法国重大抑郁症治疗数字治疗的可接受性:多中心实践研究
Odile Amiot1, Anne Sauvaget2, Isabelle Alamome3
1Groupe Hospitalier Paul Guiraud, Boulogne Billancourt, France.
JMIR formative research
|April 3, 2024
概括
经济障碍限制了法国对抑郁症的数字治疗方法Deprexis的接受. 诸如婚姻状况和抑郁症严重程度等因素影响了患者使用这种可访问的在线治疗的意愿.
科学领域:
- 数字健康数字健康
- 精神病学是一个精神病学.
- 心理健康干预 心理健康干预
背景情况:
- 大型抑郁症是全球导致残疾的主要原因.
- 在法国,获得心理治疗的机会受到临床医生的可用性,成本和耻辱的限制.
- 像Deprexis这样的在线混合心理治疗为抑郁症护理提供了可扩展的解决方案.
研究的目的:
- 评估法国对抑郁症患者的数字疗法Deprexis在现实世界中是否可接受.
- 评估患者接受度在正式的报销系统之外.
- 确定影响采用数字心理健康工具的因素.
主要方法:
- 现实生活中的Deprexis接受性研究措施 (DARE) 是一项多中心的横截面研究.
- 在2022年6月至2023年3月期间,245名符合条件的抑郁症患者 (18-65岁) 接受了Deprexis的治疗.
- 包括标准包括抑郁症诊断和互联网访问;排除标准涉及双相情感障碍,精神病或自杀念头.
主要成果:
- 只有33.9%的患者接受了Deprexis的使用,83.3%的拒绝理由是经济原因.
- 支持接受的因素包括在一对夫妇中,目前的抗抑郁药物治疗和较低的抑郁症严重程度.
- 研究人口 (n=245) 主要包括中度至重度抑郁症 (78%) 的女性 (64.9%).
结论:
- 财政限制是法国Deprexis等数字心理健康干预措施采用的重要障碍.
- 抑郁症数字治疗的可接受性受社会人口统计学因素和临床特征的影响.
- 进一步的研究应该探索克服财务障碍的策略,并加强基于证据的数字治疗的普及.
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