一个基于应用程序的WHO心理健康指南用于抑郁症检测:一个集群随机临床试验
Brandon A Kohrt1, Akin Ojagbemi2, Nagendra P Luitel3
1Center for Global Mental Health Equity, Department of Psychiatry and Behavioral Health, The George Washington University, Washington, DC.
JAMA network open
|May 23, 2025
概括
世界卫生组织心理健康差距行动计划干预指南 (mhGAP-IG) 的应用版本改善了尼日利亚和尼泊尔的初级保健工作者对抑郁症的检测. 电子mhGAP-IG在各种设置中显示了多样化的使用和成本效益.
科学领域:
- 全球健康 全球健康
- 数字健康干预措施 数字健康干预措施
- 主要护理是指初级护理.
背景情况:
- 在低收入和中等收入国家,抑郁症的检测能力有限.
- 世界卫生组织心理健康差距行动计划干预指南 (mhGAP-IG) 越来越多地被使用.
- 需要在初级保健机构改善抑郁症检测.
研究的目的:
- 在尼泊尔和尼日利亚测试mhGAP-IG (e-mhGAP-IG) 的应用版本.
- 评估e-mhGAP-IG在改善抑郁症检测方面的可行性和有效性.
- 评估e-mhGAP-IG. 的成本效益.
主要方法:
- 在尼泊尔和尼日利亚进行了一项可行性集群随机临床试验.
- 初级保健机构被随机分配到标准mhGAP-IG培训或e-mhGAP-IG培训.
- 初级保健工作者 (PCW) 在培训前后测量了抑郁症检测率.
主要成果:
- 在尼泊尔,抑郁症检测在标准手臂增加了16%,在e-mhGAP-IG手臂增加了24%.
- 在尼日利亚,抑郁症检测在标准手臂增加了19%,在e-mhGAP-IG手臂增加了71%.
- 在尼泊尔,10%的评估和82%的尼日利亚评估中使用了e-mhGAP-IG应用程序.
结论:
- 电子mhGAP-IG证明了改善抑郁症检测的潜力.
- 根据设置,e-mhGAP-IG的使用,成本和临床益处存在显著差异.
- 多站点可行性研究对于全球评估数字健康创新至关重要.
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