工作人员对在精神病患者服务中实施数字远程监控的期望:使用规范化过程理论进行定性研究
Hannah Ball1, Emily Eisner1, Jennifer Nicholas2
1Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, Manchester Academic Health Sciences, The University of Manchester, School of Health Sciences, Manchester, UK; Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
International journal of medical informatics
|July 13, 2025
概括
数字远程监控 (DRM) 有助于早期发现精神病复发. 心理健康专业人员发现了诸如角色不确定性和数据问题等障碍,建议培训和专家支持,以成功实施.
科学领域:
- 心理健康技术 心理健康技术
- 数字健康干预措施 数字健康干预措施
- 精神病护理 精神病护理
背景情况:
- 数字远程监控 (DRM) 使用智能手机和可穿戴设备等设备收集健康数据,以获得心理健康见解.
- DRM有助于识别早期精神病复发迹象,使得及时的临床干预和改善服务用户的结果.
- 尽管有好处,但在日常精神卫生服务中实施DRM仍面临重大挑战.
研究的目的:
- 检查心理健康专业人员对实施DRM在精神病护理中的障碍和促进者的期望.
- 利用规范化过程理论 (NPT) 作为分析实施因素的框架.
- 专注于了解多学科心理健康专业人员的观点.
主要方法:
- 进行了半结构化采访,对9个英国NHS信托机构/卫生局的59名心理健康专业人员进行了采访.
- 采用了感应性主题分析,其次是演性分析,将主题映射到NPT构造.
- 包括专业人士自己与技术的经验的分析,NPT没有完全捕捉到这些经验.
主要成果:
- 专业人士理解了DRM在复发检测中的实用性,但引用了包括角色模两可,资源限制,数据准确性问题,技术复杂性和隐私问题在内的障碍.
- 确定的促进者包括员工培训,技术支持,明确的角色指导,服务内的专业DRM专业知识和基于证据的知识增强.
- 建议的实施策略涉及临床医生和服务用户参与系统开发.
结论:
- 确定了在精神病治疗中成功早期采用DRM的关键因素和可行的策略.
- 解决已识别的障碍和实施建议的策略可以优化DRM实施的有效性.
- 成功的DRM集成有可能显著改善精神病患者的结果.
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