评估基于叙述的心理教育数字干预的使用和可用性,以改善精神分裂症患者在稳定阶段的药物服药能力:混合方法研究研究
Dian Zhu1, Fangyuan Chang2, Hongyi Yang2
1School of Art Design and Media, East China University of Science and Technology, Shanghai, China.
Journal of medical Internet research
|January 20, 2026
概括
一个数字心理教育工具改善了精神分裂症患者的药物坚持和态度. 这种以叙事为基础的干预表明了社区精神科康复的前景.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 数字健康干预措施 数字健康干预措施
- 精神分裂症管理管理
背景情况:
- 不坚持抗精神病药物治疗是精神分裂症护理的一个主要挑战,导致复发和功能衰退.
- 传统的精神教育干预往往缺乏参与和文化相关性.
- 数字健康有可能改善精神分裂症患者的坚持和用户体验,但证据有限.
研究的目的:
- 评估基于叙事的数字心理教育干预措施的使用,可用性和有效性,以提高精神分裂症患者的药物坚持.
- 整合定量和定性数据,以评估干预对遵守,功能和用户体验的影响.
主要方法:
- 一个为期6个月的并行混合方法随机对照试验,涉及70名上海精神分裂症患者.
- 参与者被随机分配,接受基于数字叙事的精神教育应用程序 (Healing Town) 加上常规护理或仅常规护理.
- 评估包括药物坚持,药物态度,社会功能,精神病症状和定性访谈.
主要成果:
- 与对照组相比,干预组在6个月后表现出明显更高的药物坚持和更积极的药物态度.
- 在干预组内,社会功能改善显著,但在不同组之间没有显著改善;在精神症状方面没有发现显著差异.
- 定性数据揭示了增强知识和动机的主题,文化相关性和叙事价值,以及个性化建议.
结论:
- 基于叙事的数字心理教育干预表明,初步证据表明,它可以提高精神分裂症患者的药物坚持和态度.
- 这项干预被认为是有吸引力的,可用的和文化相关的,这表明了社区精神科康复的潜力.
- 个性化功能和支持性反可能进一步优化未来数字心理健康工具的参与度和可扩展性.
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