Mobile mental health: a challenging research agenda.

Mobile mental health: a challenging research agenda.
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DOI:
10.3402/ejpt.v6.27882
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发表时间:
2015
影响因子:
5
通讯作者:
Olff M
Olff M
中科院分区:
医学2区
文献类型:
--
作者:
Olff M

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移动的健康(“m-Health”)领域正在迅速发展,市场上的心理工具呈爆炸式增长。令人兴奋的高科技发展可以识别症状,帮助个人管理自己的心理健康,鼓励寻求帮助,并提供预防和治疗干预。这一发展有可能成为一种高效率、高成本效益的办法,减少等候名单,为全球相当一部分人提供服务(“全球健康”)。然而,很少有移动的应用程序(app)得到严格的评估。关于筛查和评估工具的有效性,哪些移动的干预应用程序有效,或者与面对面治疗相比,移动的应用程序的效果如何,信息很少。但是,随着政策制定者、商业伙伴和用户对快速发布的要求越来越高,严格的科学评估的可行性如何?在本文中,在移动健康工具的发展,有针对性的筛选,评估,预防和治疗的创伤和创伤后应激障碍领域的例子进行了审查。目前正在解决开发和评估移动保健工具方面的学术挑战。需要对适当的研究设计提供循证指导,以克服一些公共和伦理挑战(例如,公平性、可用性)以及市场驱动的希望昨天而不是明天在“应用程序商店”中拥有移动的应用程序。
The field of mobile health (“m-Health”) is evolving rapidly and there is an explosive growth of psychological tools on the market. Exciting high-tech developments may identify symptoms, help individuals manage their own mental health, encourage help seeking, and provide both preventive and therapeutic interventions. This development has the potential to be an efficient cost-effective approach reducing waiting lists and serving a considerable portion of people globally (“g-Health”). However, few of the mobile applications (apps) have been rigorously evaluated. There is little information on how valid screening and assessment tools are, which of the mobile intervention apps are effective, or how well mobile apps compare to face-to-face treatments. But how feasible is rigorous scientific evaluation with the rising demands from policy makers, business partners, and users for their quick release? In this paper, developments in m-Health tools—targeting screening, assessment, prevention, and treatment—are reviewed with examples from the field of trauma and posttraumatic stress disorder. The academic challenges in developing and evaluating m-Health tools are being addressed. Evidence-based guidance is needed on appropriate research designs that may overcome some of the public and ethical challenges (e.g., equity, availability) and the market-driven wish to have mobile apps in the “App Store” yesterday rather than tomorrow.
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