系统心理治疗干预的数字与面对面交付的比较:随机对照试验的系统审查和元分析
Pieter Erasmus1, Moritz Borrmann1,2, Jule Becker1
1Department of Clinical Psychology and Cognitive Behavioral Therapy, International Psychoanalytic University Berlin, Berlin, Germany.
Interactive journal of medical research
|February 24, 2025
概括
数字化和面对面的系统性心理治疗没有明显的优势. 需要更多的研究来确定数字心理健康交付是否与传统方法相当或优于传统方法.
科学领域:
- 精神病学和行为科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 数字心理健康服务正在增长,需要证据证明其有效性.
- 系统性心理治疗干预越来越多地通过数字平台提供.
研究的目的:
- 为了比较数字与面对面系统心理治疗的有效性.
- 综合不同交付方式的比较有效性的证据.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 包括随机对照试验,比较数字和面对面的系统心理治疗.
- 使用修订后的Cochrane偏差风险工具评估偏差风险.
主要成果:
- 包括4项试验 (N=754) 与多样化的参与者群体 (患有慢性疾病的年轻人,TBI,行为风险,以及有精神性厌食症的年轻人的父母).
- 高异质性阻止了大多数结果 (96%) 的元分析;使用了定性解释.
- 非聚合分析显示出混合的结果,数字或面对面交付没有一致的优势.
结论:
- 关于数字与面对面的系统性心理治疗的证据异质,限制了最终的疗效结论.
- 无论是数字还是面对面的模式都没有在元分析或非聚合分析中表现出优越性.
- 需要进一步的研究,以确定在特定情况下的交付模式的等价性或优越性.
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