Implementing an innovative suite of mobile applications for depression and anxiety.

摘要 人们对技术的潜力感到相当兴奋，以帮助克服许多 获得心理健康问题治疗的障碍。而大量的随机对照 试验证明了这些干预措施的潜在效力，并试图实施和维持这些干预措施 事实证明，护理和服务环境中的这些工具具有挑战性。该项目将优化IntelliCare、 专为抑郁症和焦虑症患者提供的创新移动应用套件 在综合初级保健环境中。该团队将采用以用户为中心的设计方法来协调 与临床工作流程相结合的应用程序，并增强了患者和工作人员的易用性。与以下项目协作 这一不同的利益攸关方小组还将产生一项全面的实施计划，旨在 解决组织和态度障碍，这些障碍可能会阻碍应用程序在 临床实践。接下来，我们计划进行一项有效性试验，比较移动应用套件的使用情况 到大型综合初级保健诊所照常治疗。除了评估这些措施的影响外 关于抑郁和焦虑症状的应用程序，我们将评估它们的成本效益，以及它们的 患者、提供者和管理员的易用性。尽管这项研究项目将有助于 有关行为干预技术的经验文献，其主要目的是支持各种 商业化计划的各个方面，包括大规模综合实施该系统 医疗保健系统。 。

Abstract There has been considerable excitement about the potential for technology to help overcome many of the access barriers to treatment for mental health problems. While a large number of randomized controlled trials have demonstrated the potential efficacy of these interventions, attempts to implement and sustain these tools in care and service settings has proven challenging. This project will optimize IntelliCare, an innovative suite of mobile apps for patients with depression and anxiety, specifically for implementation in an integrated primary care setting. The team will employ a User Centered Design approach to align the apps with clinical workflow, and to enhance their usability by both patients and staff. Collaboration with this diverse group of stakeholders will also result in a comprehensive Implementation Plan designed to address the organizational and attitudinal barriers that could prevent the apps from being adopted in clinical practice. Next, we plan to conduct an effectiveness trial comparing the use of the mobile app suite to treatment as usual in a large integrated primary care clinic. In addition to assessing the impact of these apps on symptoms of depression and anxiety, we will assess their cost effectiveness, as well as their usability for patients, providers and administrators. Although this research project will contribute to the empirical literature on behavioral intervention technologies, its primary purpose is to support various aspects of the commercialization plan, including implementation of the system at scale in large integrated health care systems. .