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老年人抑郁和焦虑的数字干预措施:随机对照试验的系统评价。

Digital interventions for depression and anxiety in older adults: a systematic review of randomised controlled trials.

机构信息

Department of Gerontology, Faculty of Arts and Social Sciences, Simon Fraser University, Vancouver, BC, Canada.

Department of Gerontology, Faculty of Arts and Social Sciences, Simon Fraser University, Vancouver, BC, Canada.

出版信息

Lancet Healthy Longev. 2022 Aug;3(8):e558-e571. doi: 10.1016/S2666-7568(22)00121-0.

Abstract

One in five older adults experience symptoms of depression and anxiety. Digital mental health interventions are promising in their ability to provide researchers, mental health professionals, clinicians, and patients with personalised tools for assessing their behaviour and seeking consultation, treatment, and peer support. This systematic review looks at existing randomised controlled trial studies on digital mental health interventions for older adults. Four factors have been found that contributed to the success of digital mental health interventions: (1) ease of use; (2) opportunities for social interactions; (3) having human support; and (4) having the digital mental health interventions tailored to the participants' needs. The findings also resulted in methodological considerations for future randomised controlled trials on digital mental health interventions: (1) having a healthy control group and an intervention group with clinical diagnoses of mental illness; (2) collecting data on the support given throughout the duration of the interventions; (3) obtaining qualitative and quantitative data to measure the success of the interventions; and (4) conducting follow-up interviews and surveys up to 1 year post-intervention to determine the long-term outcomes. The factors that were identified in this systematic review can provide future digital mental health interventions researchers, health professionals, clinicians, and patients with the tools to design, develop, and use successful interventions for older users.

摘要

五分之一的老年人会出现抑郁和焦虑症状。数字心理健康干预在为研究人员、心理健康专业人员、临床医生和患者提供个性化的行为评估工具,以及寻求咨询、治疗和同伴支持方面具有很大的潜力。本系统评价着眼于现有的针对老年人的数字心理健康干预的随机对照试验研究。有四个因素被发现有助于数字心理健康干预的成功:(1)易于使用;(2)社交互动的机会;(3)有人工支持;(4)数字心理健康干预符合参与者的需求。研究结果还为未来数字心理健康干预的随机对照试验提出了方法学方面的考虑因素:(1)有一个健康对照组和一个有临床诊断的精神疾病的干预组;(2)在干预过程中收集有关支持的数据;(3)获取定性和定量数据来衡量干预的成功;(4)在干预后进行长达 1 年的随访访谈和调查,以确定长期结果。本系统评价中确定的因素可以为未来的数字心理健康干预研究人员、卫生专业人员、临床医生和患者提供工具,以设计、开发和使用针对老年用户的成功干预措施。

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