@文章{信息:doi/10.2196/12869,作者=“Lattie, Emily G and Adkins, Elizabeth C and Winquist, Nathan and stils - shields, Colleen and Wafford, Q Eileen and Graham, Andrea K”,标题=“数字心理健康干预对大学生抑郁、焦虑和心理健康的增强:系统评价”,期刊=“J Med Internet Res”,年=“2019”,月=“7”,日=“22”,卷=“21”,数=“7”,页=“e12869”,关键词=“eHealth”;移动健康;心理健康;学生;背景:越来越多的大学生报告了常见的心理健康问题,如抑郁和焦虑,他们经常遇到寻求传统心理健康治疗的障碍。数字精神卫生干预措施,例如通过网络和应用程序提供的干预措施,有可能改善获得精神卫生治疗的机会。目的:本研究旨在回顾关于大学生抑郁、焦虑和增强心理健康的数字心理健康干预的文献,以确定这些计划的有效性、可用性、可接受性、吸收和采用。方法:我们使用系统评价和meta分析的首选报告项目指南(注册号CRD42018092800)进行了系统评价,并由医学研究馆员在以下数据库中进行了检索策略:MEDLINE (Ovid)、EMBASE (Elsevier)、PsycINFO (EbscoHost)、Cochrane Library (Wiley)和Web of Science (Thomson Reuters),从建库之日起至2019年4月。使用系统的叙事综合框架对数据进行综合,并进行正式的质量评估以解决偏倚风险。结果:共有89项研究符合纳入标准。 The majority of interventions (71/89, 80{\%}) were delivered via a website, and the most common intervention was internet-based cognitive behavioral therapy (28, 31{\%}). Many programs (33, 37{\%}) featured human support in the form of coaching. The majority of programs were either effective (42, 47{\%}) or partially effective (30, 34{\%}) in producing beneficial changes in the main psychological outcome variables. Approximately half of the studies (45, 51{\%}) did not present any usability or acceptability outcomes, and few studies (4, 4{\%}) examined a broad implementation of digital mental health interventions on college campuses. Quality assessments revealed a moderate-to-severe risk of bias in many of the studies. Conclusions: Results suggest that digital mental health interventions can be effective for improving depression, anxiety, and psychological well-being among college students, but more rigorous studies are needed to ascertain the effective elements of these interventions. Continued research on improving the user experience of, and thus user engagement with, these programs appears vital for the sustainable implementation of digital mental health interventions on college campuses. ", issn="1438-8871", doi="10.2196/12869", url="//www.mybigtv.com/2019/7/e12869/", url="https://doi.org/10.2196/12869", url="http://www.ncbi.nlm.nih.gov/pubmed/31333198" }
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