杂志文章@ 1438-8871 %I JMIR出版物%V 21% N 卡塔尔世界杯8强波胆分析11% P e163993 %T智能手机应用程序支持前驱期和早期病程精神分裂症的协调专业护理:系统综述%A Camacho,Erica %A Levin,Leonard %A Torous,John %+ Beth Israel Deaconess医疗中心,哈佛医学院,330 Brookline Ave, Boston, MA, 02215, United States, 1 6176676799, jtorous@bidmc.harvard.edu %K智能手机%K手机%K应用程序%K精神分裂症%D 2019 %7 12.11.2019 %9综述%J J Med Internet Res %G英文%X背景:对精神卫生服务的需求,特别是对临床高危和早期精神病的需求有所增加,因此需要新的解决办法,以增加获得保健的机会和提高保健质量。智能手机和移动技术是支持早期精神病协调专业护理的潜在工具,因为它们有潜力增强护理的六个核心角色:病例管理和团队领导、以康复为导向的心理治疗、药物管理、就业和教育支持、与初级保健服务的协调以及家庭教育和支持。然而,智能手机实际上为协调专业护理提供的服务,其证据水平尚不清楚。目的:本研究旨在回顾已发表的关于智能手机技术加强前驱期和早期精神病和精神分裂症患者护理的文献,并按类型分析研究,并与协调的专业护理领域相一致。方法:利用PubMed、EMBASE、Web of Sciences和PsycINFO电子数据库,于2019年8月16日和17日进行系统文献检索。根据纳入和排除标准对符合条件的研究进行审查和筛选。结果:搜索发现了388个独特的结果,其中32篇文章符合最初的纳入标准;在16个独特的应用程序平台上确定了21项符合条件的研究。 Feasibility studies showed a high user engagement and interest among patients, monitoring studies demonstrated a correlation between app assessments and clinical outcomes, and intervention studies indicated that these apps have the potential to advance care. Eighteen studies reported on app use for the case management roles of coordinated specialty care. No app studies focused on employment and education, coordination with primary care services, and family education and support. Conclusions: Although the published literature on smartphone apps for prodromal and first-episode psychosis is small, it is growing exponentially and holds promise to augment both monitoring and interventions. Although the research results and protocols for app studies are not well aligned with all coordinated specialty care roles today, high rates of adoption and feasibility suggest the potential for future efforts. These results will be used to develop coordinated specialty care–specific app evaluation scales and toolkits. %M 31714250 %R 10.2196/16393 %U //www.mybigtv.com/2019/11/e16393/ %U https://doi.org/10.2196/16393 %U http://www.ncbi.nlm.nih.gov/pubmed/31714250
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