TY - JOUR AU - Mukhiya, Suresh Kumar AU - Wake, Jo Dugstad AU - Inal, Yavuz AU - Pun, Ka I AU - Lamo, Yngve PY - 2020 DA - 20/11/27 TI -网络传递心理治疗系统中的适应性元素:系统综述JO - J Med Internet Res SP - e21066 VL - 22 IS - 11kw -认知行为治疗KW -互联网传递心理治疗KW -适应治疗KW -基于互联网的治疗KW -适应系统KW -心理健康KW -文献综述KW -以架构为中心的发展KW -量身定制的互联网干预KW -灵活移动健康互联网干预AB -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。结果:根据纳入标准，最初共确定了3341篇研究。 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. SN - 1438-8871 UR - //www.mybigtv.com/2020/11/e21066/ UR - https://doi.org/10.2196/21066 UR - http://www.ncbi.nlm.nih.gov/pubmed/33245285 DO - 10.2196/21066 ID - info:doi/10.2196/21066 ER -