Electronic Problem-Solving Treatment: Description and Pilot Study of an Interactive Media Treatment for Depression
Electronic Problem-Solving Treatment: Description and Pilot Study of an Interactive Media Treatment for Depression
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DOI：
10.2196/resprot.1925
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发表时间：
2012-07-01
影响因子：
1.7
通讯作者：
Hegel, Mark T.
中科院分区：
文献类型：
--
作者：
Cartreine, James Albert;Locke, Steven E.;Hegel, Mark T.
背景：计算机自动抑郁症干预措施在很大程度上依赖于用户阅读文本来接受干预。然而，文本提供的干预措施给抑郁症患者带来了负担，并且仅传达口头内容。 目标：该项目的主要目的是开发一种通过交互式媒体技术提供的计算机自动化抑郁症治疗方法。通过使用分支视频和音频，该程序模拟了与一位临床大师一起接受治疗的体验，这位临床医生提供了六次问题解决治疗。第二个目标是对该程序的可用性、可接受性和可信度进行试点研究，并对其功效进行初步评估。 方法：该程序在专业多媒体制作设备中制作，包含视频、音频、图形、动画和文本。患者数据的失败分析是跨会话和跨问题进行的，以确定帮助用户改进其问题解决能力的方法。对患有轻度抑郁症的人进行了一项试点研究。实验组 (n = 7) 使用该计划，而候补对照组 (n = 7) 在 6 周内不接受任何治疗。 结果：所有实验组参与者都完成了试验，而对照组中有 1 名参与者失访。实验组参与者对该程序的可用性、可接受性和可信度给予了很高的评价。尽管这些试点数据令人鼓舞，但该研究并不能检测临床改善。结论：尽管该研究不能检测治疗效果，但参与者确实发现该程序高度可用、可接受且可信。这表明该计划的高度互动和沉浸式本质是有益的。需要进一步的临床试验。
Background: Computer-automated depression interventions rely heavily on users reading text to receive the intervention. However, text-delivered interventions place a burden on persons with depression and convey only verbal content.Objective: The primary aim of this project was to develop a computer-automated treatment for depression that is delivered via interactive media technology. By using branching video and audio, the program simulates the experience of being in therapy with a master clinician who provides six sessions of problem-solving therapy. A secondary objective was to conduct a pilot study of the program's usability, acceptability, and credibility, and to obtain an initial estimate of its efficacy.Methods: The program was produced in a professional multimedia production facility and incorporates video, audio, graphics, animation, and text. Failure analyses of patient data are conducted across sessions and across problems to identify ways to help the user improve his or her problem solving. A pilot study was conducted with persons who had minor depression. An experimental group (n = 7) used the program while a waitlist control group (n = 7) was provided with no treatment for 6 weeks.Results: All of the experimental group participants completed the trial, whereas 1 from the control was lost to follow-up. Experimental group participants rated the program high on usability, acceptability, and credibility. The study was not powered to detect clinical improvement, although these pilot data are encouraging.Conclusions: Although the study was not powered to detect treatment effects, participants did find the program highly usable, acceptable, and credible. This suggests that the highly interactive and immersive nature of the program is beneficial. Further clinical trials are warranted.