Identifying research priorities for digital technology in mental health care: results of the James Lind Alliance Priority Setting Partnership
Identifying research priorities for digital technology in mental health care: results of the James Lind Alliance Priority Setting Partnership
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DOI：
10.1016/s2215-0366(18)30296-7
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发表时间：
2018-10-01
影响因子：
64.3
通讯作者：
Tomlin, Andre
中科院分区：
文献类型：
--
作者：
Hollis, Chris;Sampson, Stephanie;Tomlin, Andre
数字技术，包括互联网，智能手机和可穿戴设备，通过提供灵活和量身定制的心理健康护理方法，提供了弥合心理健康治疗差距的可能性，这些方法比目前可用的方法更容易获得，可能更少污名化。然而，数字心理健康干预措施的证据基础，包括在现实世界环境中证明临床有效性和成本效益，仍然不足。詹姆斯·林德联盟（James Lind Alliance）建立了精神卫生保健数字技术优先事项设置伙伴关系，以确定反映精神卫生问题和使用精神卫生服务的人，他们的照顾者和卫生保健从业者的观点和未满足的需求的研究优先事项。644名参与者提出了1369个独立的问题，这些问题通过定性专题分析缩减为六个总体主题。在删除范围外的问题并全面搜索现有证据后，134个问题被证实为适合研究的不确定性。这些问题然后由628名参与者在网上和讲习班上进行排名，产生了26个短名单。在一次利益攸关方研讨会上以协商一致方式确定的十大研究优先事项应成为这一领域研究政策和资金筹措的依据。确定的优先事项主要涉及数字技术干预措施与面对面干预措施相比的安全性和有效性，人口覆盖率的证据，治疗变化的机制，以及数字干预措施与人类支持相结合的有效性可能得到优化的方式。
Digital technology, including the internet, smartphones, and wearables, provides the possibility to bridge the mental health treatment gap by offering flexible and tailored approaches to mental health care that are more accessible and potentially less stigmatising than those currently available. However, the evidence base for digital mental health interventions, including demonstration of clinical effectiveness and cost-effectiveness in real-world settings, remains inadequate. The James Lind Alliance Priority Setting Partnership for digital technology in mental health care was established to identify research priorities that reflect the perspectives and unmet needs of people with lived experience of mental health problems and use of mental health services, their carers, and health-care practitioners. 644 participants contributed 1369 separate questions, which were reduced by qualitative thematic analysis into six overarching themes. Following removal of out-of-scope questions and a comprehensive search of existing evidence, 134 questions were verified as uncertainties suitable for research. These questions were then ranked online and in workshops by 628 participants to produce a shortlist of 26. The top ten research priorities, which were identified by consensus at a stakeholder workshop, should inform research policy and funding in this field. Identified priorities primarily relate to the safety and efficacy of digital technology interventions in comparison with face-to-face interventions, evidence of population reach, mechanisms of therapeutic change, and the ways in which the effectiveness of digital interventions in combination with human support might be optimised.