Use of mobile assessment technologies in inpatient psychiatric settings.
Use of mobile assessment technologies in inpatient psychiatric settings.
复制标题
DOI：
10.1016/j.ajp.2014.04.004
复制
发表时间：
2014-08
影响因子：
9.5
通讯作者：
Wang, Yuanjia
中科院分区：
文献类型：
--
作者：
Kimhy, David;Vakhrusheva, Julia;Liu, Ying;Wang, Yuanjia
移动电子设备（即 PDA、手机）已成功用于对社区中患有严重精神疾病的个人进行研究。最近，人们努力将此类技术纳入门诊治疗。然而，迄今为止，在住院精神病患者中使用此类移动设备的尝试还很少。在本文中，我们通过 33 名住院精神分裂症患者评估了此类设备在住院精神科环境中的潜在用途。采用经验抽样方法，我们为使用此类设备的可行性提供支持，并提供使用此类技术可以获得的潜在临床相关信息的示例，包括评估与社会背景、单位位置和一天中的时间相关的精神病症状和负面情绪严重程度的波动。根据这些例子，我们讨论了与住院精神科患者可能使用移动电子设备相关的问题，包括与患者依从性、评估时间表、问卷开发、保密问题以及选择适当的软件/硬件相关的问题。最后，我们描述了一些需要额外研究和开发的问题和调查领域。
Mobile electronic devices (i.e., PDAs, cellphones) have been used successfully as part of research studies of individuals with severe mental illness living in the community. More recently, efforts have been made to incorporate such technologies into outpatient treatments. However, few attempts have been made to date to employ such mobile devices among hospitalized psychiatric patients. In this article, we evaluate the potential use of such devices in inpatient psychiatric settings using thirty-three hospitalized patients with schizophrenia. Employing an Experience Sampling Method approach, we provide support for the feasibility of using such devices, along with examples of potentially clinically-relevant information that can be obtained using such technologies, including assessment of fluctuations in the severity of psychotic symptoms and negative mood in relation to social context, unit location, and time of day. Following these examples, we discuss issues related to the potential use of mobile electronic devices by patients hospitalized at inpatient psychiatric settings including issues related to patients' compliance, assessment schedules, questionnaire development, confidentiality issues, as well as selection of appropriate software/hardware. Finally, we delineate some issues and areas of inquiry requiring additional research and development.