基于行为激活的智能手机应用自助治疗：一项随机对照试验研究方案。
Behavioral activation-based guided self-help treatment administered through a smartphone application: study protocol for a randomized controlled trial.
机构信息
Department of Behavioral Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden.
出版信息
Trials. 2012 May 18;13:62. doi: 10.1186/1745-6215-13-62.
BACKGROUND
The need for cost-effective interventions for people suffering from major depressive disorders is essential. Behavioral activation is an intervention that can largely benefit from the use of new mobile technologies (for example smartphones). Therefore, developing smartphone-based behavioral activation interventions might be a way to develop cost-effective treatments for people suffering from major depressive disorders. The aim of this study will be to test the effects of a smartphone-delivered behavioral activation treatment.
METHODS
The study will be a randomized controlled trial with a sample size of 120 participants, with 60 patients in each group. The treatment group includes an 8-week smartphone-based behavioral activation intervention, with minimal therapist contact. The smartphone-based intervention consists of a web-based psychoeducation, and a smartphone application. There is also a back-end system where the therapist can see reports from the patients or activities being reported. In the attention control group, we will include brief online education and then recommend use of a smartphone application that is not directly aimed at depression (for example, 'Effective meditation'). The duration of the control condition will also be 8 weeks. For ethical reasons we will give the participants in the control group access to the behavioral activation treatment following the 8-week treatment period.
DISCUSSIONS
We believe that this trial has at least three important implications. First, we believe that smartphones can be integrated even further into society and therefore may serve an important role in health care. Second, while behavioral activation is a psychological treatment approach for which there is empirical support, the use of a smartphone application could serve as the therapist's prolonged arm into the daily life of the patient. Third, as we have been doing trials on guided Internet treatment for more than 10 years it is now time to move to the next generation of information technology - smartphones - which are not only relevant for Swedish conditions but also for developing countries in the world which are increasingly empowered by mobile phones with Internet connection.
TRIAL REGISTRATION
ClinicalTrials.gov NCT01463020.
背景
对于患有重度抑郁症的患者来说，需要找到经济有效的干预措施。行为激活是一种干预方法，可以在很大程度上受益于新的移动技术（例如智能手机）的应用。因此，开发基于智能手机的行为激活干预措施可能是为患有重度抑郁症的患者开发经济有效的治疗方法的一种途径。本研究旨在测试基于智能手机的行为激活治疗的效果。
方法
该研究将是一项随机对照试验，样本量为 120 名参与者，每组 60 名患者。治疗组包括为期 8 周的基于智能手机的行为激活干预措施，治疗师的接触很少。基于智能手机的干预措施包括基于网络的心理教育和智能手机应用程序。还有一个后端系统，治疗师可以在其中查看患者的报告或正在报告的活动。在对照组中，我们将包括简短的在线教育，然后建议使用不是专门针对抑郁症的智能手机应用程序（例如“有效冥想”）。对照条件的持续时间也将为 8 周。出于伦理原因，我们将在 8 周的治疗期后为对照组的参与者提供行为激活治疗。
讨论
我们认为该试验至少有三个重要意义。首先，我们认为智能手机可以进一步融入社会，因此在医疗保健中可能发挥重要作用。其次，虽然行为激活是一种有实证支持的心理治疗方法，但使用智能手机应用程序可以作为治疗师在患者日常生活中的延长手臂。第三，由于我们已经进行了 10 多年的引导式互联网治疗试验，现在是时候将下一代信息技术——智能手机——应用于实践了。智能手机不仅与瑞典的情况相关，而且与世界上越来越多的发展中国家也相关，这些国家的移动电话已经具备了上网功能。
试验注册
ClinicalTrials.gov NCT01463020。
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