I JMIR出版物V 24% N 10% P e40292% T一个智卡塔尔世界杯8强波胆分析能手机应用程序，促进患者的激活，并支持在门诊治疗环境中诊断为精神分裂症的人的共享决策(动量试验):随机对照评估盲法试验%A Vitger,Tobias %A Hjorthøj,Carsten %A Austin,Stephen F %A Petersen,Lone %A Tønder,Esben Sandvik %A Nordentoft,Merete %A Korsbek,Lisa %+康复和康复能力中心，心理健康中心，丹麦首都地区心理健康服务，balerup, 2750，丹麦，45 51408519，tobias246@hotmail.com %K移动健康%K移动健康%K数字干预%K共享决策%K患者激活%K精神分裂症%K分裂型%K早期干预%K随机临床试验%K手机%D 2022 %7 26.10.2022 %9原始论文%J J医学互联网Res %G英文%X背景:共享决策(SDM)是一个旨在通过确保患者和提供者积极参与治疗决策来促进以患者为中心的护理的过程。在精神卫生保健中，SDM一直被倡导作为一种手段，让患者获得或重新获得对他们的生活和恢复过程的控制和责任。为了支持以患者为中心的护理和SDM过程，数字工具可能在可访问性、结构和提醒方面具有优势。目的:在这项随机对照试验中，我们旨在研究数字工具对支持患者激活和SDM的影响。方法:该试验是一项随机、评估者盲法、2组、平行组多中心试验，调查使用数字SDM干预6个月，与常规治疗相比。诊断为精神分裂症、分裂型或妄想症的参与者从丹麦首都地区的9个门诊治疗地点招募。主要结果是干预后时间点自我报告的激活水平。次要结果包括自我效能、希望、工作联盟、满意度、治疗咨询准备、症状严重程度和功能水平。 Explorative outcomes on the effect of the intervention at the midintervention time point along with objective data on the use of the digital tool were collected. Results: In total, 194 participants were included. The intention-to-treat analysis revealed a statistically significant effect favoring the intervention group on patient activation (mean difference 4.39, 95% CI 0.99-7.79; Cohen d=0.33; P=.01), confidence in communicating with one’s provider (mean difference 1.85, 95% CI 0.01-3.69; Cohen d=0.24; P=.05), and feeling prepared for decision-making (mean difference 5.12, 95% CI 0.16-10.08; Cohen d=0.27; P=.04). We found no effect of the digital SDM tool on treatment satisfaction, hope, self-efficacy, working alliance, severity of symptoms, level of functioning, use of antipsychotic medicine, and number or length of psychiatric hospital admissions. Conclusions: This trial showed a significant effect of a digital SDM tool on the subjective level of patient activation, confidence in communicating with one’s provider, and feeling prepared for decision-making at the postintervention time point. The effect size was smaller than the 0.42 effect size that we had anticipated and sampled for. The trial contributes to the evidence on how digital tools may support patient-centered care and SDM in mental health care. Trial Registration: ClinicalTrials.gov NCT03554655; https://clinicaltrials.gov/ct2/show/NCT03554655 International Registered Report Identifier (IRRID): RR2-doi: 10.1186/s12888-019-2143-2 %M 36287604 %R 10.2196/40292 %U //www.mybigtv.com/2022/10/e40292 %U https://doi.org/10.2196/40292 %U http://www.ncbi.nlm.nih.gov/pubmed/36287604