军事人员、退伍军人和公共安全人员创伤后应激性损伤的虚拟创伤聚焦治疗[j卡塔尔世界杯8强波胆分析]系统范围审查%A Jones,Chelsea %A Miguel-Cruz,Antonio %A Smith-MacDonald,Lorraine %A Cruikshank,Emily %A Baghoori,Delaram %A Kaur Chohan,Avneet %A Laidlaw,Alexa %A White,Allison %A Cao,Bo %A Agyapong,Vincent %A Burback,Lisa %A Winkler,Olga %A Sevigny,Phillip R %A Dennett,Liz %A Ferguson-Pell,Martin %A Greenshaw,Andrew %A brsamault - phillips,Suzette %+英雄心中倡导和研究联盟，阿尔伯塔大学康复医学学院，1-94 Corbett Hall，加拿大埃德蒙顿8205 - 114街，AB, t6g2g4, 1 780 4992 0404, cweiman@ualberta.ca %K创伤%K心理健康%K远程医疗%K治疗%K康复%K数字健康%K心理治疗%K军人%K退伍军人%K急救人员%K公共安全人员%K远程治疗%K心理治疗%K远程精神病学%K手机%D 2020 %7 21.9.2020 %9 Review % jjmir Mhealth Uhealth %G英语%X由于COVID-19大流行，已经发生了从面对面到远程提供心理治疗(例如，远程治疗、电子保健、视频会议)的必要转变。一个必然的好处是，就偏远和农村地区公平和及时获得精神卫生服务的需要而言，这可能是合适的。由于2019冠状病毒病，受创伤人群(包括公共安全人员)对及时、虚拟地提供服务的需求可能会增加。例如，护理人员、警察、消防人员、惩教人员、军人和退伍军人。对于军人、退伍军人和PSP的创伤治疗的数字化交付是否会导致与面对面交付相似的结果，缺乏证据。关于数字交付的障碍和促进因素以及建议的信息也很少。目的:本研究旨在评估远程提供给军人、退伍军人和PSP的心理治疗数字健康干预的同行评审文献的范围和质量，并综合创伤后应激损伤虚拟评估和虚拟干预的需求、差距、障碍和促进因素方面的知识。 Methods: Relevant studies were identified using MEDLINE (Medical Literature Analysis and Retrieval System Online), EMBASE (Excerpta Medica dataBASE), APA (American Psychological Association) PsycINFO, CINAHL (Cumulative Index of Nursing and Allied Health Literature) Plus with Full Text, and Military & Government Collection. For collation, analysis, summarizing, and reporting of results, we used the CASP (Critical Skills Appraisal Program) qualitative checklist, PEDro (Physiotherapy Evidence Database) scale, level of evidence hierarchy, PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews), and narrative synthesis. Results: A total of 38 studies were included in this review. Evidence for the effectiveness of digital delivery of prolonged exposure therapy, cognitive processing therapy, behavioral activation treatment with therapeutic exposure to military members, veterans, and PSP was rated level 1a, whereas evidence for cognitive behavioral therapy was conflicting. The narrative synthesis indicated that virtual delivery of these therapies can be as effective as in-person delivery but may reduce stigma and cost while increasing access to therapy. Issues of risk, safety, potential harm (ie, suicidality, enabling avoidance), privacy, security, and the match among the therapist, modality, and patient warrant further consideration. There is a lack of studies on the influences of gender, racial, and cultural factors that may result in differential outcomes, preferences, and/or needs. An investigation into other therapies that may be suitable for digital delivery is needed. Conclusions: Digital delivery of trauma therapies for military members, veterans, and PSP is a critical area for further research. Although promising evidence exists regarding the effectiveness of digital health within these populations, many questions remain, and a cautious approach to more widespread implementation is warranted. %M 32955456 %R 10.2196/22079 %U http://mhealth.www.mybigtv.com/2020/9/e22079/ %U https://doi.org/10.2196/22079 %U http://www.ncbi.nlm.nih.gov/pubmed/32955456