Department of Psychology and Methods, Jacobs University Bremen, 28759 Bremen, Germany.
Dr. Becker Klinikgruppe, 50968 Cologne, Germany.
Int J Environ Res Public Health. 2021 Aug 25;18(17):8936. doi: 10.3390/ijerph18178936.
The need for new technologies in healthcare services has been stressed. However, little is known about the effectiveness of digital interventions integrated in psychosomatic rehabilitation processes. Data from 724 patients from psychosomatic rehabilitation clinics were analyzed with regard to the effectiveness of digital trainings indicated by a change in symptoms related to depression, anxiety, stress, and loneliness from pre- to post-rehabilitation. Rehabilitation satisfaction was examined in association with reaching rehabilitation goals and satisfaction with communication. A mixed repeated measures analyses of covariance, analyses of covariance, and hierarchical stepwise regression analyses were performed. Results indicated a superior effectiveness for the intervention group receiving all offered digital treatments in addition to the regular face-to-face rehabilitation program with regard to symptoms of depression (F (2674) = 3.93, < 0.05, η = 0.01), anxiety (F (2678) = 3.68, < 0.05, η = 0.01) post-rehabilitation, with large effect sizes for both depression (d = 1.28) and anxiety (d = 1.08). In addition, rehabilitation satisfaction was positively associated with reaching rehabilitation goals and perceived communication with healthcare workers. Digital interventions appeared effective in supporting mental health of psychosomatic rehabilitation patients' post-rehabilitation. These findings support the inclusion of multidisciplinary and interdisciplinary digital and face-to-face treatment programs and call for more implementations of new technologies in a context of complexity to improve health and healthcare service.
强调了医疗服务中新技术的需求。然而，对于整合在身心康复过程中的数字干预措施的有效性知之甚少。分析了来自身心康复诊所的 724 名患者的数据，这些数据与康复前后与抑郁、焦虑、压力和孤独相关的症状变化有关，以评估数字培训的效果。还考察了康复满意度与达到康复目标和对沟通的满意度之间的关系。采用混合重复测量协方差分析、协方差分析和分层逐步回归分析。结果表明，与仅接受常规面对面康复计划的干预组相比，接受所有提供的数字治疗的干预组在抑郁（F（2674）= 3.93，<0.05，η=0.01）、焦虑（F（2678）= 3.68，<0.05，η=0.01）方面的康复效果更好，抑郁（d = 1.28）和焦虑（d = 1.08）的效应量均较大。此外，康复满意度与达到康复目标和与医疗保健工作者的沟通感知呈正相关。数字干预措施似乎有效地支持了身心康复患者康复后的心理健康。这些发现支持在多学科和跨学科的数字和面对面治疗计划中纳入数字干预措施，并呼吁在复杂的背景下更多地实施新技术，以改善健康和医疗服务。
