基于远程测量的心理健康护理干预措施:系统审查和元分析
Felix Machleid1,2, Twyla Michnevich1, Leu Huang3
1Department of Psychiatry and Neurosciences, Charité - Universitätsmedizin Berlin, Charitéplatz 1, Berlin, 10117, Germany, 49 30450617297.
JMIR mental health
|January 28, 2026
概括
基于远程测量的护理 (RMBC) 显示了通过监测患者结果来改善心理健康治疗的潜力. 虽然证据有限,但RMBC证明了对躁狂症状和赋权的影响,这需要进一步研究.
科学领域:
- 数字健康数字健康
- 心理健康技术 心理健康技术
- 精神科护理创新精神科护理创新
背景情况:
- 心理健康状况的管理不善导致治疗不良,长期疾病和医疗费用增加.
- 生态瞬间评估 (EMA) 和基于远程测量的护理 (RMBC) 是新兴的策略,以加强精神卫生保健系统.
- 这些数字工具使患者报告结果的持续监测能够为临床决策提供信息,并改善患者的福祉.
研究的目的:
- 系统地审查和对使用EMA和RMBC治疗精神疾病患者的证据进行元分析.
- 评估RMBC干预措施对各种精神病结局的有效性.
- 评估与RMBC相关的坚持率和潜在不良影响.
主要方法:
- 按照PRISMA-P指南进行的系统审查和元分析,并与PROSPERO注册.
- 在四个数据库中进行全面的文献搜索,寻找有关精神障碍和数字技术的研究.
- 包括使用EMA或RMBC来测量症状的被诊断患有精神障碍的成年人的研究;对9个RCT的元分析.
主要成果:
- 该审查包括103项研究,15项使用RMBC;9项RCT进行了元分析.
- 经过RMBC干预,对症状特异性结果,特别是躁狂症状和赋权产生了小但显著的影响.
- 平均坚持率为74.5%;每天提示的增加与较低的坚持相关. 副作用是罕见的.
结论:
- RMBC对个性化精神病治疗有前途,但临床有效性证据仍然有限.
- 在躁狂症状和患者赋权方面观察到的潜在益处需要进一步调查.
- 要确定RMBC的长期疗效,需要对更大群体和强大的方法进行未来的研究.
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