Lattie Emily G, Stiles-Shields Colleen, Graham Andrea K
Department of Medical Social Sciences, Northwestern University, Chicago, IL, USA.
Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA.
Nat Rev Psychol. 2022 Feb;1(2):87-100. doi: 10.1038/s44159-021-00003-1. Epub 2022 Jan 26.
Mental health concerns are common, and various evidence-based interventions for mental health conditions have been developed. However, many people have difficulty accessing appropriate mental health care and this has been exacerbated by the COVID-19 pandemic. Digital mental health services, such as those delivered by mobile phone or web-based platforms, offer the possibility of expanding the reach and accessibility of mental health care. To achieve this goal, digital mental health interventions and plans for their implementation must be designed with the end users in mind. In this Review, we describe the evidence base for digital mental health interventions across various diagnoses and treatment targets. Then, we explain the different formats for digital mental health intervention delivery, and offer considerations for their use across key age groups. We discuss the role that the COVID-19 pandemic has played in emphasizing the value of these interventions, and offer considerations for ensuring equity in access to digital mental health interventions among diverse populations. As healthcare providers continue to embrace the role that technology can play in broadening access to care, the design and implementation of digital mental healthcare solutions must be carefully considered to maximize their effectiveness and accessibility.
心理健康问题很常见，针对心理健康状况已开发出各种循证干预措施。然而，许多人难以获得适当的心理保健服务，而 COVID-19 大流行使这一情况更加恶化。数字心理健康服务，如通过手机或基于网络的平台提供的服务，为扩大心理保健服务的覆盖范围和可及性提供了可能性。为实现这一目标，数字心理健康干预措施及其实施计划的设计必须以最终用户为中心。在本综述中，我们描述了针对各种诊断和治疗目标的数字心理健康干预措施的证据基础。然后，我们解释了数字心理健康干预措施的不同提供形式，并考虑了其在关键年龄组中的使用。我们讨论了 COVID-19 大流行在凸显这些干预措施的价值方面所起的作用，并考虑了如何确保不同人群在获取数字心理健康干预措施方面的公平性。随着医疗保健提供者继续认可技术在扩大医疗服务可及性方面所能发挥的作用，必须仔细考虑数字心理健康护理解决方案的设计和实施，以最大限度地提高其有效性和可及性。
