TY -的AU -琼斯,切尔西盟——Miguel-Cruz安东尼奥AU - Smith-MacDonald,洛林盟——Cruikshank,艾米丽盟——Baghoori不断Kaur AU - Chohan Avneet盟——前者Alexa AU -白色,Allison盟——曹,博盟——Agyapong文森特盟——Burback丽莎AU -温克尔,奥尔加盟-科洛,菲利普·R盟——丹尼特莉斯盟——Ferguson-Pell马丁盟——Greenshaw Andrew AU - Bremault-Phillips苏泽特PY - 2020 DA - 2020/9/21 TI -虚拟创伤治疗军事成员,退伍军人,JMIR Mhealth Uhealth SP - e22079 VL - 8 IS - 9 KW -创伤KW -心理健康KW -远程医疗KW -治疗KW -康复KW -数字健康KW -心理治疗KW -军人KW -退伍军人KW -急救人员KW -公共安全人员KW -远程治疗KW -远程精神病学KW -移动电话AB -背景: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。方法:采用MEDLINE(医学文献分析与检索系统在线)、EMBASE(医学文献摘要数据库)、APA(美国心理学会)PsycINFO、CINAHL(护理与相关健康文献累积索引)加全文和军事与政府收集系统对相关研究进行检索。 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. SN - 2291-5222 UR - http://mhealth.www.mybigtv.com/2020/9/e22079/ UR - https://doi.org/10.2196/22079 UR - http://www.ncbi.nlm.nih.gov/pubmed/32955456 DO - 10.2196/22079 ID - info:doi/10.2196/22079 ER -