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针对青少年神经性厌食症的应用程序:活性成分的系统评价。

Apps targeting anorexia nervosa in young people: a systematic review of active ingredients.

机构信息

Research Department of Clinical, Educational & Health Psychology, University College London (UCL), London, UK.

Education & Training, Anna Freud National Centre for Children and Families, London, UK.

出版信息

Transl Behav Med. 2023 Jun 9;13(6):406-417. doi: 10.1093/tbm/ibad003.

DOI:10.1093/tbm/ibad003
PMID:36753537
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10255767/
Abstract

Evaluating the presence of behavior change techniques (BCTs) in mHealth apps could be used to better understand what "active ingredients" contribute to outcomes. Despite the early onset of Anorexia Nervosa (AN) and the increasing use of mobile apps to seek mental healthcare among young people, BCTs underpinning mHealth apps targeting AN have never been systematically examined. This review systematically identified and analyzed BCTs underpinning apps targeted at reducing AN in young people in an attempt to understand their active components. Apps were searched and screened in Apple Store and Google Play. Six apps that met the inclusion criteria and were coded by trained researchers against the BCT Taxonomy V1. Overall, 22 of 93 possible BCTs were identified. The most common were "Information about health consequences," "Social support (unspecified)," and "Information about antecedents". Identified BCTs suggested potential overlaps with traditional clinical treatments for AN, such as cognitive behavioral therapy and family-based therapy. Further investigation is required to evaluate the apps' usability and effectiveness.

摘要

评估移动健康应用程序中行为改变技术 (BCT) 的存在,可以帮助我们更好地了解哪些“有效成分”对结果有贡献。尽管神经性厌食症 (AN) 的发病较早,年轻人越来越多地使用移动应用程序寻求精神保健,但针对 AN 的移动健康应用程序所依据的 BCT 从未得到系统检查。本综述系统地确定和分析了针对年轻人减少 AN 的应用程序所依据的 BCT,试图了解其有效成分。在 Apple Store 和 Google Play 中搜索和筛选了应用程序。符合纳入标准的 6 个应用程序由经过培训的研究人员根据行为改变技术分类 V1 进行编码。总共确定了 93 个可能的 BCT 中的 22 个。最常见的是“关于健康后果的信息”、“(未指定的)社会支持”和“关于前因的信息”。确定的 BCT 表明与 AN 的传统临床治疗(如认知行为疗法和家庭为基础的疗法)可能存在重叠。需要进一步调查以评估应用程序的可用性和有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7835/10255767/b1ed6720926a/ibad003_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7835/10255767/5eae7ed2d99a/ibad003_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7835/10255767/b1ed6720926a/ibad003_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7835/10255767/5eae7ed2d99a/ibad003_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7835/10255767/b1ed6720926a/ibad003_fig2.jpg

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本文引用的文献

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Behavior change techniques in mobile apps targeting self-harm in young people: a systematic review.针对青少年自残行为的移动应用程序中的行为改变技术:系统评价。
Transl Behav Med. 2021 Apr 7;11(3):832-841. doi: 10.1093/tbm/ibaa131.
2
Anorexia Nervosa.神经性厌食症
N Engl J Med. 2020 Apr 2;382(14):1343-1351. doi: 10.1056/NEJMcp1803175.
3
What is the clinical value of mHealth for patients?移动健康对患者的临床价值是什么?
NPJ Digit Med. 2020 Jan 13;3:4. doi: 10.1038/s41746-019-0206-x. eCollection 2020.
4
A conceptual comparison of family-based treatment and enhanced cognitive behavior therapy in the treatment of adolescents with eating disorders.基于家庭治疗与强化认知行为疗法在青少年饮食失调治疗中的概念比较。
J Eat Disord. 2019 Dec 31;7:42. doi: 10.1186/s40337-019-0275-x. eCollection 2019.
5
Clinical or gimmickal: The use and effectiveness of mobile mental health apps for treating anxiety and depression.临床应用还是噱头:移动心理健康应用程序治疗焦虑和抑郁的使用和效果。
Aust N Z J Psychiatry. 2020 Jan;54(1):20-28. doi: 10.1177/0004867419876700. Epub 2019 Sep 25.
6
How do we target the factors that maintain anorexia nervosa? A behaviour change taxonomical analysis.我们如何针对维持神经性厌食症的因素?行为改变分类分析。
Int Rev Psychiatry. 2019 Jun;31(4):403-410. doi: 10.1080/09540261.2019.1624509. Epub 2019 Jun 27.
7
Behavior Change Techniques in mHealth Apps for the Mental and Physical Health of Employees: Systematic Assessment.移动健康应用中促进员工身心健康的行为改变技术:系统评估
JMIR Mhealth Uhealth. 2018 Oct 3;6(10):e167. doi: 10.2196/mhealth.6363.
8
Experiences of shame and guilt in anorexia and bulimia nervosa: A systematic review.神经性厌食症和贪食症中的羞耻和内疚感体验:系统综述。
Psychol Psychother. 2020 Mar;93(1):134-159. doi: 10.1111/papt.12198. Epub 2018 Sep 4.
9
A systematic review of mHealth interventions for the support of eating disorders.移动医疗干预支持进食障碍的系统评价。
Eur Eat Disord Rev. 2018 Sep;26(5):394-416. doi: 10.1002/erv.2609. Epub 2018 Jun 21.
10
The Egosyntonic Nature of Anorexia: An Impediment to Recovery in Anorexia Nervosa Treatment.神经性厌食症的自我协调性本质:神经性厌食症治疗中康复的一个障碍。
Front Psychol. 2017 Dec 22;8:2273. doi: 10.3389/fpsyg.2017.02273. eCollection 2017.