结合人工智能和人类在心理健康方面的支持:数字干预与人类提供的护理相似的有效性
Clare E Palmer1, Emily Marshall1, Edward Millgate1
1ieso Digital Health Ltd, Cambridge, United Kingdom.
Journal of medical Internet research
|March 28, 2025
概括
这种由人工智能驱动的数字焦虑计划,结合对话代理和人类支持,证明了与传统认知行为疗法 (CBT) 相比的显著焦虑减轻. 它以大大减少临床医生的时间实现了这一目标,突出显示了技术在可扩展的心理健康护理方面的潜力.
科学领域:
- 数字心理健康数字心理健康
- 医疗保健中的人工智能
- 焦虑症治疗 焦虑症治疗
背景情况:
- 对心理健康服务需求的不断增长使得临床能力受到压力.
- 需要数字解决方案,但参与是一个挑战.
- 人工智能驱动的对话代理为数字程序提供个性化的参与.
研究的目的:
- 评估人工智能驱动的数字焦虑程序的参与度,有效性和安全性.
- 将数字程序的减轻焦虑与等待控制器进行比较.
- 评估与面对面和类型认知行为疗法 (CBT) 相比的非劣势.
主要方法:
- 招募了299名英国参与者参加为期9周的数字项目.
- 收集焦虑数据 (GAD-7) 计划前,期间,计划后和1个月的随访.
- 使用倾向匹配与NHS Talking Therapies和Dorset HealthCare数据进行打字和面对面的CBT进行比较.
主要成果:
- 77.6%的参与者参与了该计划.
- 观察到显著的焦虑减轻 (PP: -7.4 GAD-7变化,d=1.6; ITT: -5.4 GAD-7变化,d=1.1).
- 程序优于等待对照,不低于面对面和类型CBT,平均临床医师时间为每位参与者1.6小时.
结论:
- 在数字程序中,人工智能和人类的支持产生了与人类提供的护理相似的临床结果.
- 与全球估计相比,临床医生的时间减少了多达8倍.
- 这种方法显示出在全球范围内扩大基于证据的精神卫生保健的潜力.
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