Magee Joshua C, Adut Sarah, Brazill Kevin, Warnick Stephen
Miami University, Department of Psychology, 90 North Patterson Ave., Oxford, OH 45056.
University of Illinois College of Medicine at Urbana-Champaign/Carle Physician Group, Department of Family Medicine and Department of Psychiatry, 611 West Park St., Urbana, IL 61801.
Curr Treat Options Psychiatry. 2018 Sep;5(3):345-362. doi: 10.1007/s40501-018-0154-0. Epub 2018 Jul 16.
Mental health apps are intriguing yet challenging tools for addressing barriers to treatment in primary care. In the current review, we seek to assist primary care professionals with evaluating and integrating mental health apps into practice. We briefly summarize two leading frameworks for evaluating mental health apps and conduct a systematic review of mental health apps across a variety of areas commonly encountered in primary care.
Existing frameworks can guide professionals and patients through the process of identifying apps and evaluating dimensions such as privacy and security, credibility, and user experience. For specific apps, several problem areas appear to have relatively more scientific evaluation in the current app landscape, including PTSD, smoking, and alcohol use. Other areas such as eating disorders not only lack evaluation, but contain a significant subset of apps providing potentially harmful advice.
Overall, individuals seeking mental health apps will likely encounter strengths such as symptom tracking and psychoeducational components, while encountering common weaknesses such as insufficient privacy settings and little integration of empirically-supported techniques. While mental health apps may have more promise than ever, significant barriers to finding functional, usable, effective apps remain for health professionals and patients alike.
心理健康应用程序是用于解决初级保健中治疗障碍的有趣但具有挑战性的工具。在当前的综述中,我们旨在协助初级保健专业人员评估心理健康应用程序并将其融入实践。我们简要总结了评估心理健康应用程序的两个主要框架,并对初级保健中常见的各个领域的心理健康应用程序进行了系统综述。
现有框架可以指导专业人员和患者识别应用程序,并评估隐私和安全、可信度以及用户体验等方面。对于特定应用程序,在当前的应用程序领域中,几个问题领域似乎有相对更多的科学评估,包括创伤后应激障碍、吸烟和饮酒。其他领域,如饮食失调,不仅缺乏评估,而且包含大量提供潜在有害建议的应用程序。
总体而言,寻求心理健康应用程序的个人可能会遇到诸如症状跟踪和心理教育组件等优点,同时也会遇到常见的缺点,如隐私设置不足和实证支持技术的整合较少。虽然心理健康应用程序可能比以往任何时候都更有前景,但对于卫生专业人员和患者来说,找到功能正常、可用且有效的应用程序仍然存在重大障碍。