基于互联网的干预对法医精神病室门诊患者的侵略性治疗的附加值:混合方法试点随机对照试验
Hanneke Kip1,2, Lisa Klein Haneveld1,2, Iris Ten Klooster1,3
1Centre for eHealth and Wellbeing Research, Department of Psychology, Health and Technology, University of Twente, Enschede, the Netherlands.
Digital health
|January 28, 2026
概括
在荷兰法医精神科护理中,以互联网为基础的干预措施添加到通常的治疗 (TAU) 中没有改善侵略调节的结果. 非最佳集成和认知需求的有效性有限,这表明这些数字工具可能只适合特定的患者群体.
科学领域:
- 法医精神病学 法医精神病学
- 数字健康干预措施 数字健康干预措施
- 心理健康治疗 心理健康治疗
背景情况:
- 基于互联网的干预已经在荷兰法医精神病学门诊护理中使用了十多年.
- 这些数字干预措施的有效性,潜在机制和目标患者人群仍然不清楚.
研究的目的:
- 评估将基于互联网的干预添加到法医精神病室门诊患者的通常治疗 (TAU) 的有效性.
- 评估对情绪自我效能,治疗准备和侵略调节的影响.
主要方法:
- 进行了一项多中心混合方法试点随机对照试验.
- 30名法医精神病室门诊患者被随机分配到TAU或TAU以及"处理侵略"的互联网干预.
- 从问卷中收集了定量数据,从半结构面试中收集了定性数据.
主要成果:
- 对于主要结果指标,两组之间没有发现显著差异.
- 有效性的关键障碍包括缺乏整合到治疗和需要先进的认知技能.
- 一些患者报告了益处,引用了治疗的重复和新的行为见解.
结论:
- 虽然试点研究的实力不足,但没有发现证据支持基于互联网的干预措施的有效性.
- 参与仅限于高度动机,认知能力强的患者,这表明潜在适合于精选群体.
- 调查结果为改善法医精神卫生保健中数字干预措施的设计和实施提供了见解.
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