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大海捞针:在大流行期间和之后为儿科人群识别可信的移动医疗应用程序。

The Needle in the Haystack: Identifying Credible Mobile Health Apps for Pediatric Populations during a Pandemic and beyond.

机构信息

Division of Oncology and Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA.

Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

出版信息

J Pediatr Psychol. 2020 Nov 1;45(10):1106-1113. doi: 10.1093/jpepsy/jsaa094.

Abstract

BACKGROUND

The COVID-19 pandemic has ignited wider clinical adoption of digital health tools, including mobile health apps (mHealth apps), to address mental and behavioral health concerns at a distance. While mHealth apps offer many compelling benefits, identifying effective apps in the crowded and largely unregulated marketplace is laborious. Consumer demand and industry productivity are increasing, although research is slower, making it challenging for providers to determine the most credible and safe apps for patients in need.

OBJECTIVES/METHODS: This commentary offers a practical, empirically guided framework and associated resources for selecting appropriate mHealth apps for pediatric populations during the pandemic and beyond.

RESULTS

In the first stage, Narrow the target problem, end user, and contender apps. Beginning the search with continuously updated websites that contain expert app ratings can help expedite this process (e.g., Psyberguide). Second, Explore each contender app's: (a) scientific and theoretical support (e.g., are app components consistent with health behavior change theories?), (b) privacy policies, and (c) user experience (e.g., through crowdsourcing feedback about app usability and appeal via social media). Third, use clinical expertise and stakeholder feedback to Contextualize whether the selected app is a good fit for a particular patient and/or caregiver (e.g., by considering age, race/ethnicity, ability, gender, sexual orientation, technology access), including conducting a brief self-pilot of the app.

CONCLUSION

Youth are increasingly turning to technology for support, especially during the pandemic, and pediatric psychologists must be primed to recommend the most credible tools. We offer additional recommendations for rapidly disseminating evidence-based apps to the public.

摘要

背景

COVID-19 大流行促使人们更广泛地采用数字健康工具,包括移动健康应用程序(mHealth 应用程序),以远程解决精神和行为健康问题。虽然 mHealth 应用程序提供了许多引人注目的好处,但在拥挤且在很大程度上不受监管的市场中识别有效的应用程序是一项艰巨的任务。消费者的需求和行业的生产力都在增加,尽管研究速度较慢,但这使得医疗服务提供者难以确定最可信和安全的应用程序,以满足有需要的患者。

目的/方法:本评论提供了一个实用的、基于经验的框架以及相关资源,用于在大流行期间及以后为儿科人群选择合适的 mHealth 应用程序。

结果

在第一阶段,缩小目标问题、最终用户和候选应用程序的范围。从包含专家应用程序评级的不断更新的网站开始搜索可以帮助加快这一过程(例如,Psyberguide)。其次,探索每个候选应用程序的:(a)科学和理论支持(例如,应用程序组件是否与健康行为改变理论一致?);(b)隐私政策;以及(c)用户体验(例如,通过在社交媒体上众包关于应用程序可用性和吸引力的反馈)。第三,利用临床专业知识和利益相关者的反馈来确定所选应用程序是否适合特定患者和/或照顾者(例如,考虑年龄、种族/民族、能力、性别、性取向、技术获取),包括对应用程序进行简短的自我试用。

结论

年轻人越来越多地依靠技术寻求支持,尤其是在大流行期间,儿科心理学家必须准备好推荐最可信的工具。我们提供了向公众快速传播基于证据的应用程序的其他建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc3/7588098/4cee9612838d/jsaa094f1.jpg

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