在智能手机认知行为治疗抑郁症中的技能审查模式:干预内容使用的观察性研究
Emily E Bernstein1,2, Katharine E Daniel1,2,3, Peyton E Miyares1
1Massachusetts General Hospital, Boston, MA, United States.
JMIR mental health
|February 24, 2025
概括
智能手机的认知行为疗法 (CBT) 使用情况各不相同. 在模块中的频繁参与是常见的,但重新查看以前的内容可能表明更严重的抑郁症状,这表明需要细微的参与指标.
科学领域:
- 数字心理健康数字心理健康
- 移动卫生干预措施 移动卫生干预
- 认知行为治疗 (CBT)
背景情况:
- 智能手机为提供可访问的平台提供认知行为疗法 (CBT).
- 移动CBT允许灵活,频繁地访问治疗内容和技能实践.
- 这项研究调查了智能手机为抑郁症提供CBT的用户参与模式.
研究的目的:
- 在智能手机CBT试验中分析参与者与治疗内容的互动.
- 区分模块内部的交互和重新访问之前的内容 (模块间的交互).
- 探索相互作用类型和抑郁症症状严重程度之间的关系.
主要方法:
- 一个为期8周的,单臂,治疗师指导的移动健康应用程序对抑郁症的公开试验.
- 检查了模块内部和模块之间相互作用与症状严重程度之间的关联.
- 分析了基线和治疗结束症状严重程度的数据.
主要成果:
- 相互作用在治疗早期达到峰值,并逐渐下降.
- 大多数参与者超越了模块内所需的交互,并探索了各种内容.
- 只有15/26名参与者重复了先前的模块;更多的重复访问与更高的治疗结束症状严重程度相关 (P<.05).
结论:
- 简单的使用频率是对数字CBT参与度的不充分衡量.
- 了解用户参与的*什么*和*什么时候*对于个性化干预至关重要.
- 细微的参与度指标对于优化移动心理健康结果至关重要.
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