An Sunhee, Ko Jieun, Yu Kyung-Sang, Kwon Hyuktae, Kim Sungwan, Hong Jeeyoung, Kong Hyoun-Joong
Department of Transdisciplinary Medicine, Institute of Convergence Medicine with Innovative Technology, Seoul National University Hospital, Seoul, Korea.
Interdisciplinary Program of Medical Informatics, Seoul National University College of Medicine, Seoul, Korea.
Healthc Inform Res. 2023 Jul;29(3):190-198. doi: 10.4258/hir.2023.29.3.190. Epub 2023 Jul 31.
As the Fourth Industrial Revolution advances, there is a growing interest in digital technology. In particular, the use of digital therapeutics (DTx) in healthcare is anticipated to reduce medical expenses. However, analytical research on DTx is still insufficient to fuel momentum for future DTx development. The purpose of this article is to analyze representative cases of different types of DTx from around the world and to propose a classification system.
In this exploratory study examining DTx interaction types and representative cases, we conducted a literature review and selected seven interaction types that were utilized in a large number of cases. Then, we evaluated the specific characteristics of each DTx mechanism by reviewing the relevant literature, analyzing their indications and treatment components. A representative case for each mechanism was provided.
Cognitive behavioral therapy, distraction therapy, graded exposure therapy, reminiscence therapy, art therapy, therapeutic exercise, and gamification are the seven categories of DTx interaction types. Illustrative examples of each variety are provided.
Efforts from both the government and private sector are crucial for success, as standardization can decrease both the expense and the time required for government-led DTx development. The private sector should partner with medical facilities to stimulate potential demand, carry out clinical research, and produce scholarly evidence.
随着第四次工业革命的推进，人们对数字技术的兴趣与日俱增。尤其是，预计在医疗保健中使用数字疗法（DTx）将降低医疗费用。然而，关于DTx的分析研究仍不足以推动未来DTx的发展。本文旨在分析来自世界各地不同类型DTx的代表性案例，并提出一种分类系统。
在这项探索性研究中，我们研究了DTx的相互作用类型和代表性案例，进行了文献综述，并选择了大量案例中使用的七种相互作用类型。然后，我们通过回顾相关文献、分析其适应症和治疗成分，评估了每种DTx机制的具体特征。为每种机制提供了一个代表性案例。
认知行为疗法、分散注意力疗法、分级暴露疗法、回忆疗法、艺术疗法、治疗性锻炼和游戏化是DTx相互作用类型的七个类别。提供了每种类型的示例。
政府和私营部门的努力对成功至关重要，因为标准化可以降低政府主导的DTx开发所需的费用和时间。私营部门应与医疗机构合作，激发潜在需求，开展临床研究，并提供学术证据。
