Stiles-Shields Colleen, Keefer Laurie
Department of Preventive Medicine and Center for Behavioral Intervention Technologies, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA ; Center for Psychosocial Research in GI, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Clin Exp Gastroenterol. 2015 May 11;8:149-57. doi: 10.2147/CEG.S56069. eCollection 2015.
Behavioral intervention technologies (BITs), the application of psychological and behavioral interventions through the use of technology, provide the opportunity for clinicians to deliver care through a means that overcomes a number of treatment barriers. Web-based interventions are a subset of BITs developing as promising alternatives to face-to-face delivery of treatments and monitoring for patients with ulcerative colitis (UC) and Crohn's disease (CD). A systematic review of literature resulted in five empirical studies of web-based interventions for UC and CD. Additionally, an informal search of a popular search engine yielded limited, currently available, web-based interventions for patients with UC and CD. Despite being an ideal population for the development and dissemination of online interventions, patients with UC and CD have far less treatment options compared to other behavioral health concerns. However, given the growing body of research involving web-based interventions for other conditions, researchers and clinicians targeting UC and CD management and treatment have the benefit of being able to utilize the BIT model, an existing conceptual framework for the development of web-based interventions for both conditions. The BIT model is presented and applied to the treatment of UC and CD, as well as a technology development program, Purple, and usability guidelines to guide clinical researchers in the future development, evaluation, and dissemination of BITs for patients with UC and CD.
行为干预技术（BITs），即通过技术应用心理和行为干预，为临床医生提供了一种通过克服诸多治疗障碍的方式来提供护理的机会。基于网络的干预是BITs的一个子集，正发展成为溃疡性结肠炎（UC）和克罗恩病（CD）患者面对面治疗和监测的有前景的替代方案。一项文献系统综述得出了五项关于UC和CD基于网络干预的实证研究。此外，对一个流行搜索引擎的非正式搜索发现，目前针对UC和CD患者的基于网络的干预措施有限。尽管UC和CD患者是在线干预开发和传播的理想人群，但与其他行为健康问题相比，他们的治疗选择要少得多。然而，鉴于涉及其他病症基于网络干预的研究不断增加趋势，针对UC和CD管理与治疗的研究人员和临床医生能够利用BIT模型，这一现有的概念框架来开发针对这两种病症的基于网络的干预措施。本文介绍了BIT模型，并将其应用于UC和CD的治疗，以及一个名为Purple的技术开发项目和可用性指南，以指导临床研究人员未来对UC和CD患者BITs的开发、评估及推广。
