Kuhn Eric, van der Meer Christianne, Owen Jason E, Hoffman Julia E, Cash Richard, Carrese Pasqualina, Olff Miranda, Bakker Anne, Schellong Julia, Lorenz Patrick, Schopp Matthias, Rau Heinrich, Weidner Kerstin, Arnberg Filip K, Cernvall Martin, Iversen Thomas
VA National Center for PTSD, VA Palo Alto Healthcare System, Menlo Park, CA, USA.
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA.
Mhealth. 2018 May 25;4:15. doi: 10.21037/mhealth.2018.05.01. eCollection 2018.
Posttraumatic stress disorder (PTSD) is a global public health problem. Unfortunately, many individuals with PTSD do not receive professional care due to a lack of available providers, stigma about mental illness, and other concerns. Technology-based interventions, including mobile phone applications (apps) may be a viable means of surmounting such barriers and reaching and helping those in need. Given this potential, in 2011 the U.S Veterans Affairs National Center for PTSD released PTSD Coach, a mobile app intended to provide psycho-education and self-management tools for trauma survivors with PTSD symptoms. Emerging research on PTSD Coach demonstrates high user satisfaction, feasibility, and improvement in PTSD symptoms and other psychosocial outcomes. A model of openly sharing the app's source code and content has resulted in versions being created by individuals in six other countries: Australia, Canada, The Netherlands, Germany, Sweden, and Denmark. These versions are described, highlighting their significant adaptations, enhancements, and expansions to the original PTSD Coach app as well as emerging research on them. It is clear that the sharing of app source code and content has benefited this emerging PTSD Coach community, as well as the populations they are targeting. Despite this success, challenges remain especially reaching trauma survivors in areas where few or no other mental health resources exist.
创伤后应激障碍（PTSD）是一个全球性的公共卫生问题。不幸的是，许多患有创伤后应激障碍的人由于缺乏可用的医疗服务提供者、对精神疾病的污名化以及其他问题而没有得到专业护理。基于技术的干预措施，包括手机应用程序（应用），可能是克服此类障碍并接触和帮助有需要者的可行手段。鉴于这种潜力，2011年美国退伍军人事务部国家创伤后应激障碍中心发布了PTSD Coach，这是一款旨在为有创伤后应激障碍症状的创伤幸存者提供心理教育和自我管理工具的移动应用程序。关于PTSD Coach的新研究表明用户满意度高、可行性强，且创伤后应激障碍症状及其他心理社会结果有所改善。一种公开共享该应用程序源代码和内容的模式促使其他六个国家的个人创建了版本：澳大利亚、加拿大、荷兰、德国、瑞典和丹麦。本文描述了这些版本，重点介绍了它们对原始PTSD Coach应用程序的重大改编、增强和扩展，以及关于这些版本的新研究。很明显，应用程序源代码和内容的共享使这个新兴的PTSD Coach社区及其目标人群受益。尽管取得了这一成功，但挑战依然存在，尤其是在几乎没有或根本没有其他心理健康资源的地区接触创伤幸存者。
