加拿大安大略省两项公共资助的基于互联网的认知行为治疗计划的覆盖范围,吸收率和心理结果:一项观察性研究
Bilal Noreen Khan1,2, Rebecca H Liu3, Cherry Chu3
1Women's College Hospital, 76 Grenville St, Toronto, ON, M5S 1B2, Canada. bk1699@nyu.edu.
International journal of mental health systems
|November 8, 2024
概括
基于互联网的认知行为疗法 (iCBT) 计划显示出治疗焦虑和抑郁症的前景. 提高可访问性和解决脱学问题是未来数字心理健康干预措施的关键.
科学领域:
- 数字心理健康数字心理健康
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 加拿大对传统心理健康服务的有限访问需要数字替代方案.
- 安大略省政府提供了两个基于互联网的认知行为治疗 (iCBT) 计划:LifeWorks AbilitiCBT和MindBeacon TAiCBT.
- 这些计划旨在支持经历心理健康问题的成年人.
研究的目的:
- 评估使用LifeWorks AbilitiCBT和MindBeacon TAiCBT的参与者的影响,吸收和心理症状变化.
- 评估iCBT计划在加拿大现实环境中的有效性.
主要方法:
- 使用回顾性程序数据进行的一项不受控制的观察性研究.
- 分析参与者招募,治疗开始,完成率和治疗师参与度.
- 评估焦虑症 (GAD-7) 和抑郁症 (PHQ-9) 症状得分的变化.
主要成果:
- 在两项ICBT计划中,超过13万个人注册,但最初有显著的排除.
- 大约22-26%的参与者完成了超过75%的ICBT治疗.
- 观察到焦虑和抑郁症状的临床显著改善,可靠的恢复率在22%至31%之间.
结论:
- iCBT计划显示出对患有轻度至重度焦虑和抑郁症的个体的潜力.
- 建议包括更广泛的入学标准,综合护理途径和调整的支付模式,以改善可访问性和减少学.
- 数字心理健康干预提供了宝贵的支持,但参与者保留需要进一步关注.
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