Pilot Feasibility Study of a Brief, Tailored Mobile Health Intervention for Depression among Patients with Chronic Pain
Pilot Feasibility Study of a Brief, Tailored Mobile Health Intervention for Depression among Patients with Chronic Pain
复制标题
DOI：
10.1080/08964289.2013.867827
复制
发表时间：
2015-01-02
影响因子：
2.3
通讯作者：
Ondersma, Steven J.
中科院分区：
文献类型：
--
作者：
Ahmedani, Brian K.;Crotty, Nuala;Ondersma, Steven J.
该试点可行性研究调查了一种简短的、量身定制的移动的健康干预，以提供简短的治疗，并激励患有共病慢性疼痛的患者寻求进一步的抑郁治疗。电脑平板电脑干预是在医院诊所使用混合动机访谈和认知行为治疗方法提供的。个人年龄至少为18岁，并在慢性疼痛就诊期间筛查出抑郁症阳性。参与者在干预前和两周随访时完成了评估。64名参与者大多数年龄在50岁以上，女性和白人。参与者的评分表明，寻求抑郁症治疗的兴趣增加，愿意改变生活以减轻症状。观察到平均抑郁评分显著降低，两项残疾指标均无显著降低。这种干预是可行的和可接受的，在减少抑郁症和增加治疗兴趣方面表现出了希望，应该在试验中进行测试。
This pilot feasibility study investigated a brief, tailored mobile health intervention to provide brief treatment and motivate further depression treatment seeking among patients with comorbid chronic pain. The computer tablet intervention was delivered in a hospital clinic using a blended motivational interviewing and cognitive behavioral therapy approach. Individuals were at least age 18, and screened positive for depression during a visit for chronic pain. Participants completed assessments before the intervention and at two-week follow-up. The 64 participants were most often over 50years old, female, and Caucasian. Participant ratings demonstrated an increase in interest to seek depression treatment and willingness to make life changes to mitigate symptoms. A significant reduction in mean depression score and non-significant reductions on both measures of disability were observed. This intervention was feasible and acceptable, demonstrated promise in reducing depression and increasing treatment interest, and should be tested in a trial.