Institute of General Practice, University of Frankfurt, Frankfurt am Main, Germany.
Center for Dementia Care, Institute of Applied Nursing Sciences, Department of Health, University of Applied Sciences of Eastern Switzerland, St Gallen, Switzerland.
BMJ Open. 2021 Jun 14;11(6):e045657. doi: 10.1136/bmjopen-2020-045657.
Mental disorders such as depression are common, and an estimated 264 million people are affected by them throughout the world. In recent years, studies on digital health interventions to treat mental disorders have shown evidence of their efficacy, and interest in using them has increased as a result. In the primary care setting, depression and anxiety are the two most frequently diagnosed and treated mental disorders. When they do not refer them to specialists, primary care professionals such as general practitioners treat patients with mental disorders themselves but have insufficient time to treat them adequately. Furthermore, there is a shortage of psychotherapists and those that exist have long waiting lists for an appointment. The purpose of this mixed methods systematic review is to explore the attitudes of primary care professionals towards the use of digital health interventions in the treatment of patients with mental disorders. Their attitudes will provide an indication whether digital mental health interventions can effectively complement standard care in the primary care setting.
We searched for qualitative, quantitative and mixed methods studies published in English, German, Spanish, Russian, French and Dutch after January 2010 for inclusion in the review. The included studies must involve digital mental health interventions conducted via computer and/or mobile devices in the primary care setting. The search was conducted in July 2020 in the following electronic bibliographic databases: MEDLINE, Embase, CINAHL, PsycINFO and Web of Science Core Collection. Two reviewers will independently screen titles, abstracts and full texts and extract data. We will use the 'Integrated methodology' framework to combine both quantitative and qualitative data.
Ethical approval is not required. We will disseminate the results of the mixed methods systematic review in a peer-reviewed journal and scientific conferences.
CRD42020188879.
精神障碍（如抑郁症）较为常见，据估计，全世界有 2.64 亿人受其影响。近年来，有关数字健康干预措施治疗精神障碍的研究已证明其疗效，因此人们对其的兴趣日益增加。在初级保健环境中，抑郁和焦虑是最常被诊断和治疗的两种精神障碍。当初级保健专业人员未将患者转介给专家时，他们会自行治疗患有精神障碍的患者，但他们没有足够的时间充分治疗患者。此外，精神治疗师短缺，现有的精神治疗师预约等待时间也很长。本混合方法系统评价的目的是探讨初级保健专业人员对使用数字健康干预措施治疗精神障碍患者的态度。他们的态度将表明数字心理健康干预措施是否可以有效地补充初级保健环境中的标准护理。
我们在 2020 年 7 月在以下电子书目数据库中搜索了自 2010 年 1 月以来发表的英文、德文、西班牙文、俄文、法文和荷兰文的定性、定量和混合方法研究，以纳入本综述。纳入的研究必须涉及通过计算机和/或移动设备在初级保健环境中进行的数字心理健康干预措施。两名评审员将独立筛选标题、摘要和全文并提取数据。我们将使用“综合方法”框架来结合定量和定性数据。
不需要伦理批准。我们将在同行评议的期刊和科学会议上传播混合方法系统评价的结果。
PROSPERO 注册号：CRD42020188879。
