将电子邮件与短信作为支持患有重大抑郁症患者的交付平台进行比较:非劣等性随机受控试验
Medard K Adu1, Oghenekome Eboreime2, Reham Shalaby3
1Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.
JMIR formative research
|September 9, 2024
概括
电子邮件和短信短信在支持主要抑郁症 (MDD) 患者方面同样有效. 这些数字干预措施在减少抑郁症症状和改善幸福感方面表现有希望,有助于弥合治疗差距.
科学领域:
- 数字健康数字健康
- 心理健康干预 心理健康干预
- 临床试验 临床试验
背景情况:
- 重度抑郁症 (MDD) 是一个重大的全球健康挑战,治疗缓解率往往不够.
- 数字健康技术提供了可访问的替代方案,但它们对MDD支持的比较有效性尚不清楚.
- 电子邮件提供了一种安全的通信道,但其有效性与SMS短信相比,对于MDD心理健康支持需要进行调查.
研究的目的:
- 为了比较电子邮件与SMS短信在向被诊断患有重度抑郁症 (MDD) 的患者提供心理健康支持方面的有效性.
- 解决了解心理健康护理最佳数字干预平台的关键差距.
- 评估数字干预措施,以改善抑郁症患者的福祉.
主要方法:
- 一个随机的非劣势试验试验比较了每天通过电子邮件发送的支持信息与6周的短信短信.
- 被诊断为MDD的参与者 (N=66) 来自阿尔伯塔省埃德蒙顿的一家诊所.
- 包括抑郁症 (PHQ-9),焦虑症 (GAD-7) 和福祉 (WHO-5) 在内的结果在基线和6个月后被评估.
主要成果:
- 在电子邮件和短信短信群之间的PHQ-9,GAD-7和WHO-5分数的平均变化中没有发现统计学上显著的差异.
- 电子邮件和短信短信模式都显示出降低抑郁症状的潜力.
- 这两种数字干预都在改善MDD患者的生活质量方面表现出有希望.
结论:
- 电子邮件和短信短信干预措施在减少MDD患者抑郁症状方面同样有效.
- 可以利用数字平台来弥合治疗差距并增强抑郁症患者的心理健康护理.
- 建议使用更大的样本大小进行进一步的研究,以验证这些发现.
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