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基于网络和移动设备的抑郁症心理教育干预措施的信息与通信技术特征的系统评价

Systematic review of the information and communication technology features of web- and mobile-based psychoeducational interventions for depression.

作者信息

Zhao Danyang, Lustria Mia Liza A, Hendrickse Joshua

机构信息

School of Communication, Florida State University, Tallahassee, USA.

School of Information, Florida State University, Tallahassee, USA.

出版信息

Patient Educ Couns. 2017 Jun;100(6):1049-1072. doi: 10.1016/j.pec.2017.01.004. Epub 2017 Jan 11.

Abstract

OBJECTIVE

To examine the information and communication technology (ICT) features of psychoeducational interventions for depression delivered via the Internet or via mobile technology.

METHODS

Web- and mobile-based psychoeducational intervention studies published from 2004 to 2014 were selected and reviewed by two independent coders.

RESULTS

A total of 55 unique studies satisfied the selection criteria. The review revealed a diverse range of ICTs used to support the psychoeducational programs. Most interventions used websites as their main mode of delivery and reported greater use of communication tools compared to effective approaches like tailoring or interactive technologies games, videos, and self-monitoring tools. Many of the studies relied on medium levels of clinician involvement and only a few were entirely self-guided.

CONCLUSION

Programs that reported higher levels of clinician involvement also reported using more communication tools, and reported greater compliance to treatment. Future experimental studies may help unpack the effects of technology features and reveal new ways to automate aspects of clinician input.

PRACTICAL IMPLICATIONS

There is a need to further examine ways ICTs can be optimized to reduce the burden on clinicians whilst enhancing the delivery of proven effective therapeutic approaches.

摘要

目的

探讨通过互联网或移动技术提供的抑郁症心理教育干预措施的信息通信技术(ICT)特点。

方法

选取2004年至2014年发表的基于网络和移动的心理教育干预研究,并由两名独立编码员进行审查。

结果

共有55项独特的研究符合入选标准。该综述揭示了用于支持心理教育项目的各种信息通信技术。大多数干预措施以网站作为主要传播方式,与诸如量身定制或交互式技术(游戏、视频和自我监测工具)等有效方法相比,报告显示更多地使用了通信工具。许多研究依赖中等程度的临床医生参与,只有少数是完全自我指导的。

结论

报告临床医生参与程度较高的项目也报告使用了更多的通信工具,并报告治疗依从性更高。未来的实验研究可能有助于揭示技术特点的影响,并揭示自动化临床医生输入方面的新方法。

实际意义

有必要进一步研究如何优化信息通信技术,以减轻临床医生的负担,同时加强已被证明有效的治疗方法的提供。

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