TY -的AU -伯恩斯坦,艾米丽E盟——Weingarden希拉里AU -沃尔夫,艾玛C AU -大厅,玛格丽特•D AU - Snorrason Ivar AU -威廉,Sabine PY - 2022 DA - 2022/4/8 TI -人力支持App-Based认知行为治疗情感障碍:范围审查乔- J地中海互联网Res SP - e33307六世- 24 - 4 KW -数字医疗KW -心理健康KW -认知行为疗法KW -指导KW -引导KW -移动应用KW -情绪障碍KW -手机AB -背景:基于智能手机应用程序的治疗为缩小精神疾病风险人群或精神疾病患者在现有精神卫生保健方面的差距提供了明确的希望。为此,随着智能手机的普及,基于应用程序的治疗也变得越来越普遍。但是,应用程序治疗的研究相对滞后。特别是,尽管专家认为,人类的支持可能对提高参与度和有效性至关重要,但我们对人类支持在基于应用程序的治疗中所起的作用知之甚少。解决这些悬而未决的问题对于优化设计和扩大干预措施的规模至关重要。目的:本研究的目的是对基于应用程序的情感障碍认知行为治疗中人类支持或指导的使用进行范围审查,确定关键的知识空白,并为未来的研究提供建议。认知行为疗法是针对广泛问题研究最充分的治疗方法,由于其结构化、基于技能的方法,被认为特别适合于数字化实施。方法:系统检索PubMed、PsycINFO、Embase 3个数据库。总的来说,符合条件的文章描述了通过智能手机应用程序提供的认知行为干预,其主要目标是情绪障碍或问题,并包括一定程度的人类参与或支持(指导)。 All records were reviewed by 2 authors. Information regarding the qualifications and training of coaches, stated purpose and content of the coaching, method and frequency of communication with users, and relationship between coaching and outcomes was recorded. Results: Of the 2940 titles returned by the searches, 64 (2.18%) were eligible for inclusion. This review found significant heterogeneity across all of the dimensions of coaching considered as well as considerable missing information in the published articles. Moreover, few studies had qualitatively or quantitatively evaluated how the level of coaching impacts treatment engagement or outcomes. Although users tend to self-report that coaching improves their engagement and outcomes, there is limited and mixed supporting quantitative evidence at present. Conclusions: Digital mental health is a young but rapidly expanding field with great potential to improve the reach of evidence-based care. Researchers across the reviewed articles offered numerous approaches to encouraging and guiding users. However, with the relative infancy of these treatment approaches, this review found that the field has yet to develop standards or consensus for implementing coaching protocols, let alone those for measuring and reporting on the impact. We conclude that coaching remains a significant hole in the growing digital mental health literature and lay out recommendations for future data collection, reporting, experimentation, and analysis. SN - 1438-8871 UR - //www.mybigtv.com/2022/4/e33307 UR - https://doi.org/10.2196/33307 UR - http://www.ncbi.nlm.nih.gov/pubmed/35394434 DO - 10.2196/33307 ID - info:doi/10.2196/33307 ER -
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