Black Dog Institute, UNSW Sydney, Australia.
Orygen, Victoria, Australia; Centre for Youth Mental Health, The University of Melbourne, Australia.
Curr Opin Psychol. 2020 Dec;36:65-70. doi: 10.1016/j.copsyc.2020.04.008. Epub 2020 May 4.
Clinical and research interest in the potential of mobile health apps for the management of mental health conditions has recently been given added impetus by growing evidence of consumer adoption. In parallel, there is now a developing evidence base that includes meta-analyses demonstrating reductions in symptoms of depression and anxiety, and reduction in suicidal ideation. While these findings are encouraging, recent research continues to identify a number of potential barriers to the widespread adoption of mental health apps. These challenges include poor data governance and data sharing practices; questions of clinical safety relating to the management of adverse events and potentially harmful content; low levels of user engagement and the possibility of 'digital placebo' effects; and workforce barriers to integration with clinical practice. Current efforts to address these include the development of new models of care, such as 'digital clinics' that integrate health apps. Other contemporary innovations in the field such as digital sensing and just-in-time adaptive interventions are showing early promise for providing accessible and personalised care.
移动健康应用程序在管理心理健康状况方面的潜力，其临床和研究兴趣最近因消费者采用率不断提高而得到了进一步推动。与此同时，现在也有越来越多的证据表明，包括荟萃分析在内的证据基础表明，抑郁和焦虑症状有所减轻，自杀意念减少。虽然这些发现令人鼓舞，但最近的研究仍在继续发现广泛采用心理健康应用程序的一些潜在障碍。这些挑战包括数据治理和数据共享实践不佳；与管理不良事件和潜在有害内容相关的临床安全问题；用户参与度低，以及“数字安慰剂”效应的可能性；以及与临床实践整合的劳动力障碍。目前为解决这些问题而做出的努力包括开发新的护理模式，例如集成健康应用程序的“数字诊所”。该领域的其他当代创新，如数字感应和及时自适应干预，在提供可及和个性化护理方面显示出了早期的前景。
