TY - JOUR AU - O'Sullivan, Shaunagh AU - Schmaal, Lianne AU - D'Alfonso, Simon AU - Toenders, Yara Jo AU - Valentine, Lee AU - McEnery, Carla AU - Bendall, Sarah AU - Nelson, Barnaby AU - Gleeson, John F AU - Alvarez-Jimenez, Mario PY - 2022 DA - 2022/4/7 TI -使用多成分数字干预预测首发精神病治疗结果的特征:聚类分析乔- JMIR表示“状态”健康SP - e29211六世- 9 - 4 KW -数字干预KW -数字医疗KW -青年心理健康KW -精神病KW -集群KW -使用量度KW -日志数据KW -社交AB -背景:多组分数字干预提供量身定做的潜力和灵活的干预措施,旨在解决离职率高,增加接触,数字心理健康的关注的领域。然而，使用灵活性的增加使得很难确定哪些成分可以改善治疗结果。目的:本研究旨在确定地平线上的用户档案，这是一项针对首发精神病的18个月数字复发预防干预，包括治疗内容和社交网络，以及临床，职业和同伴支持，并检查这些用户档案对治疗结果的预测价值。第二个目标是将每个用户的资料与接受常规治疗(TAU)的年轻人进行比较。方法:参与者包括82例(16-27岁)接受地平线治疗的年轻人和84例接受TAU治疗的首发精神病患者。此外，来自horizons治疗和社交网络组件的6个月使用数据被用作联合轨迹k均值聚类的特征，以识别用户概况。在基线和6个月随访时评估社会功能、精神病症状、抑郁和焦虑。使用一般线性混合模型来检验用户档案对治疗结果的预测价值以及每个用户档案与TAU之间的预测价值。结果:根据以下系统使用指标，共确定了3个用户档案:低使用率，维持使用社交组件，以及维持使用治疗和社交组件。 The maintained therapy and social group showed improvements in social functioning (F2,51=3.58; P=.04), negative symptoms (F2,51=4.45; P=.02), and overall psychiatric symptom severity (F2,50=3.23; P=.048) compared with the other user profiles. This group also showed improvements in social functioning (F1,62=4.68; P=.03), negative symptoms (F1,62=14.61; P<.001), and overall psychiatric symptom severity (F1,63=5.66; P=.02) compared with the TAU group. Conversely, the maintained social group showed increases in anxiety compared with the TAU group (F1,57=7.65; P=.008). No differences were found between the low use group and the TAU group on treatment outcomes. Conclusions: Continued engagement with both therapy and social components might be key in achieving long-term recovery. Maintained social use and low use outcomes were broadly comparable with TAU, emphasizing the importance of maintaining engagement for improved treatment outcomes. Although the social network may be a key ingredient to increase sustained engagement, as users engaged with this more consistently, it should be leveraged as a tool to engage young people with therapeutic content to bring about social and clinical benefits. SN - 2368-7959 UR - https://mental.www.mybigtv.com/2022/4/e29211 UR - https://doi.org/10.2196/29211 UR - http://www.ncbi.nlm.nih.gov/pubmed/35389351 DO - 10.2196/29211 ID - info:doi/10.2196/29211 ER -