早期精神病服务使用者对数字远程监测的看法：一项定性研究。

Early psychosis service user views on digital remote monitoring: a qualitative study.

作者信息

Trelfa Sarah, Berry Natalie, Zhang Xiaolong, Lewis Shôn, Ainsworth John, Berry Katherine, Edge Dawn, Haddock Gillian, Morris Rohan, Bucci Sandra

机构信息

Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, 2ndFloor, Zochonis Building, Brunswick Street, Manchester, M13 9PL, UK.

Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.

出版信息

BMC Psychiatry. 2025 Apr 16;25(1):386. doi: 10.1186/s12888-025-06859-4.

DOI:10.1186/s12888-025-06859-4

PMID:40240956

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12004715/

Abstract

BACKGROUND

Current approaches to mental healthcare for people with severe mental health problems are limited by sporadic monitoring and symptom recall bias. Emotional and behavioural markers generated by digital health technologies (DHTs) offer the potential to enhance quality of care and clinical decision-making. This study explored early psychosis service users' views and experiences of using a digital remote monitoring tool (ClinTouch app).

METHODS

Qualitative framework analysis was undertaken with interview data collected from participants who took part in the Actissist proof-of-concept and subsequent randomised controlled trial studies to understand the experiences of participants using the ClinTouch app (n = 8).

RESULTS

Data were summarised into four key themes. The following three themes were established a priori: (1) awareness of mood and symptoms; (2) acceptability of ClinTouch; and (3) improvements and recommendations. The fourth theme was established a posteriori: (4) integrating ClinTouch into clinical practice. More specifically, participants felt ClinTouch was an acceptable and useful tool for symptom monitoring. ClinTouch facilitated an increased awareness of mood and symptoms, which enabled participants to self-reflect and develop understanding of their own experiences.

CONCLUSIONS

This study shed light on early psychosis service users' experiences with using the ClinTouch digital remote monitoring app. ClinTouch was viewed as acceptable for monitoring symptoms, safe and easy to use, showed potential of integration with clinical care, and facilitated increased awareness and understanding of symptoms. Improvements including personalised question items and interactive features were suggested. Future developments of digital remote monitoring apps should include a more refined item set and personalisation features.

CLINICAL TRIAL NUMBER

ISRCTN34966555, Registration Date: 12/06/2014; ISRCTN76986679, Registration Date: 07/02/2018.

摘要

背景

目前针对严重精神健康问题患者的精神卫生保健方法受到零星监测和症状回忆偏差的限制。数字健康技术（DHTs）产生的情绪和行为标志物有可能提高护理质量和临床决策水平。本研究探讨了早期精神病服务使用者对使用数字远程监测工具（ClinTouch应用程序）的看法和体验。

方法

采用定性框架分析法，对参与Actissist概念验证及后续随机对照试验研究的参与者收集的访谈数据进行分析，以了解使用ClinTouch应用程序的参与者（n = 8）的体验。

结果

数据归纳为四个关键主题。以下三个主题是预先确定的：（1）情绪和症状意识；（2）ClinTouch的可接受性；（3）改进与建议。第四个主题是后验确定的：（4）将ClinTouch融入临床实践。更具体地说，参与者认为ClinTouch是一种可接受且有用的症状监测工具。ClinTouch有助于提高对情绪和症状的认识，使参与者能够进行自我反思并加深对自身经历的理解。

结论

本研究揭示了早期精神病服务使用者使用ClinTouch数字远程监测应用程序的体验。ClinTouch被认为在症状监测方面是可接受的、安全且易于使用的，显示出与临床护理整合的潜力，并有助于提高对症状的认识和理解。建议进行改进，包括个性化问题项目和交互功能。数字远程监测应用程序的未来发展应包括更精细的项目集和个性化功能。