Castelnuovo Gianluca, Zoppis Italo, Santoro Eugenio, Ceccarini Martina, Pietrabissa Giada, Manzoni Gian Mauro, Corti Stefania, Borrello Maria, Giusti Emanuele Maria, Cattivelli Roberto, Melesi Anna, Mauri Giancarlo, Molinari Enrico, Sicurello Francesco
Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Ospedale San Giuseppe Verbania, Italy ; Department of Psychology, Catholic University of Milan Milan, Italy.
Department of Informatics, Systems and Communication, Università degli Studi di Milano-Bicocca Milano, Italy.
Front Psychol. 2015 Apr 14;6:407. doi: 10.3389/fpsyg.2015.00407. eCollection 2015.
Chronic diseases and conditions typically require long-term monitoring and treatment protocols both in traditional settings and in out-patient frameworks. The economic burden of chronic conditions is a key challenge and new and mobile technologies could offer good solutions. mHealth could be considered an evolution of eHealth and could be defined as the practice of medicine and public health supported by mobile communication devices. mHealth approach could overcome limitations linked with the traditional, restricted, and highly expensive in-patient treatment of many chronic pathologies. Possible applications include stepped mHealth approach, where patients can be monitored and treated in their everyday contexts. Unfortunately, many barriers for the spread of mHealth are still present. Due the significant impact of psychosocial factors on disease evolution, psychotherapies have to be included into the chronic disease protocols. Existing psychological theories of health behavior change have to be adapted to the new technological contexts and requirements. In conclusion, clinical psychology and medicine have to face the "chronic care management" challenge in both traditional and mHealth settings.
慢性病和病症通常在传统环境和门诊框架中都需要长期监测和治疗方案。慢性病的经济负担是一个关键挑战，而新的移动技术可能提供良好的解决方案。移动健康（mHealth）可被视为电子健康（eHealth）的一种演进，可定义为由移动通信设备支持的医学和公共卫生实践。移动健康方法可以克服与许多慢性疾病传统、受限且成本高昂的住院治疗相关的局限性。可能的应用包括阶梯式移动健康方法，即患者可以在日常环境中接受监测和治疗。不幸的是，移动健康推广仍然存在许多障碍。由于心理社会因素对疾病演变有重大影响，心理治疗必须纳入慢性病治疗方案。现有的健康行为改变心理学理论必须适应新的技术环境和要求。总之，临床心理学和医学必须在传统和移动健康环境中应对“慢性病管理”挑战。
