一个额外的电话是否足够? - 额外的人类支持的有效性,以减少从基于互联网的抑郁症状干预中断:一个随机对照试验
Sophie Christine Eicher1, Manuel Heinrich1, Pavle Zagorscak1
1Division of Clinical Psychological Intervention, Department of Education and Psychology, Freie Universität Berlin, Germany.
Internet interventions
|March 31, 2025
概括
简短的电话加上基于互联网的抑郁症干预措施并没有显著降低患者退学率. 虽然描述上是有利的,但这种小效应表明需要进一步研究,以优化数字心理健康治疗中的人与人接触.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 心理学 心理学 心理学
背景情况:
- 基于互联网的干预措施 (IBIs) 对精神障碍是有效的,但却面临着很高的退学率.
- 在增加IBI的人力支持时存在可扩展性挑战.
- 需要简短的,基于指导的附加干预措施来减少IBI学.
研究的目的:
- 为了测试一个额外的简短的电话联系是否会降低治疗中断率在指导的IBI抑郁症状.
- 评估最小的人力支持对数字心理健康干预措施的遵守的影响.
主要方法:
- 对394名参与抑郁症指导性IBI患者的数据进行分析.
- 对比一个研究小组 (n=206) 在模块2之后接到额外的电话,与一个没有电话的对照组 (n=188) 相比.
- 后勤回归用于检查电话对治疗中断的影响.
主要成果:
- 研究组中学率为30.5%,对照组为36.1%,描述上的差异有利于研究组.
- 影响估计 (赔率比率,相对风险) 显示,两组之间没有统计学上显著的差异.
- 信任区间重叠为零,表明对额外的电话联系对学影响的非显著发现.
结论:
- 提供一个额外的简短电话联系的策略并没有显著减少针对抑郁症状的引导性IBI治疗中断.
- 虽然描述性偏好了干预组,但观察到的效应很小,在统计学上无意义.
- 需要进一步的研究,以确定有效的方法,以结合人际接触,以减少IBI中学.
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