Scaling evidence-based treatments through digital mental health.

Scaling evidence-based treatments through digital mental health.
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通过数字心理健康扩展基于证据的治疗。

DOI:
10.1037/amp0000654
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发表时间:
2020-11
期刊:
The American psychologist
影响因子:
--
通讯作者:
Torous J
Torous J
中科院分区:
其他
文献类型:
--
作者:
Schueller SM;Torous J

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人们开发了大量的互联网网站、移动的应用程序、可穿戴设备和视频游戏,希望改善与心理健康相关的行为、认知和情感目标。尽管技术为帮助传播循证心理健康治疗提供了有希望的潜力,但这种潜力在很大程度上仍未实现。绝大多数基于技术的心理健康产品,被认为是数字心理健康干预措施(DHMIs),尚未经过测试,并且对循证治疗几乎没有忠诚度。此外,在临床服务中使用技术的最佳实践还不发达,很少有临床医生接受过将这些工具整合到实践中的培训。我们提出了DHMI的概述,并讨论了与其实施有关的关键方面。我们组织这些方面根据实施研究的巩固框架,一个框架,确定有关有效实施的结构。这些结构被分为五个领域,包括DMHI的特点,涉及的个人,相关的过程,内部设置,和外部设置。我们的目标是强调利用技术支持实施循证治疗的关键考虑领域,并强调利用技术扩大循证精神健康治疗所带来的挑战和机遇。
A large number of Internet websites, mobile apps, wearable devices, and video games that are hoped to improve behavioral, cognitive, and affective targets associated with mental health have been developed. Although technology provides the promising potential to help spread evidence-based mental health treatments, that potential is still largely unrealized. The vast majority of technology-based mental health products, deemed digital mental health interventions (DHMIs), have not been tested and show little fidelity to evidence-based treatments. Furthermore, best practices around the use of technologies in clinical services are underdeveloped and few clinicians have been trained to integrate these tools in their practice. We present an overview of DHMIs and discuss key aspects related to their implementation. We organize these aspects according to the Consolidating Framework for Implementation Research, a framework that identifies constructs related to effective implementation. These constructs are categorized into five domains including characteristics of DMHIs, the individuals involved, associated processes, the inner setting, and the outer setting. Our goal is to highlight key areas of consideration for leveraging technology to support the implementation of evidence-based treatments and to emphasize challenges and opportunities that come from using technology to scale evidence-based mental health treatments.
DOI: 10.1186/1748-5908-4-50
发表时间: 2009-08-07
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