Are Mobile Phones and Handheld Computers Being Used to Enhance Delivery of Psychiatric Treatment? A Systematic Review

Are Mobile Phones and Handheld Computers Being Used to Enhance Delivery of Psychiatric Treatment? A Systematic Review
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DOI:
10.1097/nmd.0b013e3182349e90
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发表时间:
2011-11-01
影响因子:
1.9
通讯作者:
Himelhoch, Seth
Himelhoch, Seth
中科院分区:
医学4区
文献类型:
--
作者:
Ehrenreich, Benjamin;Righter, Bryan;Himelhoch, Seth

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通信技术的迅速普及为加强提供精神卫生保健提供了机会。我们使用系统评价和荟萃分析指南的首选报告项目对随机对照试验进行定性评价,这些试验报告了使用移动电话或掌上电脑增强精神疾病治疗的疗效。我们确定了8个随机对照试验。五项研究使用手机来瞄准戒烟。与对照组相比,接受戒烟干预的人更有可能实现戒烟。三项研究使用非个人数字助理(PDA)掌上电脑针对焦虑。与对照组相比,接受非pda掌上电脑干预的患者在三项研究中只有一项的焦虑结果有显著改善。对移动电话、PDA或智能手机干预心理健康问题的严格评估数量有限,这突显了利用当代技术的可用工具加强我们干预的机会。
The rapid diffusion of communication technology has provided opportunities to enhance the delivery of mental health care. We used Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to conduct a qualitative review of randomized controlled trials that reported on the efficacy of mobile phones or handheld computers used to enhance the treatment of psychiatric disorders. We identified eight randomized controlled trials. Five studies used mobile phones to target smoking cessation. Those receiving the smoking cessation intervention were significantly more likely to achieve abstinence compared with those under the control condition. Three studies used non-personal digital assistant (PDA) handheld computers targeting anxiety. Compared with those in the control condition, those who received the non-PDA handheld computer intervention had significant improvement in anxiety outcomes in only one of the three studies. The limited number of rigorous evaluations of mobile phone, PDA, or smartphone interventions for mental health problems underscores the opportunities to enhance our interventions using the available tools of contemporary technology.