期刊文章%@ 1438-8871 %I JMIR出版物%V 22 %N卡塔尔世界杯8强波胆分析 11 %P自适应元素在互联网传递的心理治疗系统:%A Mukhiya,Suresh Kumar %A Wake,Jo Dugstad %A Inal,Yavuz %A Pun,Ka I %A Lamo,Yngve %+西挪威应用科学大学，因达尔斯维恩28，卑尔根，5063，挪威，47 55 58 58 800，skmu@hvl.no %K认知行为疗法%K网络提供的心理治疗%K适应治疗%K基于网络的治疗%K适应系统%K心理健康%K文献综述%K架构中心开发%K定制互联网干预%K灵活移动健康互联网干预%D 2020 %7 27.11.2020 %9综述%J J医学互联网Res %G英语%X背景:网络传递心理治疗(IDPTs)建立在基于证据的心理治疗模型上，如认知行为治疗，并根据网络使用进行调整。使用互联网技术有可能增加更多人口获得循证精神卫生服务的机会，而使用的资源较少。然而，尽管大量证据表明互联网干预可以有效地治疗精神健康障碍，但用户对这种互联网干预的依从性并不理想。目的:本综述旨在(1)检查和确定IDPT对精神健康障碍的适应性要素，(2)研究系统适应如何影响IDPT对精神健康治疗的有效性，(3)确定实施这些精神疾病干预措施的信息架构、适应性维度和策略，(4)利用研究结果创建一个概念框架，为心理健康问题提供更好的IDPT用户依从性和适应性。方法:该综述遵循系统综述和荟萃分析首选报告项目(PRISMA)的指导方针。研究数据库Medline (PubMed)、ACM数字图书馆、psyinfo、CINAHL和Cochrane检索了2000年1月至2020年1月的研究。根据预先确定的选择标准，分析来自合格研究的数据。 Results: A total of 3341 studies were initially identified based on the inclusion criteria. Following a review of the title, abstract, and full text, 31 studies that fulfilled the inclusion criteria were selected, most of which described attempts to tailor interventions for mental health disorders. The most common adaptive elements were feedback messages to patients from therapists and intervention content. However, how these elements contribute to the efficacy of IDPT in mental health were not reported. The most common information architecture used by studies was tunnel-based, although a number of studies did not report the choice of information architecture used. Rule-based strategies were the most common adaptive strategies used by these studies. All of the studies were broadly grouped into two adaptive dimensions based on user preferences or using performance measures, such as psychometric tests. Conclusions: Several studies suggest that adaptive IDPT has the potential to enhance intervention outcomes and increase user adherence. There is a lack of studies reporting design elements, adaptive elements, and adaptive strategies in IDPT systems. Hence, focused research on adaptive IDPT systems and clinical trials to assess their effectiveness are needed. %M 33245285 %R 10.2196/21066 %U //www.mybigtv.com/2020/11/e21066/ %U https://doi.org/10.2196/21066 %U http://www.ncbi.nlm.nih.gov/pubmed/33245285