自主指导与临床医生指导的在线认知行为疗法治疗无形皮肤炎:一项随机临床试验
Dorian Kern1,2, Brjánn Ljótsson1, Louise Lönndahl3
1Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden.
JAMA dermatology
|December 18, 2024
概括
一个简短的,自我指导的在线认知行为疗法 (CBT) 对亚托皮炎 (AD) 的干预证明与临床医生指导的方法一样有效. 这一发现表明了一种可扩展,具有成本效益的方法,用于为AD症状管理提供CBT.
科学领域:
- 皮肤病学 皮肤病学
- 精神病学是一个精神病学.
- 数字健康数字健康
背景情况:
- 临床医生指导的在线认知行为疗法 (CBT) 有效地减少了亚托皮炎 (AD) 症状的严重程度.
- 简短的,自我引导的在线CBT干预提供了成本效益,更容易实施和更广泛的患者接触的潜力.
研究的目的:
- 为了确定一个简短的,自我指导的在线CBT干预是否与AD患者的综合性,临床医生指导的CBT治疗无差.
主要方法:
- 一个单盲,随机的临床非劣势性试验,涉及AD的成年参与者.
- 参与者被随机分配到12周的自导在线CBT干预或12周的临床医生指导的在线CBT干预.
- 主要结局指标是患者导向湿疹测量 (POEM) 评分从基线到12周随访的变化.
主要成果:
- 临床医生指导和自我指导的CBT干预都导致POEM分数的显著改善.
- 两组之间的POEM分数变化平均差异为0.36分,低于预定义的3分的非劣势差距.
- 没有报告严重的不良事件,自导小组的临床医生时间明显较低.
结论:
- 一个简短的,自我指导的在线CBT干预措施与临床医生指导的CBT在管理亚托皮性皮炎症状方面没有劣势.
- 自导性CBT的有限资源需求使其成为传播基于证据的心理治疗给更广泛的AD患者群体的有希望的策略.
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