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DynAMo:一个用于监测心理治疗过程、结果及基于算法的治疗规划的模块化平台。

DynAMo: A Modular Platform for Monitoring Process, Outcome, and Algorithm-Based Treatment Planning in Psychotherapy.

作者信息

Kaiser Tim, Laireiter Anton Rupert

机构信息

Psychotherapy Research Group, Department of Psychology, University of Salzburg, Salzburg, Austria.

出版信息

JMIR Med Inform. 2017 Jul 20;5(3):e20. doi: 10.2196/medinform.6808.

Abstract

BACKGROUND

In recent years, the assessment of mental disorders has become more and more personalized. Modern advancements such as Internet-enabled mobile phones and increased computing capacity make it possible to tap sources of information that have long been unavailable to mental health practitioners.

OBJECTIVE

Software packages that combine algorithm-based treatment planning, process monitoring, and outcome monitoring are scarce. The objective of this study was to assess whether the DynAMo Web application can fill this gap by providing a software solution that can be used by both researchers to conduct state-of-the-art psychotherapy process research and clinicians to plan treatments and monitor psychotherapeutic processes.

METHODS

In this paper, we report on the current state of a Web application that can be used for assessing the temporal structure of mental disorders using information on their temporal and synchronous associations. A treatment planning algorithm automatically interprets the data and delivers priority scores of symptoms to practitioners. The application is also capable of monitoring psychotherapeutic processes during therapy and of monitoring treatment outcomes. This application was developed using the R programming language (R Core Team, Vienna) and the Shiny Web application framework (RStudio, Inc, Boston). It is made entirely from open-source software packages and thus is easily extensible.

RESULTS

The capabilities of the proposed application are demonstrated. Case illustrations are provided to exemplify its usefulness in clinical practice.

CONCLUSIONS

With the broad availability of Internet-enabled mobile phones and similar devices, collecting data on psychopathology and psychotherapeutic processes has become easier than ever. The proposed application is a valuable tool for capturing, processing, and visualizing these data. The combination of dynamic assessment and process- and outcome monitoring has the potential to improve the efficacy and effectiveness of psychotherapy.

摘要

背景

近年来,精神障碍的评估越来越个性化。诸如具备上网功能的手机和计算能力增强等现代进步,使得获取心理健康从业者长期无法获取的信息来源成为可能。

目的

结合基于算法的治疗规划、过程监测和结果监测的软件包稀缺。本研究的目的是评估DynAMo网络应用程序是否能通过提供一种软件解决方案来填补这一空白,该解决方案可供研究人员进行前沿的心理治疗过程研究,也可供临床医生规划治疗和监测心理治疗过程使用。

方法

在本文中,我们报告了一个网络应用程序的当前状态,该应用程序可用于利用精神障碍的时间和同步关联信息评估其时间结构。一种治疗规划算法会自动解释数据,并向从业者提供症状的优先级分数。该应用程序还能够在治疗期间监测心理治疗过程以及监测治疗结果。此应用程序是使用R编程语言(R核心团队,维也纳)和Shiny网络应用程序框架(RStudio公司,波士顿)开发的。它完全由开源软件包构成,因此易于扩展。

结果

展示了所提议应用程序的功能。提供了案例说明以例证其在临床实践中的实用性。

结论

随着具备上网功能的手机和类似设备的广泛普及,收集有关精神病理学和心理治疗过程的数据比以往任何时候都更容易。所提议的应用程序是捕获、处理和可视化这些数据的宝贵工具。动态评估与过程及结果监测的结合有可能提高心理治疗的疗效和效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd4/5544897/420b572791c1/medinform_v5i3e20_fig1.jpg

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