在自导网络干预中评估和未来的挑战,在COVID-19流行期间对抑郁和焦虑症状进行聊天支持和不支持:随机对照试验
Alejandro Dominguez-Rodriguez1,2, Sergio Sanz-Gomez2,3, Leivy Patricia González Ramírez4
1Department of Psychology, Health and Technology, University of Twente, Enschede, Netherlands.
JMIR formative research
|September 30, 2024
概括
基于网络的心理干预在COVID-19期间改善了心理健康. 将聊天支持添加到基于网络的自我指导干预 (SGWI) 中,提高了其感知的有用性,但并没有显著提高所有心理健康结果的有效性.
科学领域:
- 心理健康 心理健康
- 数字健康干预措施 数字健康干预措施
- 心理学 心理学 心理学
背景情况:
- COVID-19 疫情对全球心理健康产生了重大影响,特别是在墨西哥等低收入和中等收入国家.
- 锁定和社交距离需要可访问的心理健康解决方案,这导致了基于网络的干预措施的发展.
- 心理健康COVID-19作为墨西哥成年人的自导网络干预 (SGWI) 推出.
研究的目的:
- 评估两种SGWI模式 (有和没有聊天支持) 在减少抑郁症,焦虑症,PTSD症状和改善睡眠质量的有效性.
- 为了比较应对策略,接受和对减轻症状的满意度的适度作用.
- 为了测试聊天支持的模式将比独立的SGWI更有效的假设.
主要方法:
- 一个随机对照试验从2020年5月到2022年6月进行.
- 在试验前,试验后以及3个月和6个月的随访期间收集了对象内测量.
- 统计分析包括曼·惠特尼U,奇方位,威尔科克森W测试和温和回归分析.
主要成果:
- 在36名参与者中,86%属于SGWI加聊天支持 (SGWI+C) 组.
- 在SGWI组中,感知系统复杂性与抑郁症疗效降低有关.
- 较低的感知帮助与较差的结果相关;应对策略没有缓解效应.
结论:
- 将支持聊天融入基于网络的干预措施中,可能会提高人们感知的有用性和坚持性.
- 在简化平台使用和提高用户对数字心理健康工具感知的实用性方面,仍然存在挑战.
- 需要进一步的研究来优化基于网络的干预措施,以获得更广泛的临床影响.
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