@文章{信息:doi/10.2196/39454，作者=“Lu, shengchieh and Xu, Mindy and Wang, Mei and Hardi, Angela and Cheng, Abby L and Chang, Su-Hsin and Yen, poyin”，标题=“基于app的移动健康干预对焦虑和抑郁症状减轻的有效性和最小有效剂量:系统评价和meta分析”，期刊=“JMIR Ment Health”，年=“2022”，月=“Sep”，日=“7”，卷=“9”，号=“9”，页=“e39454”，关键词=“心理健康”;移动健康;智能手机应用程序;干预剂量有效性;背景:移动健康(mHealth)应用程序提供了新的机会，以一种可访问的、私人的形式为精神疾病提供心理治疗。先前的几项系统综述的结果支持使用基于应用程序的移动健康干预来管理焦虑和抑郁症状。然而，目前尚不清楚移动医疗干预有效的最低治疗“剂量”是多少或多久。即时自适应干预(JITAI)已被引入移动医疗领域，以促进行为改变，并被定位为指导移动医疗干预的设计，提高依从性和有效性。目的:受JITAI框架的启发，我们进行了一项系统回顾和荟萃分析，以评估基于应用程序的移动健康干预对减轻焦虑和抑郁症状的剂量有效性。方法:我们检索了7个数据库(Ovid MEDLINE、Embase、PsycInfo、Scopus、Cochrane Library(如CENTRAL)、ScienceDirect和ClinicalTrials)，检索了2012年1月至2020年4月的出版物。 We included randomized controlled trials (RCTs) evaluating app-based mHealth interventions for anxiety and depression. The study selection and data extraction process followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We estimated the pooled effect size using Hedge g and appraised study quality using the revised Cochrane risk-of-bias tool for RCTs. Results: We included 15 studies involving 2627 participants for 18 app-based mHealth interventions. Participants in the intervention groups showed a significant effect on anxiety (Hedge g=--.10, 95{\%} CI --0.14 to --0.06, I2=0{\%}) but not on depression (Hedge g=--.08, 95{\%} CI --0.23 to 0.07, I2=4{\%}). Interventions of at least 7 weeks' duration had larger effect sizes on anxiety symptom reduction. Conclusions: There is inconclusive evidence for clinical use of app-based mHealth interventions for anxiety and depression at the current stage due to the small to nonsignificant effects of the interventions and study quality concerns. The recommended dose of mHealth interventions and the sustainability of intervention effectiveness remain unclear and require further investigation. ", issn="2368-7959", doi="10.2196/39454", url="https://mental.www.mybigtv.com/2022/9/e39454", url="https://doi.org/10.2196/39454", url="http://www.ncbi.nlm.nih.gov/pubmed/36069841" }