State of the Science: Using Digital Mental Health Interventions to Extend the Impact of Psychological Services

IF 3.4 2区 心理学 Q2 PSYCHIATRY Behavior Therapy Pub Date : 2024-04-10 DOI:10.1016/j.beth.2024.04.004
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Abstract

In recent years, digital mental health interventions (DMHIs) have emerged as a paradigm shift in care delivery that could expand the scale, efficiency, and effectiveness of psychological services. However, DMHI impact is constrained by issues related to limited reach, poor adoption, implementation barriers, and insufficient long-term maintenance. Organized by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, this paper surveys the current state of DMHIs, highlighting research and practice gaps as well as potential strategies to move the field forward. Similarly, we discuss the role that emerging technologies and changes in the profession will play in shaping DMHIs in years to come. Finally, concrete and actionable steps to advance equity in the DMHI field are provided, with an emphasis on strategies to increase the representativeness of marginalized populations in DMHI research, the inclusion of these groups in the design and testing of DMHIs, and how to improve the contextual and cultural fit of DMHIs.
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科学现状:利用数字心理健康干预措施扩大心理服务的影响
近年来,数字心理健康干预(DMHIs)作为医疗服务模式的转变而兴起,可以扩大心理服务的规模、效率和效果。然而,数字心理健康干预措施的影响力却因覆盖范围有限、采用率低、实施障碍和长期维护不足等问题而受到制约。本文以 "覆盖、效果、采纳、实施和维护"(RE-AIM)框架为组织形式,调查了 DMHI 的现状,强调了研究和实践方面的差距,以及推动该领域发展的潜在策略。同样,我们还讨论了新兴技术和行业变化将在未来几年塑造 DMHIs 的过程中发挥的作用。最后,我们还提供了在 DMHI 领域促进公平的具体可行步骤,重点是提高边缘化人群在 DMHI 研究中的代表性、将这些群体纳入 DMHI 的设计和测试以及如何改善 DMHI 的环境和文化适应性的策略。
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来源期刊
Behavior Therapy
Behavior Therapy Multiple-
CiteScore
7.40
自引率
2.70%
发文量
113
审稿时长
121 days
期刊介绍: Behavior Therapy is a quarterly international journal devoted to the application of the behavioral and cognitive sciences to the conceptualization, assessment, and treatment of psychopathology and related clinical problems. It is intended for mental health professionals and students from all related disciplines who wish to remain current in these areas and provides a vehicle for scientist-practitioners and clinical scientists to report the results of their original empirical research. Although the major emphasis is placed upon empirical research, methodological and theoretical papers as well as evaluative reviews of the literature will also be published. Controlled single-case designs and clinical replication series are welcome.
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