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通过教授智能手机技能进行精神康复以改善严重精神疾病的功能结局

Psychiatric rehabilitation through teaching smartphone skills to improve functional outcomes in serious mental illness.

作者信息

Rodriguez-Villa Elena, Camacho Erica, Torous John

机构信息

Department of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States of America.

出版信息

Internet Interv. 2021 Jan 18;23:100366. doi: 10.1016/j.invent.2021.100366. eCollection 2021 Mar.

Abstract

UNLABELLED

This study measured the impact of a digital competencies and skills course on participants with serious mental illness. Close to 75% of participants reported an improvement in a smartphone related skill, and the majority of participants that reported improvement in one skill reported improvement in at least one other. Qualitative feedback from participants suggests how digital competencies acquired were used to immediately support functional outcomes.

OBJECTIVE

To improve functional outcomes in patients with serious mental illness through a multi-session curriculum designed to improve smartphone skills and engage participants in group learning and problem solving, targeting negative and cognitive symptoms of illness.

METHODS

An eight-week smartphone digital competencies and skills course was offered to two distinct groups of youth with serious mental illness. Pre and post self-report measurements were captured for each participant for each session.

RESULTS

Group participation varied by session, but overall 28 unique patients attended. From survey results, 75% reported improvement in smartphone related skills because of the groups. Qualitative feedback suggests how skills acquired by patients were immediately utilized to gain insight into health and support functional outcomes.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

Smartphone skills groups are a means to provide practical psychiatric rehabilitation that may enable some patients to compensate for cognitive and social deficits due to illness. While ensuring groups are responsive to patients with varying degrees of skills remains a challenge, adapting lesson structures and mediums, as well as creating new measurement tools, offers a means to modify the course with the clinical need.

摘要

未标注

本研究测量了一门数字能力与技能课程对严重精神疾病患者的影响。近75%的参与者报告称与智能手机相关的技能有所提高,并且多数报告一项技能有提高的参与者表示至少另一项技能也有提高。参与者的定性反馈表明所获得的数字能力是如何被用于立即支持功能结果的。

目的

通过一个多节课程来改善严重精神疾病患者的功能结果,该课程旨在提高智能手机技能,并让参与者参与小组学习和问题解决,针对疾病的阴性和认知症状。

方法

为两组不同的患有严重精神疾病的青少年提供了为期八周的智能手机数字能力与技能课程。为每位参与者在每节课前后进行自我报告测量。

结果

各节课程的小组参与情况有所不同,但总体上有28名不同的患者参加。从调查结果来看,75%的人报告称由于这些小组,与智能手机相关的技能有所提高。定性反馈表明患者所获得的技能是如何立即被用于深入了解健康状况并支持功能结果的。

结论及对实践的启示

智能手机技能小组是提供实用精神康复的一种方式,这可能使一些患者能够弥补因疾病导致的认知和社交缺陷。虽然确保小组对不同技能水平的患者都有响应仍然是一项挑战,但调整课程结构和媒介,以及创建新的测量工具,提供了一种根据临床需求修改课程的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffb5/7822966/6694a3559bb8/gr1.jpg

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