Department of Preventive Medicine and Center for Behavioral Intervention Technologies, Northwestern University, Chicago, IL 60611, USA.
Gen Hosp Psychiatry. 2013 Jul-Aug;35(4):332-8. doi: 10.1016/j.genhosppsych.2013.03.008. Epub 2013 May 8.
A technical expert panel convened by the Agency for Healthcare Research and Quality and the National Institute of Mental Health was charged with reviewing the state of research on behavioral intervention technologies (BITs) in mental health and identifying the top research priorities. BITs refers to behavioral and psychological interventions that use information and communication technology features to address behavioral and mental health outcomes.
This study on the findings of the technical expert panel.
Videoconferencing and standard telephone technologies to deliver psychotherapy have been well validated. Web-based interventions have shown efficacy across a broad range of mental health outcomes. Social media such as online support groups have produced disappointing outcomes when used alone. Mobile technologies have received limited attention for mental health outcomes. Virtual reality has shown good efficacy for anxiety and pediatric disorders. Serious gaming has received little work in mental health.
Research focused on understanding reach, adherence, barriers and cost is recommended. Improvements in the collection, storage, analysis and visualization of big data will be required. New theoretical models and evaluation strategies will be required. Finally, for BITs to have a public health impact, research on implementation and application to prevention is required.
医疗保健研究和质量机构以及国家心理健康研究所召集的一个技术专家小组负责审查心理健康行为干预技术(BITs)的研究现状,并确定研究的重点。BITs 是指利用信息和通信技术功能来解决行为和心理健康结果的行为和心理干预。
本研究是对技术专家小组的研究结果进行的分析。
视频会议和标准电话技术用于提供心理治疗已得到充分验证。基于网络的干预措施已在广泛的心理健康结果方面显示出疗效。单独使用社交媒体(如在线支持小组)的效果令人失望。移动技术在心理健康结果方面受到的关注有限。虚拟现实在治疗焦虑症和儿科疾病方面显示出良好的疗效。严肃游戏在心理健康领域的应用很少。
建议专注于理解范围、坚持度、障碍和成本的研究。需要改进大数据的收集、存储、分析和可视化。需要新的理论模型和评估策略。最后,为了使 BITs 对公共卫生产生影响,需要对实施和预防应用进行研究。