Annu Int Conf IEEE Eng Med Biol Soc. 2021 Nov;2021:1997-2002. doi: 10.1109/EMBC46164.2021.9629534.
The prevention and treatment of mental disorders and chronic somatic diseases is a core challenge for health care systems of the 21th century. Mental- and behavioral health interventions provide the means for lowering the public health burden. However, structural deficits, reluctance to use existing services, perceived stigma and further personal and environmental reasons restrict the uptake of these evidence-based approaches. Internet- and mobile-based interventions (IMIs) might overcome some of the limitations of on-site interventions by providing an anonymous, scalable, time- and location-independent, yet evidence-based approach. In order to implement digital mental and behavioral health concepts across the life-span into practice, a technical solution to support the design, creation, and execution of IMIs is needed. However, there are various conceptual, technical as well as legal challenges to implementing a corresponding software solution in the healthcare domain. Therefore, the work at hand (1) identifies these challenges and derives a number of respective requirements, (2) introduces the eHealth platform eSano, a software project developed by an interdisciplinary team of computer scientists, psychologists, therapists, and other domain experts, with the aim to serve as a flexible basis for mental and behavioral research and health care, and (3) provides technical insights into the developed platform and its approach to address the aforementioned requirements.
预防和治疗精神障碍和慢性躯体疾病是 21 世纪医疗保健系统的核心挑战。精神和行为健康干预措施为降低公共卫生负担提供了手段。然而，结构性缺陷、不愿意使用现有服务、感知耻辱以及其他个人和环境原因限制了这些基于证据的方法的采用。基于互联网和移动的干预措施（IMIs）可以通过提供匿名、可扩展、时间和地点独立但基于证据的方法来克服现场干预的一些限制。为了将跨生命周期的数字精神和行为健康概念付诸实践，需要有一种技术解决方案来支持 IMIs 的设计、创建和执行。然而，在医疗保健领域实施相应的软件解决方案存在各种概念、技术和法律挑战。因此，目前的工作（1）确定了这些挑战，并得出了一些相应的要求，（2）介绍了电子健康平台 eSano，这是一个由计算机科学家、心理学家、治疗师和其他领域专家组成的跨学科团队开发的软件项目，旨在作为精神和行为研究和医疗保健的灵活基础，（3）提供了有关开发平台及其解决上述要求的方法的技术见解。
