Human Support in App-Based Cognitive Behavioral Therapies for Emotional Disorders: Scoping Review.
Human Support in App-Based Cognitive Behavioral Therapies for Emotional Disorders: Scoping Review.
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人类支持情绪障碍的基于应用程序的认知行为疗法：范围评论。
DOI：
10.2196/33307
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发表时间：
2022-04-08
影响因子：
7.4
通讯作者：
中科院分区：
文献类型：
--
作者：
基于智能手机应用程序的治疗为缩小精神疾病风险人群或精神疾病患者在现有精神卫生保健方面的差距提供了明确的希望。为此，随着智能手机的普及，基于应用程序的治疗也变得越来越普遍。但是，应用程序治疗的研究相对滞后。特别是，尽管专家认为，人类的支持可能对提高参与度和有效性至关重要，但我们对人类支持在基于应用程序的治疗中所起的作用知之甚少。解决这些悬而未决的问题对于优化设计和扩大干预措施的规模至关重要。本研究的目的是对基于应用程序的情感障碍认知行为治疗中人类支持或指导的使用进行范围审查，确定关键的知识差距，并为未来的研究提供建议。认知行为疗法是针对广泛问题研究最充分的治疗方法，由于其结构化、基于技能的方法，被认为特别适合于数字化实施。我们对3个数据库（PubMed、PsycINFO和Embase）进行了系统检索。总的来说，符合条件的文章描述了通过智能手机应用程序提供的认知行为干预，其主要目标是情绪障碍或问题，并包括一定程度的人类参与或支持（指导）。所有记录由2位作者审阅。记录了教练员的资格和培训、教练员的目的和内容、与用户沟通的方法和频率、教练员与结果之间的关系等信息。在检索返回的2940个标题中，64个（2.18%）符合纳入条件。本综述发现，在所考虑的所有辅导维度中存在显著的异质性，并且在已发表的文章中存在相当大的信息缺失。此外，很少有研究定性或定量地评估指导水平如何影响治疗参与或结果。尽管用户倾向于自我报告教练提高了他们的参与度和结果，但目前支持的定量证据有限且混杂。数字精神卫生是一个年轻但迅速发展的领域，在改善循证护理范围方面具有巨大潜力。研究人员在审查的文章中提供了许多方法来鼓励和指导用户。然而，由于这些治疗方法的相对初期阶段，本综述发现该领域尚未制定实施指导协议的标准或共识，更不用说衡量和报告影响了。我们得出结论，在不断增长的数字心理健康文献中，辅导仍然是一个重要的漏洞，并为未来的数据收集、报告、实验和分析提出了建议。
Smartphone app–based therapies offer clear promise for reducing the gap in available mental health care for people at risk for or people with mental illness. To this end, as smartphone ownership has become widespread, app-based therapies have become increasingly common. However, the research on app-based therapies is lagging behind. In particular, although experts suggest that human support may be critical for increasing engagement and effectiveness, we have little systematic knowledge about the role that human support plays in app-based therapy. It is critical to address these open questions to optimally design and scale these interventions. The purpose of this study is to provide a scoping review of the use of human support or coaching in app-based cognitive behavioral therapy for emotional disorders, identify critical knowledge gaps, and offer recommendations for future research. Cognitive behavioral therapy is the most well-researched treatment for a wide range of concerns and is understood to be particularly well suited to digital implementations, given its structured, skill-based approach. We conducted systematic searches of 3 databases (PubMed, PsycINFO, and Embase). Broadly, eligible articles described a cognitive behavioral intervention delivered via smartphone app whose primary target was an emotional disorder or problem and included some level of human involvement or support (coaching). All records were reviewed by 2 authors. Information regarding the qualifications and training of coaches, stated purpose and content of the coaching, method and frequency of communication with users, and relationship between coaching and outcomes was recorded. Of the 2940 titles returned by the searches, 64 (2.18%) were eligible for inclusion. This review found significant heterogeneity across all of the dimensions of coaching considered as well as considerable missing information in the published articles. Moreover, few studies had qualitatively or quantitatively evaluated how the level of coaching impacts treatment engagement or outcomes. Although users tend to self-report that coaching improves their engagement and outcomes, there is limited and mixed supporting quantitative evidence at present. Digital mental health is a young but rapidly expanding field with great potential to improve the reach of evidence-based care. Researchers across the reviewed articles offered numerous approaches to encouraging and guiding users. However, with the relative infancy of these treatment approaches, this review found that the field has yet to develop standards or consensus for implementing coaching protocols, let alone those for measuring and reporting on the impact. We conclude that coaching remains a significant hole in the growing digital mental health literature and lay out recommendations for future data collection, reporting, experimentation, and analysis.
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影响因子：
3
作者：
Economides, Marcos;Lehrer, Paul;Forman-Hoffman, Valerie L.
通讯作者：
Forman-Hoffman, Valerie L.
影响因子：
1.6
作者：
Berg, Carla J.;Vanderpool, Robin C.;Mertens, Ann
通讯作者：
Mertens, Ann
影响因子：
7.4
作者：
Arean PA;Hallgren KA;Jordan JT;Gazzaley A;Atkins DC;Heagerty PJ;Anguera JA
通讯作者：
Anguera JA
影响因子：
4.5
作者：
Chen, Annie T.;Wu, Shuyang;Mohr, David C.
通讯作者：
Mohr, David C.
影响因子：
7.4
作者：
Baumel, Amit;Muench, Frederick;Kane, John M.
通讯作者：
Kane, John M.