The feasibility, acceptability, and outcomes of PRIME-D: A novel mobile intervention treatment for depression.
The feasibility, acceptability, and outcomes of PRIME-D: A novel mobile intervention treatment for depression.
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DOI：
10.1002/da.22624
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发表时间：
2017-06
影响因子：
7.4
通讯作者：
Arean P
中科院分区：
文献类型：
--
作者：
Schlosser DA;Campellone TR;Truong B;Anguera JA;Vergani S;Vinogradov S;Arean P
尽管经过数十年的研究和开发，抑郁症已从第五位上升为美国残疾的主要原因。该领域取得进展的障碍是：1）难以获得高质量的护理; 2）有限的心理健康工作人员; 3）很少有经过循证治疗（EBT）培训的提供者。虽然正在开发移动的平台，使消费者更容易获得高质量的护理，但这些工具往往没有经验支持其有效性。在这项研究中，我们评估了PRIME-D，这是一种移动的应用程序干预措施，它使用社交网络、目标设定和心理健康教练来提供基于文本的EBT，以治疗成年抑郁症患者的情绪症状和功能。36名患有抑郁症的成年人远程参与了为期8周的PRIME-D，并进行了为期4周的随访，其中83%的人在12周的研究过程中保留了下来。平均而言，参与者每周登录应用程序5天。随着时间的推移，抑郁评分（PHQ-9）显着改善（减少50%以上），教练的互动增强了这些效果。随着时间的推移，情绪相关残疾（SDS）也显著下降，参与者不再受到情绪症状的影响。PRIME-D的总体使用预测功能的更大收益。在4周的随访中，情绪和功能得到了持续改善。结果表明，PRIME-D是一种可行的，可接受的，有效的干预成年抑郁症和移动的服务提供模式可以解决严重的公共卫生问题，获得高质量的精神卫生保健。
Despite decades of research and development, depression has risen from the 5th to the leading cause of disability in the U.S. Barriers to progress in the field are 1) Poor access to high quality care; 2) Limited mental health workforce; and 3) Few providers trained in the delivery of evidence-based treatments (EBTs). While mobile platforms are being developed to give consumers greater access to high quality care, too often these tools do not have empirical support for their effectiveness. In this study, we evaluated PRIME-D, a mobile app intervention that uses social networking, goal setting, and a mental health coach to deliver text-based, EBT’s to treat mood symptoms and functioning in adults with depression. Thirty-six adults with depression remotely participated in PRIME-D over an 8-week period with a 4-week follow up, with 83% retained over the 12-week course of the study. On average, participants logged into the app 5 days/week. Depression scores (PHQ-9) significantly improved over time (over 50% reduction), with coach interactions enhancing these effects. Mood-related disability (SDS) also significantly decreased over time with participants no longer being impaired by their mood symptoms. Overall use of PRIME-D predicted greater gains in functioning. Improvements in mood and functioning were sustained over the 4-week follow-up. Results suggest that PRIME-D is a feasible, acceptable, and effective intervention for adults with depression and that a mobile service delivery model may address the serious public health problem of poor access to high quality mental health care.
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影响因子：
1.7
作者：
Schlosser, Danielle;Campellone, Timothy;Vinogradov, Sophia
通讯作者：
Vinogradov, Sophia
DOI：
10.2190/t8em-c8yh-373n-1uwd
发表时间：
1997-01-01
影响因子：
2
作者：
Leon, AC;Olfson, M;Sheehan, DV
通讯作者：
Sheehan, DV
影响因子：
6.6
作者：
McMillan, Dean;Gilbody, Simon;Richards, David
通讯作者：
Richards, David
影响因子：
120.7
作者：
Spitzer, RL;Kroenke, K;Williams, JBW
通讯作者：
Williams, JBW
影响因子：
3.7
作者：
Mohr, David C.;Duffecy, Jenna;Begale, Mark
通讯作者：
Begale, Mark