@Article{信息:doi 10.2196 / / jmir。9864，作者=“克伦尼，Stephanie Jane和Ryan, Brooke Jade和Hill, Annie Jane和Brandenburg, Caitlin和Kneebone, Ian”，标题=“卒中后失语症患者目前可用的电子精神健康项目的可及性和适用性:范围综述”，期刊=“J医学互联网研究”，年=“2018”，月=“12”，日=“04”，卷=“20”，数=“12”，页=“e291”，关键词=“失语症;中风;抑郁症;心理健康;互联网;技术;背景:大约60名中风后1年失语症患者患有抑郁症，并与残疾、生活质量降低和死亡率有关。网络传递的心理健康(e-mental health)项目对一般人群来说是有效、方便和具有成本效益的，因此越来越多地用于抑郁症的管理。然而，目前尚不清楚这些服务是否适用于中风后失语症患者，是否可与他们沟通。 Objective: The aim of this study was to identify freely available e-mental health programs for depression and determine their applicability and accessibility for people with poststroke aphasia. Methods: A Web-based search was conducted to identify and review freely available e-mental health programs for depression. These programs were then evaluated in terms of their (1) general features via a general evaluation tool, (2) communicative accessibility for people with aphasia via an aphasia-specific communicative accessibility evaluation tool, and (3) empirical evidence for the general population and stroke survivors with and without aphasia. The program that met the most general evaluation criteria and aphasia-specific communicative accessibility evaluation criteria was then trialed by a small subgroup of people with poststroke aphasia. Results: A total of 8 programs were identified. Of these, 4 had published evidence in support of their efficacy for use within the general population. However, no empirical evidence was identified that specifically supported any programs' use for stroke survivors with or without aphasia. One evidence-based program scored at least 80{\%} (16/19 and 16/20, respectively) on both the general and aphasia-specific communicative accessibility evaluation tools and was subject to a preliminary trial by 3 people with poststroke aphasia. During this trial, participants were either unable to independently use the program or gave it low usability scores on a post-trial satisfaction survey. On this basis, further evaluation was considered unwarranted. Conclusions: Despite fulfilling majority of the general evaluation and aphasia-specific evaluation criteria, the highest rated program was still found to be unsuitable for people with poststroke aphasia. Thus, e-mental health programs require substantial redevelopment if they are likely to be useful to people with poststroke aphasia. ", issn="1438-8871", doi="10.2196/jmir.9864", url="//www.mybigtv.com/2018/12/e291/", url="https://doi.org/10.2196/jmir.9864", url="http://www.ncbi.nlm.nih.gov/pubmed/30514696" }