Horizon CDT Year 1

英国的心理健康服务需求越来越大，因为抑郁和焦虑等心理健康问题的发病率持续上升（Baker & Kirk-Wade，2023）。智能手机应用程序和基于互联网的程序等数字干预措施越来越受欢迎，成为解决这一需求和其他护理障碍的潜在解决方案。由于COVID-19大流行，这一趋势随着在线或混合护理的兴起而加速（Torous等人，2020年）。然而，这些技术存在一些担忧，例如缺乏监管和问责制、数据政策、患者依从性以及成功实施到医疗保健中（Baños等人，2022年）。NHS和NICE最近在评估和监管此类数字干预措施方面取得了进展，但负责任的研究和创新（RRI）框架可能会提供一些见解，可以改善发展过程，以解决问题和缺点。RRI鼓励考虑研究和创新的更广泛的社会，环境和伦理背景及其影响。使用这个透镜，新兴技术，如数字心理健康干预，可以在开发过程中嵌入这种方法，以确保其结果的伦理可持续性和可取性（斯塔尔等人，2021年）。这可以改善用户和心理健康服务的选择和获得优质数字干预措施的机会。然而，重要的是要了解这些RRI框架可以在多大程度上有利于干预措施的发展，他们是如何理解和评价不同的利益相关者，以及他们如何适应当前的监管和政策context.Therefore，这个博士将旨在探讨各种数字心理健康利益相关者的观点，RRI目前的作用，或应该发挥，在这些干预措施的发展过程中。使用一系列定性方法，这个博士将涉及与开发人员，用户，研究人员，临床医生，政策制定者，创新网络和其他利益相关者交谈，以收集他们对这个问题的意见。同样重要的是，要了解NHS英格兰目前使用或推荐的常见心理健康疾病干预措施，并检查影响他们的现行政策和法规，以清楚地了解这一研究领域。其目标最终将是为数字心理健康干预开发人员创建一套建议，以告知干预措施的负责任开发实践，使其最适合用户和NHS，进一步告知政策和监管，并围绕这些问题为公众创造资源，以便做出明智的决定。本文作者得到了弗吉尼亚大学地平线博士培训中心的支持。诺丁汉（英国研究所批准号EP/S 023305/1）。

Mental health services in the UK are increasingly in demand as rates of mental health problems such as depression and anxiety continue to rise (Baker & Kirk-Wade, 2023). Digital interventions, such as smartphone apps and internet-based programs, are becoming more popular as potential solutions to address this demand and other barriers to care. This has accelerated with the rise in online or hybrid care due to the COVID-19 pandemic (Torous et al., 2020). However, there are concerns with these technologies such as the lack of regulation and accountability, data policies, patient adherence and successful implementation into healthcare (Baños et al., 2022). There have been recent progressions in the evaluation and regulation of such digital interventions by the NHS and NICE, but Responsible Research and Innovation (RRI) frameworks may offer insights that could improve development processes to address concerns and drawbacks. RRI encourages consideration of the wider social, environmental and ethical context of research and innovation and its implications. Using this lens, emerging technologies, such as digital mental health interventions, could embed this approach during development to ensure the ethical sustainability and desirability of their outcomes (Stahl et al., 2021). This could improve the choice and access to quality digital interventions for users and mental health services. However, it is important to understand to what extent these RRI frameworks could benefit intervention development, how they are understood and appraised by different stakeholders and how they fit into the current regulation and policy context.Therefore, this PhD will aim to explore the perspectives of various digital mental health stakeholders on the role that RRI currently does, or should play, in the development process of these interventions. Using a range of qualitative methods, this PhD will involve talking to developers, users, researchers, clinicians, policymakers, innovation networks and other stakeholders to gather their opinions on the subject. It will also be important to look at what interventions are currently used or recommended by NHS England for common mental health disorders and examine current policies and regulations that influence them to get a clear picture of this research area. The aim will ultimately be to create a set of recommendations for digital mental health intervention developers to inform the responsible development practices of interventions to make them best suited for users and the NHS, to further inform policy and regulation, and to create resources for the general public around these issues to enable informed decisions.This author is supported by the Horizon Centre for Doctoral Training at the University of Nottingham (UKRI Grant No. EP/S023305/1).