在当地儿童和青少年心理健康服务中对计算机化认知行为治疗计划的试验进行评估
1Department of Clinical Psychology, Newcastle University, Newcastle upon Tyne, UK.
Journal of evaluation in clinical practice
|February 11, 2025
概括
通过SilverCloud的计算机认知行为疗法 (cCBT) 在年轻人中显示出不同的参与度. 虽然评级很高,但试点研究没有发现显著的症状减少,这表明需要进一步评估数字心理健康工具.
科学领域:
- 数字心理健康干预数字心理健康干预
- 儿童和青少年心理健康服务 (CAMHS)
- 认知行为治疗 (CBT) 是一种认知行为疗法.
背景情况:
- 尼斯指南建议计算机认知行为疗法 (cCBT) 用于轻微的青少年心理健康问题.
- cCBT的目标是早期访问和减少服务需求.
- 银云是一个推的数字CBT程序,需要进一步评估.
研究的目的:
- 在CAMHS评估SilverCloud数字CBT程序的试点试验.
- 评估干预后的症状变化 (抑郁,焦虑).
- 测量用户参与 (采用) 和满意度.
主要方法:
- 在CAMHS进行了为期9个月的SilverCloud试点试验.
- 通过修订的儿童焦虑和抑郁量表 (RCADS) 测量症状.
- 通过平台使用来衡量采用;通过反评分和问卷来衡量满意度.
主要成果:
- 91名参与者的77%开始使用SilverCloud,46%完成.
- 在统计学上没有显著的减少焦虑或抑郁症状.
- 94%的人对这项干预进行了好评,但没有报告行为变化.
结论:
- 评估表明,在这个试点中,SilverCloud的有效性可能受到限制.
- 显著的挑战和局限性需要进一步分析.
- 为当地CAMHS服务提供了关于数字干预的建议.
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