一项关于住院环境中数字心理健康干预措施的系统评价和荟萃分析。
A systematic review and meta analysis on digital mental health interventions in inpatient settings.
作者信息
Diel Alexander, Schröter Isabel Carolin, Frewer Anna-Lena, Jansen Christoph, Robitzsch Anita, Gradl-Dietsch Gertraud, Teufel Martin, Bäuerle Alexander
机构信息
Clinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen, Essen, Germany.
出版信息
NPJ Digit Med. 2024 Sep 17;7(1):253. doi: 10.1038/s41746-024-01252-z.
E-mental health (EMH) interventions gain increasing importance in the treatment of mental health disorders. Their outpatient efficacy is well-established. However, research on EMH in inpatient settings remains sparse and lacks a meta-analytic synthesis. This paper presents a meta-analysis on the efficacy of EMH in inpatient settings. Searching multiple databases (PubMed, ScienceGov, PsycInfo, CENTRAL, references), 26 randomized controlled trial (RCT) EMH inpatient studies (n = 6112) with low or medium assessed risk of bias were included. A small significant total effect of EMH treatment was found (g = 0.3). The effect was significant both for blended interventions (g = 0.42) and post-treatment EMH-based aftercare (g = 0.29). EMH treatment yielded significant effects across different patient groups and types of therapy, and the effects remained stable post-treatment. The results show the efficacy of EMH treatment in inpatient settings. The meta-analysis is limited by the small number of included studies.
电子心理健康（EMH）干预在心理健康障碍的治疗中日益重要。其门诊疗效已得到充分证实。然而，关于住院环境中EMH的研究仍然稀少，且缺乏荟萃分析。本文对住院环境中EMH的疗效进行了荟萃分析。通过检索多个数据库（PubMed、ScienceGov、PsycInfo、CENTRAL、参考文献），纳入了26项评估偏倚风险为低或中等的随机对照试验（RCT）EMH住院研究（n = 6112）。发现EMH治疗有一个小的显著总体效应（g = 0.3）。混合干预（g = 0.42）和基于EMH的治疗后随访（g = 0.29）的效应均显著。EMH治疗在不同患者群体和治疗类型中均产生了显著效果，且治疗后的效果保持稳定。结果显示了EMH治疗在住院环境中的疗效。该荟萃分析受到纳入研究数量较少的限制。
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