@Article{信息:doi 10.2196 / / jmir。6645，作者="莫尔，大卫C和托马西诺，凯瑟琳诺斯和拉蒂，艾米丽G和帕拉克，汉娜L和克瓦西尼，玛丽J和温格尔特，肯尼斯和卡尔，克里斯J和凯泽，苏珊M和Rossom，丽贝卡C和巴德斯利，利兰R和卡卡莫，劳伦和斯泰尔斯-希尔兹，科琳和舒勒，斯蒂芬M"，标题="IntelliCare:基于技能的抑郁和焦虑治疗应用程序套件”，期刊=“J Med Internet Res”，年=“2017”，月=“1”，日=“05”，卷=“19”，数=“1”，页数=“e10”，关键词=“mHealth;电子健康;移动健康;抑郁症;背景:数字心理健康工具倾向于使用基于在数字健康之外开发和验证的治疗取向的心理教育策略。这些功能与今天人们使用手机和手机应用程序的简单而频繁的方式并不匹配。为了应对这些挑战，我们开发了一套名为IntelliCare的抑郁和焦虑应用程序，每个应用程序都有一个明确的目标和互动风格。IntelliCare应用程序优先考虑交互技能培训，而不是教育，并专为频繁但短时间的交互而设计。 Objective: The overall objective of this study was to pilot a coach-assisted version of IntelliCare and evaluate its use and efficacy at reducing symptoms of depression and anxiety. Methods: Participants, recruited through a health care system, Web-based and community advertising, and clinical research registries, were included in this single-arm trial if they had elevated symptoms of depression or anxiety. Participants had access to the 14 IntelliCare apps from Google Play and received 8 weeks of coaching on the use of IntelliCare. Coaching included an initial phone call plus 2 or more texts per week over the 8 weeks, with some participants receiving an additional brief phone call. Primary outcomes included the Patient Health Questionnaire-9 (PHQ-9) for depression and the Generalized Anxiety Disorder-7 (GAD-7) for anxiety. Participants were compensated up to US {\$}90 for completing all assessments; compensation was not for app use or treatment engagement. Results: Of the 99 participants who initiated treatment, 90.1{\%} (90/99) completed 8 weeks. Participants showed substantial reductions in the PHQ-9 and GAD-7 (P<.001). Participants used the apps an average of 195.4 (SD 141) times over the 8 weeks. The average length of use was 1.1 (SD 2.1) minutes, and 95{\%} of participants downloaded 5 or more of the IntelliCare apps. Conclusions: This study supports the IntelliCare framework of providing a suite of skills-focused apps that can be used frequently and briefly to reduce symptoms of depression and anxiety. The IntelliCare system is elemental, allowing individual apps to be used or not used based on their effectiveness and utility, and it is eclectic, viewing treatment strategies as elements that can be applied as needed rather than adhering to a singular, overarching, theoretical model. Trial Registration: Clinicaltrials.gov NCT02176226; http://clinicaltrials.gov/ct2/show/NCT02176226 (Archived by WebCite at http://www.webcitation/6mQZuBGk1) ", issn="1438-8871", doi="10.2196/jmir.6645", url="//www.mybigtv.com/2017/1/e10/", url="https://doi.org/10.2196/jmir.6645", url="http://www.ncbi.nlm.nih.gov/pubmed/28057609" }