期刊文章%@ 1438-8871 I JMIR出版物%V目前可用的电子卡塔尔世界杯8强波胆分析精神健康项目的可及性和适用性为中风后失语症患者的抑郁症:范围综述%A Clunne,Stephanie Jane %A Ryan,Brooke Jade %A Hill,Annie Jane %A Brandenburg,Caitlin %A knneebone,Ian %+昆士兰大学健康和康复科学学院，84A服务路，圣卢西亚，布里斯班，QLD 4067，澳大利亚，61 336 51380,brooke.ryan@uq.edu.au %K失语症%K中风%K抑郁症%K精神健康%K互联网%K技术%K获得医疗保健%D 2018 %7 04.12.2018 %9综述%J医学互联网Res %G英语%X背景:大约60%的失语症患者在中风后1年发生抑郁，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。目的:本研究的目的是确定可免费获得的抑郁症电子心理健康程序，并确定其对脑卒中后失语症患者的适用性和可及性。方法:基于网络的搜索进行了识别和审查免费提供的抑郁症电子心理健康项目。然后根据(1)通过通用评估工具评估这些项目的一般特征，(2)通过失语症专用的沟通可达性评估工具评估失语症患者的沟通可达性，(3)对患有和不患有失语症的普通人群和中风幸存者的经验证据。该项目满足最一般的评价标准和失语症特异性交流可达性评价标准，然后由一小组中风后失语症患者进行试验。结果:共鉴定出8个程序。 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. %M 30514696 %R 10.2196/jmir.9864 %U //www.mybigtv.com/2018/12/e291/ %U https://doi.org/10.2196/jmir.9864 %U http://www.ncbi.nlm.nih.gov/pubmed/30514696