j JMIR出版物筛选和治疗成人常见精神障碍或常见精神疾病症状的数字干卡塔尔世界杯8强波胆分析预措施:系统回顾与荟萃分析%A Sin,Jacqueline %A Galeazzi,Gian %A McGregor,Elicia %A Collom,Jennifer %A Taylor,Anna %A Barrett,Barbara %A Lawrence,Vanessa %A Henderson,Claire %+雷丁大学心理与临床语言科学学院，Earley Gate, Whiteknights, Reading, RG6 6AL，英国，44 7817027035，eHealth %K eHealth %K精神疾病%K精神障碍%K常见精神疾病%K抑郁%K焦虑%K自我护理%D 2020 %7背景:针对常见精神障碍(CMDs)或CMDs症状的数字干预正在迅速增长并越来越受欢迎，可能是对CMDs患病率增加以及对早期寻求帮助和自我护理的认识提高的反应。然而，此前没有发现针对这些新干预措施的系统综述。目的:本系统综述旨在确定完全基于网络的干预措施的范围，为CMDs或阈下症状患者提供筛查和治疗路标，包括自我管理策略。此外，还进行了一项meta分析，以评估这些干预措施对心理健康和心理健康结果的有效性。方法:检索1999年1月1日至2020年4月初的MEDLINE、PsycINFO、EMBASE等10个电子数据库。我们纳入了随机对照试验(rct)，评估数字干预(1)针对有CMDs症状的成年人，(2)提供筛查和指向其他资源(包括自我护理)的信号，(3)完全通过互联网提供。提取和比较干预特征，包括目标人群、使用的平台、关键设计特征和结果测量结果。试验结果纳入用户福祉和心理健康结果有效性的荟萃分析。 We also rated the meta-analysis results with the Grading of Recommendations, Assessment, Development, and Evaluations approach to establish the quality of the evidence. Results: The electronic searches yielded 21 papers describing 16 discrete digital interventions. These interventions were investigated in 19 unique trials including 1 (5%) health economic study. Most studies were conducted in Australia and North America. The targeted populations varied from the general population to allied health professionals. All interventions offered algorithm-driven screening with measures to assess symptom levels and to assign treatment options including automatic web-based psychoeducation, self-care strategies, and signposting to existing services. A meta-analysis of usable trial data showed that digital interventions improved well-being (3 randomized controlled trials [RCTs]; n=1307; standardized mean difference [SMD] 0.40; 95% CI 0.29 to 0.51; I2=28%; fixed effect), symptoms of mental illness (6 RCTs; n=992; SMD −0.29; 95% CI −0.49 to −0.09; I2=51%; random effects), and work and social functioning (3 RCTs; n=795; SMD −0.16; 95% CI −0.30 to −0.02; I2=0%; fixed effect) compared with waitlist or attention control. However, some follow-up data failed to show any sustained effects beyond the post intervention time point. Data on mechanisms of change and cost-effectiveness were also lacking, precluding further analysis. Conclusions: Digital mental health interventions to assess and signpost people experiencing symptoms of CMDs appear to be acceptable to a sufficient number of people and appear to have enough evidence for effectiveness to warrant further study. We recommend that future studies incorporate economic analysis and process evaluation to assess the mechanisms of action and cost-effectiveness to aid scaling of the implementation. %M 32876577 %R 10.2196/20581 %U //www.mybigtv.com/2020/9/e20581 %U https://doi.org/10.2196/20581 %U http://www.ncbi.nlm.nih.gov/pubmed/32876577