精神病中的移动健康干预措施的特征和结果:系统地图审查
Pei Yi Loh1, Laura Martinengo1,2, Creighton Heaukulani3
1Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Journal of medical Internet research
|December 23, 2024
概括
对于精神病的移动健康 (mHealth) 干预措施显示出不同的结果. 对于复杂的mHealth干预措施,建议进行综合性评估,结合临床和以患者为中心的结果.
科学领域:
- 精神病学是一个精神病学.
- 数字健康数字健康
- 心理健康技术 心理健康技术
背景情况:
- 移动健康 (mHealth) 干预越来越多地用于精神病患者的精神病治疗.
- 人们越来越感兴趣在社区环境中使用mHealth来支持患有严重精神疾病的个人.
- 然而,由于干预措施和结果措施的差异,研究报告的混合结果阻碍了直接比较.
研究的目的:
- 批判性地审查用于评估患有精神病的成年人移动健康干预措施的结果指标.
- 分析结果指标与移动健康干预措施特征之间的关系.
主要方法:
- 进行了系统的映射审查,从1973年到现在搜索主要的科学数据库 (PubMed,CINAHL,Embase,PsycINFO,Cochrane图书馆).
- 包括的研究是针对精神分裂症谱系障碍的成年人进行移动健康干预的随机对照试验 (RCT).
- 数据提取和选由两对审查员独立执行,遵守PRISMA-ScR指南.
主要成果:
- 包括23项研究,揭示了广泛的mHealth干预措施,主要是心理治疗,精神教育和自我监测,通常通过智能手机应用程序提供.
- 干预措施经常针对多个生物心理社会福祉方面,并促进自我管理,主要是在门诊/社区环境中,通常与亲自或远程支持相结合.
- 最常见的测量结果是精神病症状严重程度 (积极的症状,情绪/焦虑,整体精神病理),以及以患者为中心的结果,如福祉,生活质量和用户体验 (可行性,可接受性,参与).
结论:
- 对于精神病的移动健康干预是复杂的,利用不同的模式和结果措施来解决各种健康决定因素.
- 建议采用整体评估方法,将临床和以患者为中心的结果整合在一起,以进行全面的评估.
- 标准化结果措施可以提高对心理病护理中移动健康有效性的可比性和理解.
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