Lüttke Stefan, Hautzinger Martin, Fuhr Kristina
Klinische Psychologie und Psychotherapie, Eberhard Karls Universität Tübingen, Schleichstr. 4, 72076, Tübingen, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2018 Mar;61(3):263-270. doi: 10.1007/s00103-017-2684-9.
Digital media, online programs, and electronic health systems are available and easily accessible for diagnostic, prevention, and intervention of somatic and psychiatric disorders. These modern tools can assess objective as well as subjective information about acute symptoms, wellbeing, life quality, sleep, physiological indicators, etc. Wearables and apps collect data over days and weeks in the real world of subjects. This information can be used to document baselines as well as changes over time influenced by events or interventions. Online treatment programs provide information for education about symptoms, course, origin, and treatment options of a disorder. They also support a patient's self-help via self-management, exercises, and techniques. We illustrate and discuss modern diagnostic and therapeutic eHealth options. We also review the empirical evidence for online interventions and refer to typical examples. Most studies have been conducted with subjects suffering from depression and anxiety. Electronic health systems do not work just by recommending a program or providing access to an online platform. Patients need to be motivated to lock in and work with a program. They need support and guidance through online programs. Therefore, we claim that therapists need to become experts in digital media and electronic health systems to support patients and to integrate apps and online programs into their treatment.
数字媒体、在线程序和电子健康系统可用于躯体和精神疾病的诊断、预防及干预，且易于获取。这些现代工具能够评估有关急性症状、健康状况、生活质量、睡眠、生理指标等的客观及主观信息。可穿戴设备和应用程序在受试者的现实生活中收集数天甚至数周的数据。这些信息可用于记录基线情况以及受事件或干预影响随时间的变化。在线治疗程序提供有关疾病症状、病程、病因及治疗选择的教育信息。它们还通过自我管理、练习和技巧来支持患者自助。我们阐述并讨论现代诊断和治疗性电子健康选项。我们还回顾在线干预的实证证据并列举典型示例。大多数研究是针对患有抑郁症和焦虑症的受试者开展的。电子健康系统并非仅仅通过推荐一个程序或提供在线平台访问权限就能发挥作用。患者需要有动力参与并使用一个程序。他们需要通过在线程序获得支持和指导。因此，我们认为治疗师需要成为数字媒体和电子健康系统方面的专家，以支持患者并将应用程序和在线程序整合到他们的治疗中。
