University of California, Irvine.
University of California, Irvine.
Behav Ther. 2024 Nov;55(6):1364-1379. doi: 10.1016/j.beth.2024.04.004. Epub 2024 Apr 10.
In recent years, digital mental health interventions (DMHIs) have emerged as a paradigm shift in care delivery that could expand the scale, efficiency, and effectiveness of psychological services. However, DMHI impact is constrained by issues related to limited reach, poor adoption, implementation barriers, and insufficient long-term maintenance. Organized by the Reach, Effectiveness, Adoption, Implementation, and Maintenance(RE-AIM) framework, this paper surveys the current state of DMHIs, highlighting research and practice gaps as well as potential strategies to move the field forward. Similarly, we discuss the role that emerging technologies and changes in the profession will play in shaping DMHIs in years to come. Finally, concrete and actionable steps to advance equity in the DMHI field are provided, with an emphasis on strategies to increase the representativeness of marginalized populations in DMHI research, the inclusion of these groups in the design and testing of DMHIs, and how to improve the contextual and cultural fit of DMHIs.
近年来，数字心理健康干预 (DMHI) 的出现代表了一种护理模式的转变，可以扩大心理服务的规模、效率和效果。然而，DMHI 的影响受到一些因素的限制，包括覆盖面有限、采用率低、实施障碍以及缺乏长期维护等。本文以 Reach、Effectiveness、Adoption、Implementation 和 Maintenance (RE-AIM) 框架为组织框架，调查了 DMHI 的现状，强调了研究和实践中的差距，以及推动该领域前进的潜在策略。同样，我们也讨论了新兴技术和专业变化将如何在未来几年塑造 DMHI。最后，提供了在 DMHI 领域推进公平的具体可行步骤，重点是制定策略，增加 DMHI 研究中边缘化人群的代表性，让这些群体参与 DMHI 的设计和测试，以及如何提高 DMHI 的环境和文化适应性。
