Internet Interventions-The Application of Information Technology in Mental and Behavioural Health最新文献_第6页

Applying a mobile intervention for chronic insomnia in routine care: Study protocol for a multicenter randomized controlled trial 在日常护理中应用移动干预治疗慢性失眠：多中心随机对照试验的研究方案

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-06-20 DOI: 10.1016/j.invent.2025.100848

Daa Un Moon , Jeonghun Kim , Jeyoung Hannah Sun , Yujin Lee

Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment for chronic insomnia. However, access to in-person CBT-I remains limited due to a shortage of trained providers and structural barriers. Digital CBT-I (dCBT-I) offers a scalable solution to bridge this treatment gap, yet real-world evidence of its effectiveness remains limited. This study aims to examine the effectiveness of a mobile dCBT-I intervention, “SleepQ,” in a routine clinical setting. This study is a multicenter, two-arm, open-label, randomized controlled trial comparing a mobile dCBT-I intervention to a waitlist control group. A total of 120 adults with chronic insomnia will be recruited from six clinics in South Korea. Participants will be randomly assigned (1:1) to either the intervention group receiving 6 weeks of dCBT-I or the control group, which will gain access to the intervention after the posttreatment assessment. The primary outcome is the Insomnia Severity Index score change from baseline to 6 weeks post-randomization. Secondary outcomes include dysfunctional sleep beliefs, daytime sleepiness, depressive and anxiety symptoms, quality of life, and work productivity. Exploratory outcomes include adherence, usability, app satisfaction, and sleep parameters from the integrated sleep diary. In the intervention group, follow-up assessments will be conducted 3- and 6-months post-randomization to evaluate long-term effects. This trial will evaluate the effectiveness of mobile dCBT-I for chronic insomnia within routine clinical care. Findings will contribute to the evaluation of the clinical implementation of digital therapeutics for insomnia and inform the integration of mobile-based CBT-I into routine care.

Clinical trial registration

https://clinicaltrials.gov/study/NCT06695000, ClinicalTrials.gov (NCT06695000).

失眠认知行为疗法（CBT-I）是慢性失眠的一线治疗方法。然而，由于缺乏训练有素的提供者和结构性障碍，获得面对面CBT-I的机会仍然有限。数字CBT-I （dCBT-I）提供了一种可扩展的解决方案来弥补这一治疗差距，但其有效性的实际证据仍然有限。本研究旨在检验移动dCBT-I干预“SleepQ”在常规临床环境中的有效性。本研究是一项多中心、双臂、开放标签、随机对照试验，比较了移动dCBT-I干预组和候补对照组。共有120名患有慢性失眠症的成年人将从韩国的6家诊所招募。参与者将被随机（1:1）分配到接受6周dCBT-I的干预组或对照组，对照组将在治疗后评估后进入干预。主要结局是失眠严重程度指数评分从基线到随机化后6周的变化。次要结果包括不正常的睡眠信念、白天嗜睡、抑郁和焦虑症状、生活质量和工作效率。探索性结果包括依从性、可用性、应用满意度和综合睡眠日记中的睡眠参数。干预组将在随机化后3个月和6个月进行随访评估，以评估长期效果。本试验将评估移动dCBT-I在常规临床护理中治疗慢性失眠的有效性。研究结果将有助于评估失眠数字治疗的临床实施，并为将基于移动的CBT-I整合到常规护理中提供信息。临床试验注册：https://clinicaltrials.gov/study/NCT06695000, ClinicalTrials.gov （NCT06695000）。

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引用次数: 0

“Who blends in and why (not)?” A qualitative study on psychotherapists' patient inclusion in blended care “谁能融入，为什么（不融入）？”混合护理中心理治疗师患者包容的质性研究

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-06-18 DOI: 10.1016/j.invent.2025.100847

Sophie Jordan , Pauline Becker , Solveig Behr , Friederike Fenski , Christine Knaevelsrud , Johanna Boettcher , Carmen Schaeuffele

Introduction

Psychotherapists may act as bottlenecks in the integration of digital interventions into psychotherapy, known as blended care (BC). In the literature, various factors are discussed as potential inclusion, exclusion, or limiting criteria in BC.

Method

Our aim for this interview study was to gain a deeper understanding of the factors psychotherapists consider when inviting patients to participate in BC. For this purpose, we interviewed seven psychotherapists with a psychodynamic and seven psychotherapists with a cognitive behavioral background who participated in a naturalistic trial on BC in routine outpatient psychotherapy.

Results

Psychotherapists considered few fixed inclusion or exclusion criteria when considering which patients to introduce BC to. The basic technical requirements had to be met and the patients had to be “fit for outpatient therapy”. Psychotherapists found patients' response to BC, like their motivation, to be a decisive factor when considering BC.

Discussion

Psychotherapists emphasized patient motivation for BC as a potential bottleneck in its implementation. Therefore, a successful implementation strategy should focus on strengthening both psychotherapists' and patients' motivation to engage with BC. The openness of psychotherapists towards patient characteristics suggests that BC in outpatient care may target a broad patient population.

心理治疗师可能成为将数字干预融入心理治疗的瓶颈，被称为混合治疗（BC）。在文献中，各种因素被讨论为BC的潜在纳入、排除或限制标准。方法本访谈研究的目的是更深入地了解心理治疗师在邀请患者参加BC时所考虑的因素。为此，我们采访了7位具有心理动力学和认知行为背景的心理治疗师，他们参加了常规门诊心理治疗中BC的自然主义试验。结果心理治疗师在考虑向哪些患者引入BC时，很少考虑固定的纳入或排除标准。基本的技术要求必须满足，病人必须“适合门诊治疗”。心理治疗师发现，患者对BC的反应，就像他们的动机一样，是考虑BC的决定性因素。心理治疗师强调患者对BC的动机是其实施的潜在瓶颈。因此，一个成功的实施策略应该侧重于加强心理治疗师和患者参与BC的动机。心理治疗师对患者特征的开放性表明，门诊护理中的BC可能针对广泛的患者群体。

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引用次数: 0

Evidence-based digital health interventions for breast cancer survivors' care: an umbrella review 针对乳腺癌幸存者护理的基于证据的数字健康干预措施：总括性审查

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-06-17 DOI: 10.1016/j.invent.2025.100846

Alba Jiménez-Díaz , Tamara Escrivá-Martínez , Rocío Herrero , Rosa Baños

Introduction

As breast cancer survival rates continue to rise, the number of breast cancer survivors (BCS) requiring supportive care is increasing, placing additional strain on healthcare systems facing resource shortages. In response, digital health is rapidly evolving, and research on eHealth interventions is expanding significantly. Therefore, we conducted an umbrella review to summarize the evidence on digital health interventions aimed at improving health-related outcomes for BCS.

Methods

The protocol was preregistered in PROSPERO (CDR42022341837). The Preferred Reporting Items for Overviews of Reviews (PRIOR) were followed. Five databases were searched (Scopus, Web of Science, PubMed, Cochrane Reviews, IEEE Xplore) in July 2022 and updated in April 2024. Systematic reviews and/or meta-analyses examining digital health interventions targeting BCS health-related outcomes were included. Two reviewers independently selected reviews, extracted data, and assessed the quality of the included reviews through AMSTAR-2.

Results

Seventeen systematic reviews met the inclusion criteria, and ninety-two original studies on digital health interventions for BCS were identified across them. Overall, digital health interventions seem to improve physical activity outcomes, although effects on quality of life and psychological outcomes are less clear. The quality of most systematic reviews was low, and conclusion should be interpreted with caution.

Conclusions

Digital health interventions show some potential in improving health-related outcomes for BCS. However, more robust, theory-driven, and outcome-specific studies are needed to clarify the potential effects of these interventions on the unique needs of specific cancer populations.

随着乳腺癌存活率的持续上升，需要支持性护理的乳腺癌幸存者（BCS）的数量正在增加，这给面临资源短缺的医疗保健系统带来了额外的压力。因此，数字卫生正在迅速发展，电子卫生干预措施的研究正在显著扩大。因此，我们进行了一项总括性综述，总结了旨在改善BCS健康相关结果的数字健康干预措施的证据。方法该方案在PROSPERO （CDR42022341837）中进行预注册。遵循综述的首选报告项目（PRIOR）。在2022年7月检索了5个数据库（Scopus, Web of Science, PubMed, Cochrane Reviews, IEEE Xplore），并于2024年4月更新。纳入了针对BCS健康相关结果的数字卫生干预措施的系统评价和/或荟萃分析。两位审稿人独立选择审评，提取数据，并通过AMSTAR-2评估纳入审评的质量。结果17项系统综述符合纳入标准，其中92项关于BCS数字健康干预的原始研究被确定。总体而言，数字健康干预措施似乎改善了身体活动的结果，尽管对生活质量和心理结果的影响不太清楚。大多数系统评价的质量较低，结论应谨慎解读。结论数字健康干预在改善BCS健康相关结局方面显示出一定的潜力。然而，需要更强大的、理论驱动的、结果特异性的研究来阐明这些干预措施对特定癌症人群独特需求的潜在影响。

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引用次数: 0

A systematic review on personalization of treatment components in IBIs for mental disorders 精神障碍IBIs治疗成分个性化的系统综述

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-06-14 DOI: 10.1016/j.invent.2025.100840

Carmen Schaeuffele , Pavle Zagorscak , Vladlena Langerwisch , Johanna Wilke , Yana Medvedeva , Christine Knaevelsrud

Background

Internet-based interventions (IBIs) offer the potential for personalization through various mechanisms and components.

Objective

This systematic review aimed to synthesize evidence on the personalization of treatment components within IBIs targeting diverse mental health conditions. Specifically, we focused on studies that directly compared personalized components to standardized ones to isolate the impact of personalization on mental health outcomes and treatment adherence.

Results

Thirteen studies were identified that compared personalized to non-personalized components, with the personalization of IBI content and personalized guidance investigated the most. Apart from one study that personalized more than one IBI component, studies did not find a significant positive effect of personalization on mental health outcomes. Two studies reported better adherence for human feedback personalized to user input than for the automated non-personalized guidance.

Discussion

The results reveal a gap between the theoretical potential of personalization in IBIs and the current evidence supporting its impact on outcomes and adherence. The diversity in personalization strategies across studies complicates the ability to draw definitive conclusions. To address this, more detailed descriptions of how personalization is both implemented and communicated to patients are recommended.

背景：基于互联网的干预（IBIs）通过各种机制和组件提供了个性化的潜力。目的本系统综述旨在综合针对不同心理健康状况的IBIs治疗成分个性化的证据。具体来说，我们专注于直接比较个性化成分与标准化成分的研究，以分离个性化对心理健康结果和治疗依从性的影响。结果13项研究对个性化和非个性化成分进行了比较，其中对IBI内容的个性化和个性化指导的调查最多。除了一项研究个性化了不止一个IBI组成部分外，其他研究没有发现个性化对心理健康结果的显著积极影响。两项研究报告说，与非个性化的自动指导相比，个性化的用户反馈的依从性更好。结果揭示了ibi个性化的理论潜力与当前支持其对结果和依从性影响的证据之间的差距。不同研究中个性化策略的多样性使得出明确结论的能力复杂化。为了解决这个问题，建议更详细地描述个性化是如何实施的，以及如何与患者沟通的。

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引用次数: 0

Intervention effects and mechanisms of online single session therapy on test anxiety in university students: A randomized controlled trial 网络单次治疗对大学生考试焦虑的干预效果及机制：一项随机对照试验

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-06-12 DOI: 10.1016/j.invent.2025.100839

Liying Chen , Jiani Yan , Low Teck Keong , Ya Zhang

Objective

This study aimed to develop an online Single-Session Therapy (SST) intervention program for test anxiety and explore the intervention effects and mechanisms underlying the effectiveness of this SST program for university students experiencing test anxiety, utilizing a randomized controlled trial.

Methods

Sixteen psychological counselors and 57 university students with test anxiety were recruited through online platforms. The student participants were randomly assigned to either the online SST intervention group or the control group. Both groups completed scale assessments on the day before the intervention, the day of the intervention, and on days 4, 7, and 10 after the intervention.

Results

Online SST effectively alleviated college students' test anxiety. In addition, SST also increased students' self-compassion levels, and self-compassion mediated the relationship between SST and test anxiety; meanwhile, counseling style preference matching significantly increased students' self-compassion levels, but did not positively affect their test anxiety levels.

Conclusion

The online SST intervention targeting test anxiety effectively improves self-compassion and reduces test anxiety among university students. However, further research is needed to compare the advantages of SST with conventional counseling programs and to explore the mechanisms underlying counseling style preference matching.

目的采用随机对照试验的方法，建立在线单次治疗（SST）对大学生考试焦虑的干预方案，探讨该方案对大学生考试焦虑的干预效果及其机制。方法通过网络平台招募心理咨询师16名、考试焦虑大学生57名。学生参与者被随机分配到在线SST干预组或对照组。两组均于干预前一天、干预当天及干预后第4、7、10天完成量表评估。结果在线SST有效缓解了大学生的考试焦虑。此外，SST还提高了学生的自我同情水平，自我同情在SST与考试焦虑的关系中起中介作用；同时，咨询风格偏好匹配显著提高了学生的自我同情水平，但对考试焦虑水平没有显著影响。结论针对考试焦虑的在线SST干预能有效提高大学生的自我同情，减轻考试焦虑。然而，需要进一步的研究来比较SST与传统咨询方案的优势，并探索咨询风格偏好匹配的机制。

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引用次数: 0

Development of Powerly, unguided mobile app intervention preventing postpartum depression and anxiety & study protocol of randomized clinical trial Powerly无导向手机app干预产后抑郁、焦虑的开发及随机临床试验研究方案

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-06-12 DOI: 10.1016/j.invent.2025.100843

Marta A. Marciniak , Judith Rohde , Kenneth S.L. Yuen , Harald Binder , Henrik Walter , Matthias J. Wieser , Raffael Kalisch , Karin Roelofs , Birgit Kleim

Background

Up to 30 % of pregnant individuals experience high levels of stress. At the same time, 15–20 % of new mothers develop postpartum depression, and 25–35 % experience postpartum anxiety. Mobile applications have the potential to provide an accessible, scalable solution to these mental health challenges. However, previous evidence indicates that none of the commercially available apps for perinatal depression and anxiety have been rigorously evaluated through randomized clinical trials (RCTs), and the quality of these apps remains moderate. In response to this gap, we aim to develop and empirically evaluate Powerly, a mobile app intervention designed to prevent postpartum depression and anxiety.

Methods

We will conduct a two-arm RCT with 140 healthy pregnant participants to assess the impact of Powerly use compared to care as usual (CAU). Powerly is based on cognitive behavioral therapy techniques and developed in consultation with stakeholders, including healthcare professionals and pregnant individuals. It will offer personalized psychological support tailored to users' needs for four weeks. Self-reported mental health assessments will be collected at baseline, after four weeks of app use, and six weeks postpartum.

Discussion

We anticipate that participants using Powerly will demonstrate significant improvements in mental health outcomes, including reduced rates of postpartum depression, compared to the CAU group. Additionally, we expect positive changes in emotion regulation, resilience, and mother and child outcomes, such as enhanced maternal bonding and a more positive birth experience. If proved effective, Powerly can offer a scalable, publicly accessible solution for pregnant individuals in need.

Trial registration

NCT06610552

背景：高达30%的孕妇承受着高水平的压力。同时，15 - 20%的新妈妈患有产后抑郁症，25 - 35%的新妈妈患有产后焦虑。移动应用程序有可能为这些心理健康挑战提供可访问的、可扩展的解决方案。然而，之前的证据表明，市面上用于围产期抑郁和焦虑的应用程序都没有经过随机临床试验（rct）的严格评估，这些应用程序的质量仍然中等。针对这一差距，我们旨在开发并实证评估Powerly，一款旨在预防产后抑郁和焦虑的移动应用程序干预。方法我们将对140名健康孕妇进行一项双臂随机对照试验，以评估与常规护理（CAU）相比，强力使用的影响。Powerly基于认知行为治疗技术，并与包括医疗保健专业人员和孕妇在内的利益相关者协商开发。它将根据用户的需求提供为期四周的个性化心理支持。自我报告的心理健康评估将在基线、应用程序使用四周后和产后六周收集。我们预计，与CAU组相比，使用powery的参与者在心理健康结果方面会有显著改善，包括产后抑郁症的发生率降低。此外，我们预计情绪调节、恢复力和母婴结果将发生积极变化，例如增强母亲关系和更积极的分娩体验。如果被证明是有效的，Powerly可以为有需要的孕妇提供可扩展的、可公开访问的解决方案。审判registrationNCT06610552

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引用次数: 0

Commentary: Trustworthy and ethical AI in digital mental healthcare – wishful thinking or tangible goal? 评论：数字心理医疗中值得信赖和道德的人工智能——一厢情愿还是切实可行的目标？

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-06-10 DOI: 10.1016/j.invent.2025.100844

Ellen Svensson , Walter Osika , Per Carlbring

The use of AI in digital mental healthcare promises to make treatments more effective, accessible, and scalable than ever before. At the same time, the use of AI opens a myriad of ethical concerns, including the lack of transparency, the risk of bias leading to increasing social inequalities, and the risk of responsibility gaps. This raises a crucial question: Can we rely on these systems to deliver care that is both ethical and effective? In attempts to regulate and ensure the safe usage of AI-powered tools, calls to trustworthy AI systems have become central. However, the use of terms such as “trust” and “trustworthiness” risks increasing anthropomorphization of AI systems, attaching human moral activities, such as trust, to artificial systems. In this article, we propose that terms such as “trustworthiness” be used with caution regarding AI and that when used, they should reflect an AI system's ability to consistently demonstrate measurable adherence to ethical principles, such as respect for human autonomy, nonmaleficence, fairness, and transparency. On this approach, trustworthy and ethical AI has the possibility of becoming a tangible goal rather than wishful thinking.

人工智能在数字精神医疗中的应用有望使治疗比以往任何时候都更有效、更容易获得、更可扩展。与此同时，人工智能的使用引发了无数的伦理问题，包括缺乏透明度、导致社会不平等加剧的偏见风险，以及责任差距的风险。这就提出了一个关键问题：我们能否依靠这些系统来提供既合乎道德又有效的护理？为了规范和确保人工智能工具的安全使用，对值得信赖的人工智能系统的呼吁已经成为核心。然而，使用“信任”和“可信赖”等术语可能会增加人工智能系统的人格化，将人类的道德活动（如信任）附加到人工系统上。在本文中，我们建议谨慎使用诸如“可信度”之类的术语，并且当使用时，它们应该反映人工智能系统始终如一地展示可衡量的遵守道德原则的能力，例如尊重人类自主性，非恶意，公平性和透明度。在这种方法下，值得信赖和道德的人工智能有可能成为一个切实的目标，而不是一厢情愿的想法。

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引用次数: 0

Efficacy of a brief online intervention in reducing excessive worry and improving daily functioning: A randomized trial with mediation analysis 简短的在线干预在减少过度忧虑和改善日常功能方面的效果：一项随机试验与中介分析

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-06-10 DOI: 10.1016/j.invent.2025.100842

Tove Wahlund, Fredrik Spångberg , Viktor Vadenmark , Erik Andersson

Excessive worry is common among treatment-seeking individuals in primary care and has a negative impact on daily functioning, which may also lead to other mental health problems. The current study tested whether a worry-focused online intervention – provided in both a guided and an unguided format – was efficacious in reducing worry-related symptoms and if these effects were specifically linked to improvements in daily functioning. A total of 82 participants were randomized to intervention with therapist support (guided; n = 28), intervention without therapist support (unguided; n = 27) or to waiting list (n = 27). Results showed that the online intervention was more effective than waiting list in reducing worry at week 5 (between-group d = 0.96). The intervention was effective against waiting list irrespective of whether it was provided in a guided (between-group d = 0.90) or unguided format (between-group d = 1.07) with sustained results at the 7-week follow-up. Reduction in worry mediated improvement in daily functioning (between-group d = 0.58; indirect effect estimate = −1.06 [95 % CI: −1.76 to −0.51], 66 % mediated effect). The mediation effects were fairly robust to mediator-outcome confounding, with residual correlation values set to r = 0.3 in a sensitivity analysis. The results provide further evidence that it is beneficial to provide a low-threshold, easy access intervention to patients with excessive worry, irrespective of primary diagnosis. Clinical implications are discussed.

过度担忧在寻求初级保健治疗的个人中很常见，对日常功能有负面影响，这也可能导致其他心理健康问题。目前的研究测试了以焦虑为中心的在线干预——以指导和非指导的形式提供——是否对减少焦虑相关症状有效，以及这些效果是否与日常功能的改善特别相关。共有82名参与者被随机分配到治疗师支持的干预组(引导；N = 28)，无治疗师支持的干预(无指导；N = 27)或等候名单（N = 27）。结果显示，在线干预在减少第5周焦虑方面比等候名单更有效（组间d = 0.96）。在7周的随访中，无论以引导（组间d = 0.90）还是非引导（组间d = 1.07）的形式提供干预措施，对等候名单都是有效的。忧虑介导的日常功能改善减少(组间d = 0.58；间接效应估计= - 1.06 [95% CI: - 1.76至- 0.51]，66%介导效应)。中介效应对中介-结局混淆相当稳健，在敏感性分析中残差相关值设为r = 0.3。结果进一步证明，对过度焦虑的患者提供低门槛、容易获得的干预是有益的，无论其最初诊断如何。讨论了临床意义。

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引用次数: 0

Artificial intelligence vs. human expert: Licensed mental health clinicians' blinded evaluation of AI-generated and expert psychological advice on quality, empathy, and perceived authorship 人工智能与人类专家：持牌心理健康临床医生对人工智能生成的和专家心理建议的质量、同理心和感知作者身份的盲法评估

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-06-03 DOI: 10.1016/j.invent.2025.100841

Ludwig Franke Föyen , Emma Zapel , Mats Lekander , Erik Hedman-Lagerlöf , Elin Lindsäter

Background

The use of artificial intelligence for psychological advice shows promise for enhancing accessibility and reducing costs, but it remains unclear whether AI-generated advice can match the quality and empathy of experts.

Method

In a blinded, comparative cross-sectional design, licensed psychologists and psychotherapists assessed the quality, empathy, and authorship of psychological advice, which was either AI-generated or authored by experts.

Results

AI-generated responses were rated significantly more favorable for emotional (OR = 1.79, 95 % CI [1.1, 2.93], p = .02) and motivational empathy (OR = 1.84, 95 % CI [1.12, 3.04], p = .02). Ratings for scientific quality (p = .10) and cognitive empathy (p = .08) were comparable to expert advice. Participants could not distinguish between AI- and expert-authored advice (p = .27), but perceived expert authorship was associated with more favorable ratings across these measures (ORs for perceived AI vs. perceived expert ranging from 0.03 to 0.15, all p < .001). For overall preference, AI-authored advice was favored when assessed blindly based on its actual source (β = 6.96, p = .002). Nevertheless, advice perceived as expert-authored was also strongly preferred (β = 6.26, p = .001), with 93.55 % of participants preferring the advice they believed came from an expert, irrespective of its true origin.

Conclusions

AI demonstrates potential to match expert performance in asynchronous written psychological advice, but biases favoring perceived expert authorship may hinder its broader acceptance. Mitigating these biases and evaluating AI's trustworthiness and empathy are important next steps for safe and effective integration of AI in clinical practice.

人工智能在心理咨询方面的应用有望提高可及性并降低成本，但目前尚不清楚人工智能生成的建议是否能与专家的质量和同理心相媲美。方法采用盲法比较横断面设计，持牌心理学家和心理治疗师评估了人工智能生成或专家撰写的心理建议的质量、同理心和作者身份。结果人工智能产生的反应在情感共情（OR = 1.79, 95% CI [1.1, 2.93], p = 0.02）和动机共情（OR = 1.84, 95% CI [1.12, 3.04], p = 0.02）方面显著更有利。科学质量评分（p = 0.10）和认知同理心评分（p = 0.08）与专家建议相当。参与者无法区分人工智能和专家撰写的建议（p = 0.27），但感知到的专家撰写与这些措施中更有利的评分相关(感知到的人工智能与感知到的专家的or范围从0.03到0.15，所有p <；措施)。就总体偏好而言，人工智能撰写的建议在基于其实际来源进行盲目评估时更受青睐（β = 6.96, p = 0.002）。然而，被认为是专家撰写的建议也被强烈偏爱（β = 6.26, p = .001）， 93.55%的参与者更喜欢他们认为来自专家的建议，而不管其真实来源如何。结论：ai在异步书面心理咨询中具有与专家表现相匹配的潜力，但对专家作者的偏见可能会阻碍其被广泛接受。减轻这些偏见，评估人工智能的可信度和同理心，是将人工智能安全有效地整合到临床实践中的重要下一步。

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引用次数: 0

The use of co-design with young people for digital mental health support development: A systematic review 与年轻人共同设计数字心理健康支持发展：系统回顾

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-05-31 DOI: 10.1016/j.invent.2025.100835

Órla McGovern, Shauna Glennon, Isobel Walsh, Pamela Gallagher, Darragh McCashin

Co-design methods offer an opportunity to meaningfully involve young people in research to ensure that designed supports are useable and responsive to their needs. However, how co-design is currently being applied with young people in the digital mental health field is unclear. This review aimed to critically synthesise the use of co-design with young people to design or modify digital mental health interventions and supports. Six databases were searched for empirical papers published in English from 2012 onwards. Papers were included if they reported on young people aged up to 25 years of age who were involved in the co-design of an online mental health intervention or support. A narrative synthesis of 30 papers meeting these specific criteria was completed. The results highlighted an interchangeable and inconsistent terminology used to described co-design and related approaches across papers. The level of inclusion of young people varied and there was a lack of consideration for power dynamics. Future research should aim to establish a clear and consistent definition and terminology for co-design along with a rigorous gold-standard framework for reporting co-design in order to ensure the process is being carried out in line with its original purpose. Implications for research and practice in the youth co-design field are discussed.

共同设计方法提供了一个机会，让年轻人有意义地参与研究，以确保设计的支持是可用的，并能满足他们的需求。然而，协同设计目前如何应用于数字心理健康领域的年轻人尚不清楚。本综述旨在批判性地综合使用与年轻人共同设计来设计或修改数字心理健康干预和支持。在六个数据库中检索了2012年以来发表的英语实证论文。如果论文报道了参与在线心理健康干预或支持的共同设计的25岁以下的年轻人，则将其纳入。完成了符合这些具体标准的30篇论文的叙述综合。结果突出了用于描述协同设计和相关方法的可互换且不一致的术语。青年人的参与程度各不相同，而且缺乏对权力动态的考虑。未来的研究应该旨在为协同设计建立一个清晰一致的定义和术语，以及一个严格的报告协同设计的金标准框架，以确保该过程按照其最初的目的进行。讨论了青年协同设计领域的研究和实践意义。

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