Exploring User Needs for a Mobile Behavioral-Sensing Technology for Depression Management: Qualitative Study.
Exploring User Needs for a Mobile Behavioral-Sensing Technology for Depression Management: Qualitative Study.
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探索用户对抑郁管理的移动行为感应技术的需求：定性研究。
DOI：
10.2196/10139
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发表时间：
2018-07-17
影响因子：
7.4
通讯作者：
Zhang M
中科院分区：
文献类型：
--
作者：
Meng J;Hussain SA;Mohr DC;Czerwinski M;Zhang M
今天，大学生正在以几十年来最高的速度处理抑郁症。大学心理咨询中心作为心理健康服务的主要提供者，由于时间的限制和对学生自我报告的依赖，其提供心理健康服务的能力和效率受到限制。一个移动的行为传感平台可以作为一个解决方案，以提高大学咨询服务的效率和可及性。本研究的主要目的是（1）了解移动的传感平台（iSee）在改善咨询服务和帮助学生自我管理抑郁症方面的有用性，以及（2）从临床医生和学生的角度探讨什么类型的行为目标（即从原始传感器数据中提取的有意义的信息）和反馈。我们对9名临床医生和12名从中西部一所大型大学的咨询中心招募的抑郁症学生进行了半结构化访谈。访谈时间为40-50分钟，有录音和文字记录。访谈数据采用主题分析法进行归纳分析。临床医生和学生访谈分别进行了分析比较。提取主题的过程包括迭代编码、备忘录撰写、主题重访和细化。从临床医生的角度来看，移动的传感平台有助于改善咨询服务，为临床医生提供客观的证据，填补了临床医生与患者沟通的空白。临床医生建议为学生提供围绕个性化目标组织的感知行为目标。临床医生还建议根据学生感知到的行为目标向他们提供治疗反馈，包括积极强化、反思提醒和挑战消极思想。从学生的角度来看，移动的传感平台有助于缓解持续的自我跟踪实践。学生们表示他们需要综合的行为目标，以了解行为和抑郁症之间的相关性。他们还指出，他们更愿意避免看到负面反馈。虽然临床医生和学生的参与者共享的优势，iSee在支持大学咨询的意见，他们有不同的意见的类型的行为目标和反馈，通过iSee提供。这项探索性的工作获得了初步的见解设计的移动的传感平台抑郁症管理和通知一个更确凿的研究项目的未来。
Today, college students are dealing with depression at some of the highest rates in decades. As the primary mental health service provider, university counseling centers are limited in their capacity and efficiency to provide mental health care due to time constraints and reliance on students’ self-reports. A mobile behavioral-sensing platform may serve as a solution to enhance the efficiency and accessibility of university counseling services. The main objectives of this study are to (1) understand the usefulness of a mobile sensing platform (ie, iSee) in improving counseling services and assisting students’ self-management of their depression conditions, and (2) explore what types of behavioral targets (ie, meaningful information extracted from raw sensor data) and feedback to deliver from both clinician and students’ perspectives. We conducted semistructured interviews with 9 clinicians and 12 students with depression recruited from a counseling center at a large Midwestern university. The interviews were 40-50 minutes long and were audio recorded and transcribed. The interview data were analyzed using thematic analysis with an inductive approach. Clinician and student interviews were analyzed separately for comparison. The process of extracting themes involved iterative coding, memo writing, theme revisits, and refinement. From the clinician perspective, the mobile sensing platform helps to improve counseling service by providing objective evidence for clinicians and filling gaps in clinician-patient communication. Clinicians suggested providing students with their sensed behavioral targets organized around personalized goals. Clinicians also recommended delivering therapeutic feedback to students based on their sensed behavioral targets, including positive reinforcement, reflection reminders, and challenging negative thoughts. From the student perspective, the mobile sensing platform helps to ease continued self-tracking practices. Students expressed their need for integrated behavioral targets to understand correlations between behaviors and depression. They also pointed out that they would prefer to avoid seeing negative feedback. Although clinician and student participants shared views on the advantages of iSee in supporting university counseling, they had divergent opinions on the types of behavioral targets and feedback to be provided via iSee. This exploratory work gained initial insights into the design of a mobile sensing platform for depression management and informed a more conclusive research project for the future.
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影响因子：
7.4
作者：
Saeb S;Zhang M;Karr CJ;Schueller SM;Corden ME;Kording KP;Mohr DC
通讯作者：
Mohr DC
影响因子：
7.4
作者：
Arean PA;Hallgren KA;Jordan JT;Gazzaley A;Atkins DC;Heagerty PJ;Anguera JA
通讯作者：
Anguera JA
DOI：
10.1146/annurev-clinpsy-032816-044949
发表时间：
2017-05-08
影响因子：
18.4
作者：
Mohr DC;Zhang M;Schueller SM
通讯作者：
Schueller SM
影响因子：
7.4
作者：
Donker T;van Straten A;Marks I;Cuijpers P
通讯作者：
Cuijpers P
影响因子：
7.4
作者：
Wahle, Fabian;Bollhalder, Lea;Fleisch, Elgar
通讯作者：
Fleisch, Elgar