Adjusting an Available Online Peer Support Platform in a Program to Supplement the Treatment of Perinatal Depression and Anxiety
Adjusting an Available Online Peer Support Platform in a Program to Supplement the Treatment of Perinatal Depression and Anxiety
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DOI：
10.2196/mental.5335
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发表时间：
2016-01-01
影响因子：
5.2
通讯作者：
Schueller, Stephen M.
中科院分区：
文献类型：
--
作者：
Baumel, Amit;Schueller, Stephen M.
背景：围产期抑郁和焦虑是常见的和衰弱的条件。新颖的、具有成本效益的服务可以改善患有这些疾病的妇女对精神卫生资源的吸收和影响。电子精神保健产品就是这种服务的一个例子。目前有许多电子精神卫生产品，但这些产品缺乏验证，而且没有被设计成可以整合到现有的卫生保健环境中。目的：这项研究的目的是提出一个计划，使用7杯茶（7杯），一个可用的技术平台，提供在线同行（即，听众）为基础的情感支持，以补充治疗妇女经历围产期抑郁症或焦虑症，并总结病人的反馈结果的程序。方法：本研究分为两个阶段。首先，五位专门治疗围产期情绪障碍的临床医生接受了7杯的概述。他们提供了关于7Cups平台的反馈，以及它可以补充现有治疗工作的方式，以告知进一步的调整。在第二阶段，9名患有围产期抑郁或焦虑的妇女使用该平台进行了一次会议，并提供了反馈。结果：根据临床医生的反馈，制定了推荐患者使用7Cups作为治疗补充的指南，并制定了听众培训计划。患者发现该平台可用且有用，他们对训练有素的听众的态度是积极的。总体而言，患者注意到需要在预定的治疗时间之外获得支持，并认为免费的在线情感支持可以帮助满足这一需求。大多数患者都有兴趣在接受支持的第一次母亲和那些谁遭受在过去的围产期mood disorders.Conclusions：研究结果强调使用7杯作为一种工具，引入可访问的和可用的支持到现有的治疗患有围产期情绪障碍的妇女。进一步的研究应侧重于从这种服务中获得的好处。然而，本文强调了如何利用公开的电子健康产品在医疗保健环境中创建新的服务。
Background: Perinatal depression and anxiety are common and debilitating conditions. Novel, cost effective services could improve the uptake and the impact of mental health resources among women who suffer from these conditions. E-mental health products are one example of such services. Many publically available e-mental health products exist, but these products lack validation and are not designed to be integrated into existing health care settings.Objective: The objective of the study was to present a program to use 7 Cups of Tea (7Cups), an available technological platform that provides online peer (ie, listener) based emotional support, to supplement treatment for women experiencing perinatal depression or anxiety and to summarize patient's feedback on the resultant program.Methods: This study consisted of two stages. First, five clinicians specializing in the treatment of perinatal mood disorders received an overview of 7Cups. They provided feedback on the 7Cups platform and ways it could complement the existing treatment efforts to inform further adjustments. In the second stage, nine women with perinatal depression or anxiety used the platform for a single session and provided feedback.Results: In response to clinicians' feedback, guidelines for referring patients to use 7Cups as a supplement for treatment were created, and a training program for listeners was developed. Patients found the platform usable and useful and their attitudes toward the trained listeners were positive. Overall, patients noted a need for support outside the scheduled therapy time and believed that freely available online emotional support could help meet this need. Most patients were interested in receiving support from first time mothers and those who suffered in the past from perinatal mood disorders.Conclusions: The study results highlight the use of 7Cups as a tool to introduce accessible and available support into existing treatment for women who suffer from perinatal mood disorders. Further research should focus on the benefits accrued from such a service. However, this article highlights how a publicly available eHealth product can be leveraged to create new services in a health care setting.