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英格兰用于治疗压力、焦虑或抑郁的电子疗法:国民保健服务体系中正在使用什么?一项心理健康服务调查。

E-therapies in England for stress, anxiety or depression: what is being used in the NHS? A survey of mental health services.

作者信息

Bennion M R, Hardy G, Moore R K, Millings A

机构信息

Department of Psychology, University of Sheffield, Sheffield, UK.

Department of Computer Science, University of Sheffield, Sheffield, UK.

出版信息

BMJ Open. 2017 Jan 23;7(1):e014844. doi: 10.1136/bmjopen-2016-014844.

Abstract

OBJECTIVE

To document the range of web and smartphone apps used and recommended for stress, anxiety or depression by the National Health Service (NHS) in England.

DESIGN

The study was conducted using Freedom of Information (FOI) requests and systematic website searches.

DATA SOURCES

Data were collected via FOI requests to NHS services between 13 February 2015 and 31 March 2015, and searches conducted on NHS apps library websites between 26 March 2015 and 2 November 2015.

DATA COLLECTION/EXTRACTION METHODS: Data were compiled from responses to: (1) FOI requests sent to all Improving Access to Psychological Therapies (IAPT) services and NHS Mental Health Trusts in England and (2) NHS apps library search results.

RESULTS

A total of 61 (54.95%) out of the then 111 IAPT service providers responded, accounting for 191 IAPT services, and all 51 of the then NHS Mental Health Trusts responded. The results were that 13 different web apps and 35 different smartphone apps for depression, anxiety or stress were available through either referral services or the online NHS Apps Libraries. The apps used and recommended vary by area and by point of access (online library/IAPT/trust).

CONCLUSIONS

Future research is required to establish the evidence base for the apps that are being used in the NHS in England. There is a need for service provision to be based on evidence and established guidelines.

摘要

目的

记录英国国家医疗服务体系(NHS)使用并推荐的用于缓解压力、焦虑或抑郁的网络和智能手机应用程序的范围。

设计

本研究通过信息自由获取(FOI)请求和系统的网站搜索进行。

数据来源

数据通过2015年2月13日至2015年3月31日期间向NHS服务机构发送的FOI请求收集,并于2015年3月26日至2015年11月2日期间在NHS应用程序库网站上进行搜索。

数据收集/提取方法:数据来自对以下内容的回复:(1)发送给英格兰所有改善心理治疗可及性(IAPT)服务机构和NHS心理健康信托机构的FOI请求,以及(2)NHS应用程序库搜索结果。

结果

当时111家IAPT服务提供商中共有61家(54.95%)做出回应,涉及191项IAPT服务,当时所有51家NHS心理健康信托机构均做出回应。结果显示,通过转诊服务或在线NHS应用程序库,可获得13种不同的用于抑郁、焦虑或压力的网络应用程序和35种不同的智能手机应用程序。所使用和推荐的应用程序因地区和访问点(在线图书馆/IAPT/信托机构)而异。

结论

需要开展进一步研究,为英格兰NHS正在使用的应用程序建立证据基础。服务提供需要基于证据和既定指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e71/5278266/8dd2c1c8767f/bmjopen2016014844f01.jpg

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