对埃及的叙利亚难民进行自导数字心理健康自助干预的效果:一个务实的随机对照试验
Sebastian Burchert1, Mhd Salem Alkneme1, Ammar Alsaod1
1Department of Education and Psychology, Division of Clinical Psychological Intervention, Freie Universität Berlin, Berlin, Germany.
PLoS medicine
|September 9, 2024
概括
数字心理健康干预措施对埃及的叙利亚难民来说显示了很小的好处,减少了心理痛苦并改善了功能. 需要进一步的调整,以提高可扩展的心理健康护理解决方案的坚持和有效性.
科学领域:
- 数字心理健康数字心理健康
- 难民的健康问题
- 心理社会支持 心理社会支持
背景情况:
- 数字心理健康干预为难民群体提供可扩展的解决方案.
- 世界卫生组织 (WHO) 的Step-by-Step (SbS) 计划是针对智能手机的数字干预.
- 对于面临心理困境的难民来说,获得心理健康支持至关重要.
研究的目的:
- 评估世卫组织SbS计划的有效性.
- 通过可选的按需联系 (COD) 支持来评估SbS.
- 测量在埃及的叙利亚难民中心理困扰,功能障碍,PTSD症状和自我认同问题的减少.
主要方法:
- 进行了一项双臂实用随机对照试验.
- 招募了538名叙利亚难民,他们患有高危和功能障碍.
- 参与者被随机分配到SbS +通常护理 (CAU) 或仅CAU,结果在3个月后续评估.
主要成果:
- 该SbS干预措施对减少心理痛苦和改善功能产生了小但显著的效果.
- 两组之间在PTSD症状或自我识别的问题上没有发现显著差异.
- 9.4%的参与者使用了按需联系的支持;注意到了高的学率.
结论:
- 数字化,自我引导的SbS干预在现实世界中对叙利亚难民产生了小的积极影响.
- 数字心理健康工具的可扩展性是可行的,但以用户为中心的适应是必要的.
- 提高坚持和有效性需要进一步完善数字心理健康干预措施.
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