加强DMHI的参与.
主要方法:
- 关于患者与DMHIs的参与现有研究的文献综述.
- 分析与参与相关的患者级变量 (例如人口统计学,个性) .
- 检查干预层面的策略 (例如,人力支持,游戏化) 以提高参与度.
- 探索系统层面的因素和实施科学原则.
主要成果:
- 患者参与受患者特征 (性别,教育,个性,种族,种族,年龄,症状严重程度) 的影响.
- 干预设计元素,如人力支持,游戏化,激励和说服性技术,可以提高参与度.
- 系统层面的因素,包括组织和社会障碍,需要注意,需要实施科学方法.
结论:
- 需要进一步的研究来澄清患者,干预和系统层面的参与驱动因素.
- 建议采用标准化的报告框架 (例如5要素参与框架).
- 建议更广泛地使用替代试验设计和开发概念模型,以提高对DMHI参与的理解.
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