Blending Face-to-Face and Internet-Based Interventions for the Treatment of Mental Disorders in Adults: Systematic Review.
Blending Face-to-Face and Internet-Based Interventions for the Treatment of Mental Disorders in Adults: Systematic Review.
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DOI：
10.2196/jmir.6588
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发表时间：
2017-09-15
影响因子：
7.4
通讯作者：
Ebert DD
中科院分区：
文献类型：
--
作者：
Erbe D;Eichert HC;Riper H;Ebert DD
许多研究为基于互联网的独立干预措施对精神障碍的有效性提供了证据。一种新的干预形式结合了面对面（f2f）和互联网方法（混合干预）的优势。本次综述的目的是概述（1）成人混合治疗的不同形式，（2）这些治疗的应用阶段，（3）其结合面对面和基于互联网的方法的目标，以及（4）其有效性。通过在 MEDLINE、PsycINFO、Cochrane 和 PubMed 数据库中进行系统检索，确定了有关混合概念的研究。关键词包括表示面对面干预的术语（“住院”、“门诊”、“面对面”或“住院治疗”），与表示互联网治疗的术语（“互联网”、“在线”或“网络”）和表示精神障碍的术语（“心理健康”、“抑郁”、“焦虑”或“药物滥用”）相结合。我们重点关注三种最常见的精神障碍（抑郁、焦虑和药物滥用）。我们确定了 64 篇出版物，描述了 44 项研究，其中 27 项是随机对照试验 (RCT)。结果表明，与单独的面对面治疗相比，混合治疗可以节省临床医生的时间，降低药物滥用患者的退出率和更高的戒断率，或者有助于维持住院治疗的长期效果中心理治疗最初取得的变化。然而，缺乏比较结果研究来调查混合治疗与传统的面对面或基于互联网的治疗相比的结果的优越性，也缺乏确定面对面和互联网治疗的最佳比例的研究。多项研究表明，对于常见的精神健康障碍，混合干预措施是可行的，并且与不进行治疗对照相比更有效。然而，有必要对混合治疗的有效性和成本效益进行更多的随机对照试验，特别是与非混合治疗相比。
Many studies have provided evidence for the effectiveness of Internet-based stand-alone interventions for mental disorders. A newer form of intervention combines the strengths of face-to-face (f2f) and Internet approaches (blended interventions). The aim of this review was to provide an overview of (1) the different formats of blended treatments for adults, (2) the stage of treatment in which these are applied, (3) their objective in combining face-to-face and Internet-based approaches, and (4) their effectiveness. Studies on blended concepts were identified through systematic searches in the MEDLINE, PsycINFO, Cochrane, and PubMed databases. Keywords included terms indicating face-to-face interventions (“inpatient,” “outpatient,” “face-to-face,” or “residential treatment”), which were combined with terms indicating Internet treatment (“internet,” “online,” or “web”) and terms indicating mental disorders (“mental health,” “depression,” “anxiety,” or “substance abuse”). We focused on three of the most common mental disorders (depression, anxiety, and substance abuse). We identified 64 publications describing 44 studies, 27 of which were randomized controlled trials (RCTs). Results suggest that, compared with stand-alone face-to-face therapy, blended therapy may save clinician time, lead to lower dropout rates and greater abstinence rates of patients with substance abuse, or help maintain initially achieved changes within psychotherapy in the long-term effects of inpatient therapy. However, there is a lack of comparative outcome studies investigating the superiority of the outcomes of blended treatments in comparison with classic face-to-face or Internet-based treatments, as well as of studies identifying the optimal ratio of face-to-face and Internet sessions. Several studies have shown that, for common mental health disorders, blended interventions are feasible and can be more effective compared with no treatment controls. However, more RCTs on effectiveness and cost-effectiveness of blended treatments, especially compared with nonblended treatments are necessary.
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影响因子：
3.7
作者：
Ebert DD;Zarski AC;Christensen H;Stikkelbroek Y;Cuijpers P;Berking M;Riper H
通讯作者：
Riper H
影响因子：
3.1
作者：
Cuijpers, Pirn;van Straten, Annemieke;Andersson, Gerhard
通讯作者：
Andersson, Gerhard
影响因子：
3.1
作者：
Cahill, J;Barkham, M;Macaskill, N
通讯作者：
Macaskill, N
影响因子：
4.4
作者：
Cochran, Gerald;Stitzer, Maxine;Nunes, Edward V.
通讯作者：
Nunes, Edward V.
影响因子：
2.7
作者：
Campbell, Aimee N. C.;Turrigiano, Eva;Nunes, Edward V.
通讯作者：
Nunes, Edward V.