Peng Ruotong, Guo Yongzhen, Zhang Chi, Li Xiaoyang, Huang Jundan, Chen Xi, Feng Hui
Xiangya School of Nursing, Central South University, Changsha, China.
Xiangya School of Nursing, Central South University, Changsha, China; Oceanwide Health Management Institute, Central South University, Changsha, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China.
Geriatr Nurs. 2024 Jan-Feb;55:97-104. doi: 10.1016/j.gerinurse.2023.10.026. Epub 2023 Nov 15.
Depression is prevalent among older adults, and internet-delivered psychological interventions (IDPIs) have emerged as a promising solution.
To explore the landscape of IDPIs for late-life depression, examining current characteristics, psychotherapies, intervention strategies, facilitators, and barriers.
Guided by a PRISMA-guided scoping review, we systematically searched five electronic databases.
25 relevant studies were identified. IDPIs were used for treatment, prevention, and assessment. Internet-based cognitive behavioral therapy was the most common psychotherapy. Seven strategies to provide tailored services include psychotherapy courses, professional involvement, mood and progress tracking, virtual community, timed reminders, additional learning resources, and gamification elements. Barriers contained cognitive impairment, low digital literacy, device inaccessibility, limited depression awareness, adherence issues, and acclimation time, while facilitators included prior treatment experience, real-life character stories, strong client-worker bonds, and integration into daily care routines.
IDPIs present an accessible and convenient avenue for older adults. Future directions suggest exploring minimalist interventions, diverse strategies, and optimized implementation to amplify IDPIs impact among this vulnerable group.
抑郁症在老年人中普遍存在，而互联网心理干预（IDPIs）已成为一种有前景的解决方案。
探讨针对老年抑郁症的互联网心理干预情况，研究其当前特征、心理治疗方法、干预策略、促进因素和障碍。
在PRISMA指导的范围综述的指导下，我们系统地检索了五个电子数据库。
确定了25项相关研究。互联网心理干预用于治疗、预防和评估。基于互联网的认知行为疗法是最常见的心理治疗方法。提供个性化服务的七种策略包括心理治疗课程、专业参与、情绪和进展跟踪、虚拟社区、定时提醒、额外学习资源和游戏化元素。障碍包括认知障碍、数字素养低、无法使用设备、抑郁症认知有限、依从性问题和适应时间，而促进因素包括先前的治疗经验、真实生活中的人物故事、牢固的医患关系以及融入日常护理流程。
互联网心理干预为老年人提供了一条便捷的途径。未来的方向建议探索极简主义干预、多样化策略和优化实施，以扩大互联网心理干预对这一弱势群体的影响。
