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在社区精神卫生环境中实施精神分裂症的移动健康:混合型3有效性-实施试验

Dror Ben-Zeev¹, Justin Tauscher¹, Devon Sandel-Fernandez¹

¹Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.

Psychiatric services (Washington, D.C.)

|October 24, 2025

概括

外部便利化 (EF) 对精神分裂症智能手机干预 (FOCUS) 的内部便利化 (IF) 显示出临床优势,尽管移动健康 (mHealth) 模型的采用率很低. EF中心可以支持实施移动健康的社区机构.

科学领域:

数字健康干预措施数字健康干预措施
治疗精神分裂症治疗精神分裂症
实施科学实施科学

背景情况:

移动健康 (mHealth) 干预措施为精神分裂症护理提供了潜力.
数字导航器可以支持社区心理健康环境中的mHealth部署.

研究的目的:

评估两个移动健康实施策略:外部便利化 (EF) 和内部便利化 (IF).
通过使用这些策略,评估FOCUS智能手机干预精神分裂症的有效性.

主要方法:

在23个社区心理健康项目进行的混合型3有效性实施试验.
与IF (本地数字导航器) 进行了EF (枢纽和光圈模型) 的比较.
评估实施结果 (覆盖范围,透率等). 对于3816名患者和274名患者的干预结果 (住院治疗,症状,康复).

主要成果:

无论是EF还是IF都产生了类似的实施结果.
焦点减少了EF的精神病急诊室入院,但不是IF.
与IF相比,EF对精神症状和恢复产生了更大的积极影响.

结论:

在两种移动健康实施模型中,观察到FOCUS干预措施的低采用率.
EF模型证明了临床优势.
区域EF中心显示出支持社区机构在精神分裂症mHealth实施方面的前景.

关键词:

社区精神卫生中心社区精神卫生中心数字健康数字健康数字导航器数字导航器实施实施实施移动健康服务提供者精神分裂症是一种精神分裂症.

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