@Article{信息:doi 10.2196 / / jmir。9966，作者=“Ospina-Pinillos, Laura and Davenport, Tracey and Iorfino, Frank and Tickell, Ashleigh and Cross, Shane and Scott, Elizabeth M and Hickie, Ian B”，标题=“使用创新技术评估早期干预青少年心理健康服务的临床阶段:评估研究”，期刊=“J Med Internet Res”，年=“2018”，月=“Sep”，日=“10”，卷=“20”，数=“9”，页数=“e259”，关键词=“分期模型;心理健康;初级保健;远程医疗;背景:在全球范围内，越来越多的人认识到需要新的策略来减少由常见心理健康问题引起的残疾。由于75%的精神健康和药物使用障碍是在青少年或成年早期出现的，这些策略必须易于为年轻人所用。在考虑如何大规模提供此类服务时，新的创新技术在增强传统的基于诊所的服务方面显示出前景。目的:本研究的目的是测试新的和创新的技术，以评估早期干预青少年心理健康服务的临床阶段，使用一个被称为心理健康eClinic (MHeC)的原型在线系统。方法:将MHeC的在线评估直接与悉尼2家青年心理健康服务机构(headspace Camperdown和headspace Campbelltown)的传统临床医生评估进行比较。 A total of 204 young people were recruited to the study. Eligible participants completed both face-to-face and online assessments, which were randomly allocated and counterbalanced at a 1-to-3 ratio. These assessments were (1) a traditional 45- to 60-minute headspace face-to-face assessment performed by a Youth Access Clinician and (2) an approximate 60-minute online assessment (including a self-report Web-based survey, immediate dashboard of results, and a video visit with a clinician). All assessments were completed within a 2-week timeframe from initial presentation. Results: Of the 72 participants who completed the study, 71{\%} (51/72) were female and the mean age was 20.4 years (aged 16 to 25 years); 68{\%} (49/72) of participants were recruited from headspace Camperdown and the remaining 32{\%} (23/72) from headspace Campbelltown. Interrater agreement of participants' stage, as determined after face-to-face assessment or online assessment, demonstrated fair agreement (kappa=.39, P<.001) with concordance in 68{\%} of cases (49/72). Among the discordant cases, those who were allocated to a higher stage by online raters were more likely to report a past history of mental health disorders (P=.001), previous suicide planning (P=.002), and current cannabis misuse (P=.03) compared to those allocated to a lower stage. Conclusions: The MHeC presents a new and innovative method for determining key clinical service parameters. It has the potential to be adapted to varied settings in which young people are connected with traditional clinical services and assist in providing the right care at the right time. ", issn="1438-8871", doi="10.2196/jmir.9966", url="//www.mybigtv.com/2018/9/e259/", url="https://doi.org/10.2196/jmir.9966", url="http://www.ncbi.nlm.nih.gov/pubmed/30201602" }