在综合初级保健诊所中,专注于抑郁和创伤的移动应用程序的可行性和实施:从两个试点研究中吸取的经验教训
Margaret R Emerson1, David J Johnson2, Danae Dinkel3
1College of Nursing, University of Nebraska Medical Center.
概括
在综合初级保健 (IPC) 中实施移动健康 (mHealth) 应用程序面临着低患者招募率和技术问题等挑战. 需要制定战略,以改善医疗机构对数字心理健康工具的采用和持续使用.
科学领域:
- 数字健康数字健康
- 提供心理健康护理 提供心理健康护理
- 整合初级保健的整合.
背景情况:
- 综合初级保健 (IPC) 对于获得心理健康服务至关重要,特别是对于面临传统护理障碍的服务不足群体.
- 移动健康 (mHealth) 应用程序MindLAMP和BounceBackNow在IPC环境中部署,以支持患有抑郁症和创伤相关症状的患者.
- 这些应用因其以证据为基础,以用户为中心的设计而被选中,旨在提高初级保健中的心理健康可访问性.
研究的目的:
- 调查在综合初级保健机构中mHealth应用程序的可行性和实际实施情况.
- 评估数字工具的潜力,以补充抑郁症和创伤相关症状的个人治疗.
- 确定挑战,并为将移动健康整合到现有医疗保健系统中的战略提供信息.
主要方法:
- 在综合初级保健机构中部署MindLAMP (治疗抑郁症) 和BounceBackNow (治疗创伤).
- 收集和分析患者结果的措施.
- 通过采访行为健康提供者和临床工作人员收集定性数据.
主要成果:
- 面临重大挑战,包括患者招募方面的困难.
- 技术障碍阻碍了移动健康应用程序的顺利实施.
- 医疗保健提供者的时间限制是应用程序使用的重要障碍.
结论:
- 数字健康工具的成功整合需要除了应用程序开发之外的全面策略.
- 解决组织障碍,加强提供者培训和改善患者参与对于持续使用mHealth至关重要.
- 进一步的研究和战略规划是必要的,以克服实施的障碍,并最大限度地提高在初级保健的mHealth的好处.
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