TY - JOUR AU - Ospina-Pinillos, Laura AU - Davenport, Tracey AU - Iorfino, Frank AU - Tickell, Ashleigh AU - Cross, Shane AU - Scott, Elizabeth M AU - Hickie, Ian B PY - 2018 DA - 2018/09/10 TI -使用新的创新技术评估早期干预青少年心理健康服务的临床阶段:评估研究JO - J医学互联网研究SP - e259 VL - 20 IS - 9kw -分期模型KW -心理健康KW -初级卫生保健KW -远程医疗KW -症状评估卫生服务改革AB -背景:在全球范围内，越来越多的人认识到需要新的策略来减少由常见心理健康问题引起的残疾。由于75%的精神健康和药物使用障碍是在青少年或成年早期出现的，因此这些策略需要便于年轻人使用。在考虑如何大规模提供此类服务时，新的创新技术在增强传统的基于诊所的服务方面显示出前景。目的:本研究的目的是测试新的和创新的技术，以评估早期干预青少年心理健康服务的临床阶段，使用一个被称为心理健康eClinic (MHeC)的原型在线系统。方法:将MHeC的在线评估直接与悉尼2家青年心理健康服务机构(headspace Camperdown和headspace Campbelltown)的传统临床医生评估进行比较。共有204名年轻人参与了这项研究。符合条件的参与者同时完成了面对面和在线评估，这些评估是随机分配的，并以1:3的比例进行平衡。这些评估包括(1)由青年临床医生进行的传统45- 60分钟的头顶面对面评估和(2)大约60分钟的在线评估(包括基于网络的自我报告调查、结果即时仪表板和与临床医生的视频访问)。所有评估均在初次报告后2周内完成。 Results: Of the 72 participants who completed the study, 71% (51/72) were female and the mean age was 20.4 years (aged 16 to 25 years); 68% (49/72) of participants were recruited from headspace Camperdown and the remaining 32% (23/72) from headspace Campbelltown. Interrater agreement of participants’ stage, as determined after face-to-face assessment or online assessment, demonstrated fair agreement (kappa=.39, P<.001) with concordance in 68% of cases (49/72). Among the discordant cases, those who were allocated to a higher stage by online raters were more likely to report a past history of mental health disorders (P=.001), previous suicide planning (P=.002), and current cannabis misuse (P=.03) compared to those allocated to a lower stage. Conclusions: The MHeC presents a new and innovative method for determining key clinical service parameters. It has the potential to be adapted to varied settings in which young people are connected with traditional clinical services and assist in providing the right care at the right time. SN - 1438-8871 UR - //www.mybigtv.com/2018/9/e259/ UR - https://doi.org/10.2196/jmir.9966 UR - http://www.ncbi.nlm.nih.gov/pubmed/30201602 DO - 10.2196/jmir.9966 ID - info:doi/10.2196/jmir.9966 ER -