Klein J P, Gerlinger G, Knaevelsrud C, Bohus M, Meisenzahl E, Kersting A, Röhr S, Riedel-Heller S G, Sprick U, Dirmaier J, Härter M, Hegerl U, Hohagen F, Hauth I
Klinik für Psychiatrie und Psychotherapie, Universität zu Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.
Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde, Berlin, Deutschland.
Nervenarzt. 2016 Nov;87(11):1185-1193. doi: 10.1007/s00115-016-0217-7.
Mental disorders are frequently not or only insufficiently treated. Internet-based interventions offer the potential of closing the existing gaps in the treatment of mental disorders; however, it is very difficult for patients and providers to choose from the numerous interventions available.
The aim of this study was to develop a set of quality criteria that can help patients and care providers to identify recommendable internet-based interventions.
A selective literature search was carried out and the existing evidence on internet-based interventions in the treatment of mental disorders was collated. A panel of experts then developed quality criteria based on existing models for the systematic assessment of telemedicine applications.
Internet-based interventions are effective in the treatment of a broad range of mental disorders. The best evidence is available for depression and anxiety disorders. A set of criteria is proposed for the evaluation of available internet-based interventions using a checklist. These criteria have to be developed further with input from other stakeholders.
When taking these quality criteria into account, evidence-based interventions available on the internet can make an important contribution to improvement of the care of patients with mental disorders.
精神障碍常常未得到治疗或仅得到不充分的治疗。基于互联网的干预措施有可能填补精神障碍治疗中现有的差距;然而,患者和医疗服务提供者很难从众多可用的干预措施中进行选择。
本研究的目的是制定一套质量标准,以帮助患者和护理人员识别可推荐的基于互联网的干预措施。
进行了选择性文献检索,并整理了关于基于互联网的干预措施在精神障碍治疗中的现有证据。然后,一个专家小组根据现有的远程医疗应用系统评估模型制定了质量标准。
基于互联网的干预措施在治疗多种精神障碍方面有效。关于抑郁症和焦虑症的证据最为充分。提出了一套使用检查表评估现有基于互联网的干预措施的标准。这些标准必须在其他利益相关者的参与下进一步完善。
考虑到这些质量标准,互联网上可用的循证干预措施可为改善精神障碍患者的护理做出重要贡献。