Gun Shih Ying, Titov Nickolai, Andrews Gavin
Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
Australas Psychiatry. 2011 Jun;19(3):259-64. doi: 10.3109/10398562.2011.562295.
The Internet is increasingly used to deliver treatment programs for common mental disorders. However, little is known about the acceptability of online interventions. The present study used an online survey to explore levels of acceptability of Internet-based treatment programs for anxiety and depression.
Visitors to websites operated by the Clinical Research Unit for Anxiety and Depression (CRUfAD), were invited to complete an online questionnaire during 16 weeks in 2008.
Of 1543 people who began the survey, 1104 (72%) Australian health professionals and lay people completed it. Internet treatment programs for people with mild or moderate symptoms were more acceptable than programs for people with severe symptoms. There were no differences between health professionals and non-health professionals in acceptability ratings. As expected, previous users of Internet treatments reported significantly greater acceptability and preference for Internet treatments than non-users.
Respondents rated Internet-based treatment programs as acceptable, with higher ratings from previous users. In order to facilitate implementation, program developers need to implement strategies for increasing knowledge about the efficacy and effectiveness of such programs, and engage therapists and consumers in establishing ethical and professional guidelines for their safe and responsible use.
互联网越来越多地被用于提供常见精神障碍的治疗方案。然而,对于在线干预措施的可接受性却知之甚少。本研究通过在线调查来探究基于互联网的焦虑和抑郁治疗方案的可接受程度。
2008年,在16周的时间里,邀请访问焦虑与抑郁临床研究单位(CRUfAD)运营网站的用户完成一份在线问卷。
在1543名开始调查的人中,1104人(72%)为澳大利亚卫生专业人员和普通民众,他们完成了调查。针对轻、中度症状患者的互联网治疗方案比针对重度症状患者的方案更易被接受。卫生专业人员和非卫生专业人员在可接受性评分上没有差异。正如预期的那样,与非使用者相比,互联网治疗的既往使用者对互联网治疗的接受度和偏好明显更高。
受访者认为基于互联网的治疗方案是可接受的,既往使用者给出的评分更高。为了促进方案的实施,方案开发者需要采取策略,增加人们对这类方案疗效和有效性的了解,并让治疗师和消费者参与制定关于安全、合理使用这些方案的伦理和专业准则。