超越当前心理健康的恰到好处的适应性干预措施的现状:定性系统性审查
Claire R van Genugten1,2, Melissa S Y Thong2,3,4, Wouter van Ballegooijen1,2,5
1Clinical, Neuro-, and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Frontiers in digital health
|February 12, 2025
概括
准时适应性干预 (JITAI) 对心理健康有希望,但需要进一步发展. 目前的JITAI部分与一个关键框架保持一致,突出需要增强适应性,经验决策规则和高级分析以提高有效性.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 心理健康技术 心理健康技术
- 行为科学是一种行为科学.
背景情况:
- 及时适应性干预 (JITAI) 通过适应用户状态和环境,提供量身定制的支持.
- JITAI利用复杂的分析 (例如,机器学习) 对实时数据进行心理健康应用.
- 由于它们的多因素性质,JITAI的开发是复杂的.
研究的目的:
- 审查心理健康领域即时适应性干预 (JITAI) 的现状.
- 评估JITAI与纳胡姆-沙尼等人对齐的情况. 干预开发的概念框架.
- 确定JITAI心理健康设计和测试的改进领域.
主要方法:
- 在2023年8月对9个数据库进行系统的文献搜索.
- 包括自我识别为针对心理健康的JITAI的同行评审研究.
- 9篇论文的定性综合,报告了5个不同的JITAI.
主要成果:
- 确定了五种JITAI,目标是诸如神经过敏,抑郁症,失眠和产前压力等疾病.
- 大多数JITAI包含核心框架组件,但缺乏诸如适应性和决策规则的经验支持等基本要素.
- 复杂的分析技术和被动监测未得到充分利用;初步发现表明积极的可用性,可行性和有效性.
结论:
- 心理健康JITAI处于早期发展阶段,有很大的改进空间.
- 未来的JITAI应该使用复杂的分析技术 (例如机器学习,被动监控) 来获得实时数据.
- 进一步研究基于实证的决策规则和点对于优化JITAI的有效性和用户参与至关重要.
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