TY -的盟李普希茨,杰西卡AU -米勒,Christopher J AU -霍根,蒂莫西·P AU - Burdick凯瑟琳E AU - Lippin-Foster,瑞秋非盟-西蒙,Steven R AU -伯吉斯,詹姆斯PY - 2019 DA - 2019/01/25 TI -采用移动应用抑郁和焦虑:横断面调查研究病人利益和壁垒参与乔- JMIR失去健康SP e11334六世- 6 - 1 KW - mHealth KW -抑郁KW -焦虑KW -移动应用KW -病人偏好AB -背景:最新研究表明，移动应用程序可以有效地治疗抑郁症和焦虑症等常见的精神疾病。尽管这些干预措施的效果很好，而且易于获得，但采用移动医疗(移动医疗;移动设备提供)对精神疾病的干预是有限的。需要更深入地了解患者对移动医疗干预措施的看法，以制定有效的实施战略，并调整现有干预措施，以促进更高的采用率。目的:本研究的目的是从患者的角度考察移动健康干预对精神疾病的当前使用和可能影响使用的因素。方法:这是一项横断面调查研究，研究对象是2016年初在单一退伍军人健康管理局机构接受过与以下心理健康问题之一相关的预约的退伍军人:单极性抑郁症、任何焦虑症或创伤后应激障碍。我们使用退伍军人事务公司数据仓库创建了符合条件的参与者的子集，按性别(男性或女性)和少数民族地位(白人或非白人)进行人口分层。从每个子集中随机选择100名参与者，并邮寄了一份纸质调查，其中包括人口统计数据、整体健康状况、心理健康、技术所有权或使用、对精神疾病移动应用程序干预的兴趣、使用或不使用的原因，以及对精神疾病移动应用程序特定功能的兴趣。结果:在400名潜在参与者中，149人(37.3%，149/400)完成并返回了调查。 Most participants (79.9%, 119/149) reported that they owned a smart device and that they use apps in general (71.1%, 106/149). Most participants (73.1%, 87/149) reported interest in using an app for mental illness, but only 10.7% (16/149) had done so. Paired samples t tests indicated that ratings of interest in using an app recommended by a clinician were significantly greater than general interest ratings and even greater when the recommending clinician was a specialty mental health provider. The most frequent concerns related to using an app for mental illness were lacking proof of efficacy (71.8%, 107/149), concerns about data privacy (59.1%, 88/149), and not knowing where to find such an app (51.0%, 76/149). Participants expressed interest in a number of app features with particularly high-interest ratings for context-sensitive apps (85.2%, 127/149), and apps focused on the following areas: increasing exercise (75.8%, 113/149), improving sleep (73.2%, 109/149), changing negative thinking (70.5%, 105/149), and increasing involvement in activities (67.1%, 100/149). Conclusions: Most respondents had access to devices to use mobile apps for mental illness, already used apps for other purposes, and were interested in mobile apps for mental illness. Key factors that may improve adoption include provider endorsement, greater publicity of efficacious apps, and clear messaging about efficacy and privacy of information. Finally, multifaceted apps that address a range of concerns, from sleep to negative thought patterns, may be best received. SN - 2368-7959 UR - http://mental.www.mybigtv.com/2019/1/e11334/ UR - https://doi.org/10.2196/11334 UR - http://www.ncbi.nlm.nih.gov/pubmed/30681968 DO - 10.2196/11334 ID - info:doi/10.2196/11334 ER -