杂志文章%@ 2561-326X %I JMIR出版物%V 6% N 卡塔尔世界杯8强波胆分析9% P e34159% T使用智能手机严重游戏应用程序治疗物质使用障碍:可行性和可接受性观察研究%A Schilt,Thelma %A Ruijter,Elvira Sharine %A Godeschalk,Nikky %A van Haaster,Marit %A Goudriaan,Anna E %+ Jellinek,阿姆斯特丹成瘾研究所,阿金精神卫生保健,Jacob Obrechtstraat 92,阿姆斯特丹,1071 KR,荷兰,31 88 505 1220,thelma.schilt@jellinek.nl %K成瘾护理%K手机%K认知训练%K神经认知%K心理健康%K移动健康%K数字应用%K健康应用%K智能手机%K认知评估%D 2022 %7 6.9.2022 %9原始论文%J JMIR表格Res %G英语%X背景:成瘾是一个世界性的问题,具有重大的健康并发症。尽管进行了强化治疗,复发率仍然很高。认知障碍的患病率在物质使用障碍(SUDs)患者中很高,并与治疗中断和复发有关。有证据表明,对sud患者进行认知功能训练可能有助于治疗。因此,使用基于网络的工具来测试和训练认知功能越来越受关注。目的:本研究的目的是确定一个严肃的游戏智能手机应用程序的可行性和可接受性,以测试和训练认知功能,以及治疗sud。方法:对229例寻求成瘾治疗的患者进行前瞻性观察研究。除了常规护理外,还给患者提供了两款智能手机应用程序:MyCognition Quotient (MyCQ)评估认知功能,AquaSnap训练这些功能。 The feasibility was determined based on acceptance rates. The acceptability of the smartphone apps was qualitatively analyzed based on the answers to a questionnaire. Patient characteristics were compared between patients who played and did not play smartphone games. Explorative correlation analyses were performed between the playing time and cognitive assessment scores. Results: Of the 229 patients who were offered the apps, 110 completed the MyCQ assessment, and 59 started playing AquaSnap, yielding acceptance rates of 48.0% and 25.8%, respectively. The group that completed the MyCQ assessment was significantly more educated than the group that did not download the apps (χ22=7.3; P=.03). The education level did not differ significantly between the group that played AquaSnap and the group that did not (P=.06). There were relatively more women in the AquaSnap playing group than in the nonplaying group (χ21=6.5; P=.01). The groups did not differ in terms of age, substance use, treatment setting, mood, or quality of life. With respect to acceptability, 83% (38/46) of the patients who filled out the questionnaire enjoyed taking the MyCQ measurement, whereas 41% (14/34) enjoyed playing the AquaSnap game. Furthermore, 76% (35/46) and 68% (23/34) rated the apps MyCQ and AquaSnap, respectively, as easy. More playing minutes was associated with decreased working memory reaction time and executive functioning accuracy. Conclusions: Our study showed that the use of a smartphone app for cognitive assessment in patients with SUDs who are interested and highly educated is feasible and acceptable for the subgroup that was asked to fill out a perception questionnaire. However, the use of a smartphone app for cognitive training was less feasible for this group of patients. Improvement of the training application and enhancement of the motivation of clients are needed. Despite these limitations, the present results provide support for future research investigating the use of smartphone apps for cognitive assessment and training in relation to the treatment of SUDs. %M 36066923 %R 10.2196/34159 %U https://formative.www.mybigtv.com/2022/9/e34159 %U https://doi.org/10.2196/34159 %U http://www.ncbi.nlm.nih.gov/pubmed/36066923
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