Development of a web-based intervention for the indicated prevention of depression.
Development of a web-based intervention for the indicated prevention of depression.
复制标题
开发基于网络的干预措施，以预防抑郁症。
DOI：
10.1186/1472-6947-13-26
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发表时间：
2013-02-20
影响因子：
3.5
通讯作者：
van Gemert-Pijnen JE
中科院分区：
文献类型：
--
作者：
Kelders SM;Pots WT;Oskam MJ;Bohlmeijer ET;van Gemert-Pijnen JE
为了减轻抑郁症高患病率带来的巨大公共卫生负担，针对高危人群的预防性干预措施至关重要，而且具有成本效益。基于网络的干预措施能够提供这种护理，但对于如何最好地开发这些应用程序尚未达成一致，并且通常该技术被视为既定的。这似乎是基于网络的干预措施未能充分发挥其潜力的主要原因之一。当前的研究描述了利用 CeHRes（电子健康研究和疾病管理中心）路线图开发基于网络的干预措施，以预防抑郁症。目标是创建一个符合利益相关者价值观的用户友好的应用程序，并评估开发过程。采用的方法是文献扫描和情境探究中的讨论；访谈、快速原型设计和价值规范阶段的需求会议；基于用户的可用性评估、基于专家的可用性检查以及设计阶段的需求会议。背景调查表明，需要易于获得的干预措施来预防抑郁症，而基于网络的干预措施被认为有可能满足这一需求。价值规范阶段产生了潜在参与者的预期需求、对所提议功能的有用性的评论以及对基于网络干预的两个提议设计的评论。设计阶段对网络干预的系统、内容和服务提出了宝贵的意见。总的来说，我们发现通过开发技术，我们成功地（重新）设计了基于网络的干预的系统、内容和服务，以匹配利益相关者的价值观。这项研究表明了基于网络的干预措施的结构化开发过程对于预防抑郁症的重要性，因为：（1）它允许开发团队澄清干预措施必须满足的需求，才能对目标受众有用； (2) 它产生对应用程序设计的反馈，其范围比颜色和按钮更广泛，但包含对应用程序提供的服务质量的评论。
To reduce the large public health burden of the high prevalence of depression, preventive interventions targeted at people at risk are essential and can be cost-effective. Web-based interventions are able to provide this care, but there is no agreement on how to best develop these applications and often the technology is seen as a given. This seems to be one of the main reasons that web-based interventions do not reach their full potential. The current study describes the development of a web-based intervention for the indicated prevention of depression, employing the CeHRes (Center for eHealth Research and Disease Management) roadmap. The goals are to create a user-friendly application which fits the values of the stakeholders and to evaluate the process of development. The employed methods are a literature scan and discussion in the contextual inquiry; interviews, rapid prototyping and a requirement session in the value specification stage; and user-based usability evaluation, expert-based usability inspection and a requirement session in the design stage. The contextual inquiry indicated that there is a need for easily accessible interventions for the indicated prevention of depression and web-based interventions are seen as potentially meeting this need. The value specification stage yielded expected needs of potential participants, comments on the usefulness of the proposed features and comments on two proposed designs of the web-based intervention. The design stage yielded valuable comments on the system, content and service of the web-based intervention. Overall, we found that by developing the technology, we successfully (re)designed the system, content and service of the web-based intervention to match the values of stakeholders. This study has shown the importance of a structured development process of a web-based intervention for the indicated prevention of depression because: (1) it allows the development team to clarify the needs that have to be met for the intervention to be of use to the target audience; and (2) it yields feedback on the design of the application that is broader than color and buttons, but encompasses comments on the quality of the service that the application offers.
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影响因子：
12.7
作者：
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通讯作者：
Boles, SM
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作者：
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