在女性自助小组中诊断和治疗抑郁症的多用户应用:试点随机对照试验
Amritha Bhat1, Ruben Johnson-Pradeep2,3, Bharat Kalidindi4
1Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific Street, Box 356560, Seattle, WA, 98195, United States, 1 2065433117.
JMIR formative research
|October 1, 2025
概括
一个名为MITHRA的移动健康应用程序是可行的,可接受的治疗抑郁症在印度的女性团体. 这种数字干预措施在减少抑郁症状和改善功能方面初步表现出有效性.
科学领域:
- 数字心理健康数字心理健康
- 全球心理健康全球心理健康
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 抑郁症对妇女的健康和生活质量产生重大影响,在印度,获得护理是最大的挑战.
- 数字心理健康解决方案有可能弥合治疗差距,但需要对最终用户进行上下文调整.
- 移动应用程序可以定制,以解决像文盲和有限的医疗保健等障碍.
研究的目的:
- 评估女性抑郁症管理的移动健康应用程序的可行性,可接受性和初步有效性.
- 评估数字干预在社区环境中的潜力,以改善心理健康结果.
- 测试一种文化适应的数字工具,用于抑郁症查,跟踪和逐步护理治疗.
主要方法:
- 一项试点随机对照试验与印度的自助小组 (SHG) 的女性进行.
- 基于行为激活的多用户交互式健康响应应用程序 (MITHRA) 在社区组织中部署在平板电脑上.
- 在MITHRA和增强常规护理 (EUC) 组的参与者完成了患者健康问卷-9 (PHQ-9);结果包括可行性,可接受性,抑郁症状和功能.
主要成果:
- MITHRA应用程序显示出高可行性和可接受性,96%的参与者完成了至少一半的分配模块.
- 在6个月后,与EUC相比,在MITHRA组观察到抑郁症状 (PHQ-9分数) 的统计学显著改善 (P=.037).
- 在MITHRA干预组 (P=.005) 中,根据世界卫生组织残疾评估量表得分的测量,在功能方面也出现了显著的改善.
结论:
- MITHRA移动应用程序是解决社区自助小组中女性抑郁症的可行和可接受的工具.
- 这项研究提供了初步证据,证明这种数字方法在改善抑郁症结果方面的有效性.
- 建议进行更大规模的研究,以进一步验证Mithra在识别和治疗类似人群中抑郁症的有效性.
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