Digital technology for treating and preventing mental disorders in low-income and middle-income countries: a narrative review of the literature.
Digital technology for treating and preventing mental disorders in low-income and middle-income countries: a narrative review of the literature.
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DOI：
10.1016/s2215-0366(17)30096-2
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发表时间：
2017-06
期刊：
影响因子：
--
通讯作者：
Bartels SJ
中科院分区：
文献类型：
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作者：
Naslund JA;Aschbrenner KA;Araya R;Marsch LA;Unützer J;Patel V;Bartels SJ
在全球范围内，很少有精神障碍患者能够获得精神卫生保健，但大多数人都有手机。数字技术有望改善精神卫生保健的可及性和质量。我们审查了低收入和中等收入国家使用移动、在线和其他远程技术治疗和预防精神障碍的证据。在确定的49项研究中，大多数是对可行性和可接受性的初步评价。研究结果令人鼓舞，显示了在线、短信和电话支持干预的潜在有效性。我们将这些评估总结为：支持临床护理和教育卫生工作者的技术、促进诊断和发现精神障碍的移动工具、促进坚持治疗和支持康复的技术、精神障碍患者的在线自助方案以及预防和治疗药物滥用的方案。需要继续进行研究，以严格评估数字技术干预精神障碍的有效性、评估成本并仔细考虑其潜在风险，同时确定新兴技术如何支持在资源匮乏的环境中扩大精神卫生治疗和预防工作。
Few individuals living with mental disorders around the globe have access to mental health care, yet most have access to a mobile phone. Digital technology holds promise for improving access to, and quality of, mental health care. We reviewed evidence on the use of mobile, online, and other remote technologies for treatment and prevention of mental disorders in low-income and middle-income countries. Of the 49 studies identified, most were preliminary evaluations of feasibility and acceptability. The findings were promising, showing the potential effectiveness of online, text-messaging, and telephone support interventions. We summarised the evaluations as: technology for supporting clinical care and educating health workers, mobile tools for facilitating diagnosis and detection of mental disorders, technologies for promoting treatment adherence and supporting recovery, online self-help programmes for individuals with mental disorders, and programmes for substance misuse prevention and treatment. Continued research is needed to rigorously evaluate effectiveness, assess costs, and carefully consider potential risks of digital technology interventions for mental disorders, while determining how emerging technologies might support the scale-up of mental health treatment and prevention efforts across low-resource settings.