Department of Psychology, University of Zurich, Zurich, Switzerland.
Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland.
JMIR Ment Health. 2023 Dec 26;10:e43882. doi: 10.2196/43882.
Blended psychotherapy (bPT) combines face-to-face psychotherapy with digital interventions to enhance the effectiveness of mental health treatment. The feasibility and effectiveness of bPT have been demonstrated for various mental health issues, although primarily for patients with higher levels of functioning.
This scoping review aims to investigate the feasibility, adherence, and effectiveness of bPT for the treatment of patients with severe mental illnesses (SMIs).
Following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines, we conducted searches in PubMed, MEDLINE, Embase, PsycINFO, and PsycArticles for studies published until March 23, 2023.
Out of 587 screened papers, we incorporated 25 studies encompassing 23 bPT interventions, involving a total of 2554 patients with SMI. The intervention formats and research designs exhibited significant variation. Our findings offer preliminary evidence supporting the feasibility of bPT for SMI, although there is limited research on adherence. Nevertheless, the summarized studies indicated promising attrition rates, spanning from 0% to 37%, implying a potential beneficial impact of bPT on adherence to SMI treatment. The quantity of evidence on the effects of bPT for SMI was limited and challenging to generalize. Among the 15 controlled trials, 4 concluded that bPT interventions were effective compared with controls. However, it is noteworthy that 2 of these studies used the same study population, and the control groups exhibited significant variations.
Overall, our review suggests that while bPT appears promising as a treatment method, further research is necessary to establish its effectiveness for SMI. We discuss considerations for clinical implementation, directions, and future research.
混合心理疗法（bPT）将面对面的心理疗法与数字干预相结合，以提高心理健康治疗的效果。bPT 已被证明对各种心理健康问题具有可行性和有效性，尽管主要针对功能水平较高的患者。
本范围综述旨在调查 bPT 治疗严重精神疾病（SMI）患者的可行性、依从性和有效性。
根据 PRISMA-ScR（系统评价和荟萃分析扩展的首选报告项目用于范围综述）指南，我们在 PubMed、MEDLINE、Embase、PsycINFO 和 PsycArticles 中进行了搜索，检索截至 2023 年 3 月 23 日发表的研究。
在 587 篇筛选出的论文中，我们纳入了 25 项研究，其中包括 23 项 bPT 干预措施，涉及 2554 名 SMI 患者。干预形式和研究设计存在显著差异。我们的研究结果提供了支持 bPT 治疗 SMI 的可行性的初步证据，尽管关于依从性的研究有限。然而，总结的研究表明，bPT 对 SMI 治疗的依从性具有潜在的有益影响，其失访率从 0%到 37%不等。关于 bPT 对 SMI 的影响的证据数量有限且难以推广。在 15 项对照试验中，有 4 项得出结论认为 bPT 干预措施与对照组相比有效。然而，值得注意的是，其中 2 项研究使用了相同的研究人群，而对照组存在显著差异。
总体而言，我们的综述表明，虽然 bPT 作为一种治疗方法似乎很有前景，但需要进一步研究来确定其对 SMI 的有效性。我们讨论了临床实施、方向和未来研究的考虑因素。
