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

摘要 人们对技术帮助克服许多困难的潜力感到相当兴奋。 获得心理健康问题治疗的障碍。虽然大量的随机对照 试验已经证明了这些干预措施的潜在功效， 事实证明，在护理和服务环境中使用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设计的创新移动的应用程序套件， 在一个综合的初级保健环境。该团队将采用以用户为中心的设计方法， 应用程序与临床工作流程，并提高其可用性的病人和工作人员。协同 这个多元化的利益相关者群体还将产生一个全面的实施计划， 解决组织和态度上的障碍，这些障碍可能会阻止应用程序被采用， 临床实践接下来，我们计划进行一项有效性试验，比较使用移动的应用程序套件的情况 在一个大型综合初级保健诊所接受常规治疗。除了评估这些影响外， 应用程序对抑郁症和焦虑症的症状，我们将评估其成本效益，以及他们的 患者、提供者和管理员的可用性。虽然这项研究将有助于 关于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，包括大规模集成系统的实施， 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. .