一个对话代理 (PracticePal) 支持在印度农村地区提供简短的行为激活治疗:开发和试验研究
Ravindra Agrawal1,2,3, Kimberley Monteiro1, Nityasri Sankha Narasimhamurti1
1Sangath, Panaji, India.
JMIR formative research
|August 29, 2025
概括
在印度,PracticePal聊天机器人改善了接受非专业医疗机构简短心理干预的患者的抑郁症治疗参与度和坚持性. 所有参与者完成治疗,抑郁症症状减少,表明可行性和可接受性.
科学领域:
- 数字心理健康干预措施
- 心理社会干预措施
- 人与计算机的互动
背景情况:
- 由非专家提供者提供的健康活动计划 (HAP) 等简短的社会心理干预措施对抑郁症具有成本效益.
- 患者参与和遵守家庭作业对于HAP的成功至关重要.
- 目前的纸质工作簿限制了参与和坚持.
研究的目的:
- 描述PracticePal以用户为中心的开发, 这是一个旨在提高患者参与度和家庭作业的聊天机器人.
- 评估PracticePal在印度的可行性和可接受性.
主要方法:
- 用户为中心的设计方法与印度语对话流和视频脚本.
- 在印度农村的30名抑郁症患者和15名NSP进行试点研究.
- 通过参与数据,采访和重点小组评估可行性和可接受性.
主要成果:
- 患者参与的平均时间为29天;随着治疗的进展,参与度增加.
- 在30名患者中,有20人 (67%) 访问了聊天机器人的多媒体内容的一半以上.
- 所有患者完成治疗,平均抑郁症得分从13降至4.
- 患者和国家医疗服务提供者发现聊天机器人有帮助;挑战包括互联网带宽低和识字能力有限.
结论:
- 实践Pal是一种可行的,可接受的辅助治疗,
- 这种聊天机器人有潜力在缺乏资源的环境中增强NSP提供的心理干预.
- 计划进行随机对照试验,以评估其改善心理健康结果的有效性.
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