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为创伤性脑损伤患者提供基于社区的数字心理健康干预:范围审查
Brandon G Smith1,2,3, Laura Hobbs1,2,4, Tom Edmiston1
1International Health Systems Group, Department of Engineering, University of Cambridge, Cambridge, United Kingdom.
PLOS mental health
|February 9, 2026
概括
数字心理健康干预 (DMHI) 显示出创伤性脑损伤 (TBI) 后管理心理健康问题的前景. 需要进一步的研究才能将这些工具有效地整合到TBI护理途径中.
科学领域:
- 神经科学是一个神经科学.
- 数字健康数字健康
- 心理健康 心理健康
背景情况:
- 创伤性脑损伤 (TBI) 是残疾的主要原因,经常导致精神健康状况,如抑郁和焦虑.
- 数字心理健康干预 (DMHI) 提供了潜在的解决方案来管理这些条件的TBI幸存者,包括远程监测和结果跟踪.
- 患者报告的结果测量 (PROM) 对于评估TBI后人群的心理健康状况至关重要.
研究的目的:
- 对现有的数字心理健康干预措施 (DMHI) 进行范围审查,以及在有创伤性脑损伤 (TBI) 史的人群中使用患者报告的结果措施 (PROM).
- 为了确定当前的景观,利益,挑战,以及DMHIs在TBI人口中心理健康管理的应用中的差距.
主要方法:
- 在六个数据库中进行了系统的文献搜索.
- 确定并分析了23项相关研究,重点关注DMHI类型,目标TBI严重程度和使用的PROM.
- 审查综合了有关干预交付方法,结果措施的发现,并确定了研究缺口.
主要成果:
- 大多数研究集中在轻度TBI,对中度或重度TBI的数据有限.
- DMHIs展示了诸如实时数据收集,改善患者参与度和改善护理可访问性等好处.
- 常见的挑战包括技术素养,低响应率,不一致的有效性指标,以及异步通信方法的占主导地位.
结论:
- 虽然DMHIs具有改善TBI患者心理健康护理的巨大潜力,但需要更多以用户为中心的设计和长期研究.
- 解决中度/重度TBI,医疗保健整合和结果标准化研究的差距至关重要.
- 建议采用跨学科合作和基于系统的方法,以便有效地将DMHI纳入TBI护理途径.
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