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

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The association of socioeconomic status with the success of chat-based online counseling for children and youth: A latent change score modeling approach 社会经济地位与儿童和青少年在线聊天咨询成功与否的关系:潜在变化分数建模方法
IF 4.3 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-06-14 DOI: 10.1016/j.invent.2024.100753
Franziska Rarey , Julia Thomas , Anne Berghöfer , Lars Kuchinke , Gunther Meinlschmidt , Christine Rummel-Kluge , Richard Wundrack , Matthias Ziegler

Children and youth from lower subjective socioeconomic status (SES) backgrounds are at a heightened risk of mental disorders. Online counseling is a valuable tool to reach those less likely to seek professional help, but its success across different SES backgrounds remains unclear. This study explores the association between subjective SES and online counseling outcomes. Children and youth (N = 2139) between 10 and 24 years-of-age received chat-based online counseling and reported on SES, negative feelings before and after the chat, and perceived helpfulness of the chat via an online assessment tool. The results of a latent change score model showed a significant association between SES and negative feelings before chatting, indicating that lower SES predicted more negative feelings (r = −0.26, p < .001). Further, SES was indirectly associated with the change in negative feelings from before to after counseling, mediated by the extent of negative feelings before the chat (β = 0.07, 95%CFI = [0.05–0.10]). Current findings extend research on online counseling programs in the context of SES. Despite higher counseling needs among low SES individuals, they do not benefit proportionally from existing online services in this sample. Future research should investigate barriers to help-seeking and implement specialized counselor training programs.

主观社会经济地位(SES)较低的儿童和青少年罹患精神障碍的风险较高。在线心理咨询是一种很有价值的工具,可以帮助那些不太可能寻求专业帮助的人,但它在不同社会经济地位背景下的成功与否仍不清楚。本研究探讨了主观社会经济地位与在线咨询结果之间的关系。年龄在 10 到 24 岁之间的儿童和青少年(人数 = 2139)接受了基于聊天的在线咨询,并通过在线评估工具报告了社会经济地位、聊天前后的负面情绪以及聊天的帮助感知。潜在变化分数模型的结果显示,社会经济地位与聊天前的负面情绪之间存在显著关联,表明社会经济地位越低,负面情绪越多(r = -0.26, p <.001)。此外,在聊天前负面情绪程度的中介作用下,SES 与咨询前到咨询后的负面情绪变化间接相关(β = 0.07,95%CFI = [0.05-0.10])。目前的研究结果扩展了在社会经济地位背景下对在线咨询项目的研究。尽管低社会经济地位的人有更高的心理咨询需求,但在本样本中,他们从现有在线服务中受益的比例并不高。未来的研究应调查寻求帮助的障碍,并实施专门的心理咨询师培训计划。
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引用次数: 0
Evaluation of a training program using the SBAR communication tool for caregivers managing acute respiratory distress in lung cancer patients: A pilot randomized controlled trial protocol 评估针对肺癌患者急性呼吸窘迫护理人员的 SBAR 沟通工具培训项目:随机对照试验方案
IF 4.3 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-06-11 DOI: 10.1016/j.invent.2024.100752
Danielle Reynaud , Guillaume Decormeille , Antoine Tisseaux , René Bun

Background

Family-based caregivers are increasingly important in the management of non-hospitalized lung cancer patients. However, lack of training can negatively impact care including diagnostic errors that can lead to delays in providing appropriate medical treatment. Acute respiratory failure (ARF) is common symptom of lung cancer and requires urgent intervention as well as adequate communication with healthcare professionals (HCPs) to enable appropriate decision-making and improve patient outcomes. Standardized tools such as the Situation, Background, Assessment, Recommendation (SBAR) tool and its French adaptation SAED, standing for Situation, Antécédent, Évaluation et Demande, are designed to facilitate communication among (HCPs).

Additionally, digital interventions, such as serious games, are increasingly used to train HCPs though its use for caregivers has not been studied. This pilot study aims to assess an innovative serious game training using the SAED tool combined with standard instructions on self-efficacy for family-based caregivers of lung cancer patients when facing a simulated situation of ARF. The study also aims to examine caregivers' emotional state, quality of life, satisfaction and knowledge about the SBAR tool.

Methods

A monocentric, randomized, controlled, open-label, superiority, parallel-arm trial will be conducted for 18 months with 3 mid-study assessments (NCT05839353). Family caregivers of lung cancer patients will be recruited at the University Hospital Center of Saint Pierre, Reunion Island, France. Participants will be randomized (1:1) into two groups: the experimental group receiving training using the SBAR/SAED tool and standard instructions for managing respiratory distress/dyspnea, and the control group, receiving standard instructions only. The primary outcome will be to determine perceived self-efficacy as measured by the Generalized Self-Efficacy Scale.

Discussion

This study will present a preliminary assessment of training family caregivers in using the SBAR/SAED tool in simulated episodes of ARF in lung cancer patients. Our findings may provide valuable insights into effective training methods for caregivers in critical home care situations and could be widely used for lung cancer management.

背景以家庭为基础的护理人员在非住院肺癌患者的管理中越来越重要。然而,缺乏培训可能会对护理工作产生负面影响,包括诊断错误,从而导致延误适当的治疗。急性呼吸衰竭(ARF)是肺癌的常见症状,需要紧急干预以及与医护人员(HCPs)的充分沟通,以便做出适当的决策并改善患者的预后。情况、背景、评估、建议(SBAR)工具及其法文改编版 SAED(Situation, Antécédent, Évaluation et Demande)等标准化工具旨在促进医护人员之间的沟通。此外,严肃游戏等数字干预措施也越来越多地用于培训医护人员,但其在护理人员中的应用尚未得到研究。本试点研究旨在评估一种创新的严肃游戏培训,该培训使用 SAED 工具,并结合了肺癌患者家庭护理人员在面对 ARF 模拟情况时的自我效能标准指导。该研究还旨在考察护理人员的情绪状态、生活质量、满意度以及对 SBAR 工具的了解程度。方法将开展一项为期 18 个月的单中心、随机对照、开放标签、优势、平行臂试验,并进行 3 次研究中期评估(NCT05839353)。肺癌患者的家庭护理人员将在法国留尼汪岛圣皮埃尔大学医院中心招募。参与者将被随机(1:1)分为两组:实验组接受使用 SBAR/SAED 工具的培训和处理呼吸窘迫/呼吸困难的标准指导;对照组仅接受标准指导。本研究将对模拟肺癌患者发生 ARF 时培训家庭护理人员使用 SBAR/SAED 工具的情况进行初步评估。我们的研究结果可为关键家庭护理情况下护理人员的有效培训方法提供有价值的见解,并可广泛应用于肺癌管理。
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引用次数: 0
A scoping review of therapist behaviors in guided digital mental health interventions 引导式数字心理健康干预中治疗师行为的范围审查
IF 4.3 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-05-30 DOI: 10.1016/j.invent.2024.100751
Alberto González-Robles , Clara Miguel , Derek Richards , Daniel Duffy , Ángel Enrique

Guided digital mental health interventions are more effective than unguided interventions. While research often emphasizes the frequency and intensity of guidance, less attention has been paid to the behaviors enacted by the therapists supporting clients using these interventions. A scoping review of the literature was conducted to systematically examine the evidence on therapist behaviors (i.e., the actions and feedback provided by supporters to patients). Applying broad eligibility criteria, a systematic search was conducted in PubMed, PsycInfo, the Cochrane Library, and Embase from their inception to January 1st 2024. Sixteen studies met inclusion criteria and were included in the review. Following data extraction, a descriptive analysis and synthesis of the results was performed. Most studies (n = 12; 75 %) focused on therapist behaviors in the context of internet-delivered Cognitive Behavioral Therapy for anxiety and depression. While earlier studies primarily focused on identifying therapist behaviors, later studies shifted towards examining the associations between therapist behaviors and different outcomes, as well as deriving research and clinical applications for improving guided internet-delivered treatments. Identified gaps and recommendations for clinical practice, research, training, and treatment development are discussed.

有指导的数字心理健康干预比无指导的干预更有效。虽然研究通常强调指导的频率和强度,但对使用这些干预措施的客户提供支持的治疗师的行为关注较少。我们对文献进行了一次范围界定审查,以系统地检查有关治疗师行为(即支持者向患者提供的行动和反馈)的证据。根据广泛的资格标准,我们在 PubMed、PsycInfo、Cochrane 图书馆和 Embase 中进行了系统检索,检索时间从开始到 2024 年 1 月 1 日。有 16 项研究符合纳入标准并被纳入综述。在提取数据后,对结果进行了描述性分析和综合。大多数研究(n = 12;75%)关注的是治疗焦虑症和抑郁症的网络认知行为疗法中治疗师的行为。早期的研究主要侧重于识别治疗师的行为,而后来的研究则转向检查治疗师行为与不同结果之间的关联,以及得出改进互联网指导疗法的研究和临床应用。本文讨论了在临床实践、研究、培训和治疗开发方面发现的差距和提出的建议。
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引用次数: 0
Randomized controlled trial of a smartphone app designed to reduce unhealthy alcohol consumption 旨在减少不健康饮酒的智能手机应用程序随机对照试验
IF 4.3 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-05-17 DOI: 10.1016/j.invent.2024.100747
John A. Cunningham , Alexandra Godinho , Christina Schell , Joseph Studer , Jeffrey D. Wardell , Claire Garnett , Nicolas Bertholet

Background and aims

Unhealthy alcohol use is common and causes tremendous harm. Most people with unhealthy alcohol use will never seek formal alcohol treatment. As an alternative, smartphone apps have been developed as one means to provide help to people concerned about their alcohol use. The aim of this study was to test the efficacy of a smartphone app targeting unhealthy alcohol consumption in a general population sample.

Methods

Participants were recruited from across Canada using online advertisements. Eligible participants who consented to the trial were asked to download a research-specific version of the app and were provided with a code that unlocked it (a different code for each participant to prevent sharing). Those who entered the code were randomized to one of two different versions of the app: 1) the Full app containing all intervention modules; or 2) the Educational only app, containing only the educational content of the app. Participants were followed-up at 6 months. The primary outcome variable was number of standard drinks in a typical week. Secondary outcome variables were frequency of heavy drinking days and experience of alcohol-related problems.

Results

A total of 761 participants were randomized to a condition. The follow-up rate was 81 %. A generalized linear mixed model revealed that participants receiving the full app reduced their typical weekly alcohol consumption to a greater extent than participants receiving the educational only app (incidence rate ratio 0.89; 95 % confidence interval 0.80 to 0.98). No significant differences were observed in the secondary outcome variables (p > .05).

Discussion and conclusion

The results of this trial provide some supportive evidence that smartphone apps can reduce unhealthy alcohol consumption. As this is the second randomized controlled trial demonstrating an impact of this same app (the first one targeted unhealthy alcohol use in university students), increased confidence is placed on the potential effectiveness of the smartphone app employed in the current trial.

ClinicalTrials.org number: NCT04745325

背景与目的不健康饮酒很常见,并造成巨大伤害。大多数酗酒者都不会寻求正规的酒精治疗。作为一种替代方法,人们开发了智能手机应用程序,作为向关注饮酒问题的人提供帮助的一种手段。本研究的目的是在普通人群样本中测试一款针对不健康饮酒的智能手机应用程序的功效。同意参加试验的合格参与者被要求下载研究专用版本的应用程序,并获得解锁代码(为防止共享,每位参与者的代码不同)。输入密码的参与者被随机分配到两个不同版本的应用程序中:1)包含所有干预模块的完整版应用程序;或 2)仅包含应用程序教育内容的教育版应用程序。参与者在 6 个月后接受随访。主要结果变量是典型一周内的标准饮酒次数。次要结果变量是大量饮酒天数的频率和酒精相关问题的经历。随访率为 81%。广义线性混合模型显示,使用完整应用程序的参与者比仅使用教育应用程序的参与者更能减少每周的典型饮酒量(发生率比为 0.89;95 % 置信区间为 0.80 至 0.98)。在次要结果变量中未观察到明显差异(p > .05)。讨论与结论这项试验的结果提供了一些支持性证据,证明智能手机应用程序可以减少不健康的酒精消费。由于这是第二项随机对照试验,证明了同一款应用程序的影响(第一项试验针对大学生的不健康饮酒行为),因此我们对当前试验中使用的智能手机应用程序的潜在有效性更有信心:NCT04745325
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引用次数: 0
Effectiveness and uptake of a transdiagnostic emotion regulation mobile intervention among university students: Protocol for a randomized controlled trial 在大学生中开展跨诊断情绪调节移动干预的有效性和接受度:随机对照试验方案
IF 4.3 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-05-15 DOI: 10.1016/j.invent.2024.100750
Tajda Laure, Marilisa Boffo, Rutger C.M.E. Engels, Danielle Remmerswaal

Background

Going to university is a major life event, which can be stressful and negatively affect mental health. However, it also presents an opportunity to establish a foundation for positive life trajectories. To support university students, a mobile transdiagnostic emotion regulation (ER) intervention has been developed, offering both broad-based (universal) and targeted (indicated) preventative support. ER, a transdiagnostic factor underlying various mental health problems, is a critical intervention target in students, a demographic particularly susceptible to mental health issues. Cultivating ER can help manage immediate stressors and foster long-term wellbeing. This paper describes the study protocol for a Randomized Controlled Trial (RCT) evaluating the effectiveness and uptake of such mobile transdiagnostic ER intervention.

Method

The superiority parallel-group RCT involves 250 participants randomized to either the intervention condition (i.e., full access to the mobile intervention, (n = 125) or to a waitlist control condition (n = 125). Primary outcomes include ER skills and stress symptoms. Secondary outcomes include mental health parameters (anxiety, depression, resilience) and intervention uptake (i.e., objective engagement, subjective engagement, ER skills application in real life). Outcomes are assessed at baseline, week 3, 8 and 12, with continuous log-data collection for user engagement.

Discussion

This study evaluates the effectiveness and uptake of a transdiagnostic ER mobile intervention for the student population addressing their ER developmental needs. If successful, the results will validate our approach to intervention development and whether focusing on learning transfer (i.e., application of the learnt skills in real-life) and personalization using a recommendation system, can boost the real-world application of skills and intervention impact.

背景上大学是人生中的一件大事,可能会给人带来压力,并对心理健康产生负面影响。然而,这也为建立积极的人生轨迹奠定了基础。为了给大学生提供支持,我们开发了一种移动式跨诊断情绪调节(ER)干预措施,提供广泛的(普遍的)和有针对性的(指定的)预防性支持。情绪调节是导致各种心理健康问题的一个跨诊断因素,是对学生这一特别容易出现心理健康问题的人群进行干预的关键目标。培养应急能力有助于应对眼前的压力,并促进长期的身心健康。本文介绍了一项随机对照试验(RCT)的研究方案,该试验评估了这种移动跨诊断 ER 干预的有效性和接受度。方法这项优越性平行组 RCT 共有 250 名参与者,他们被随机分配到干预条件下(即完全使用移动干预,n = 125)或等待名单对照条件下(n = 125)。主要结果包括急诊室技能和压力症状。次要结果包括心理健康参数(焦虑、抑郁、复原力)和干预吸收(即客观参与、主观参与、急诊室技能在现实生活中的应用)。结果在基线、第3周、第8周和第12周进行评估,并对用户参与情况进行连续的日志数据收集。如果成功,研究结果将验证我们的干预开发方法,以及关注学习迁移(即在现实生活中应用所学技能)和使用推荐系统的个性化是否能够提高技能在现实世界中的应用和干预效果。
{"title":"Effectiveness and uptake of a transdiagnostic emotion regulation mobile intervention among university students: Protocol for a randomized controlled trial","authors":"Tajda Laure,&nbsp;Marilisa Boffo,&nbsp;Rutger C.M.E. Engels,&nbsp;Danielle Remmerswaal","doi":"10.1016/j.invent.2024.100750","DOIUrl":"10.1016/j.invent.2024.100750","url":null,"abstract":"<div><h3>Background</h3><p>Going to university is a major life event, which can be stressful and negatively affect mental health. However, it also presents an opportunity to establish a foundation for positive life trajectories. To support university students, a mobile transdiagnostic emotion regulation (ER) intervention has been developed, offering both broad-based (universal) and targeted (indicated) preventative support. ER, a transdiagnostic factor underlying various mental health problems, is a critical intervention target in students, a demographic particularly susceptible to mental health issues. Cultivating ER can help manage immediate stressors and foster long-term wellbeing. This paper describes the study protocol for a Randomized Controlled Trial (RCT) evaluating the effectiveness and uptake of such mobile transdiagnostic ER intervention.</p></div><div><h3>Method</h3><p>The superiority parallel-group RCT involves 250 participants randomized to either the intervention condition (i.e., full access to the mobile intervention, (<em>n</em> = 125) or to a waitlist control condition (n = 125). Primary outcomes include ER skills and stress symptoms. Secondary outcomes include mental health parameters (anxiety, depression, resilience) and intervention uptake (i.e., objective engagement, subjective engagement, ER skills application in real life). Outcomes are assessed at baseline, week 3, 8 and 12, with continuous log-data collection for user engagement.</p></div><div><h3>Discussion</h3><p>This study evaluates the effectiveness and uptake of a transdiagnostic ER mobile intervention for the student population addressing their ER developmental needs. If successful, the results will validate our approach to intervention development and whether focusing on learning transfer (i.e., application of the learnt skills in real-life) and personalization using a recommendation system, can boost the real-world application of skills and intervention impact.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"37 ","pages":"Article 100750"},"PeriodicalIF":4.3,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000435/pdfft?md5=b6e40c04ce0c55da9c1246b530642511&pid=1-s2.0-S2214782924000435-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141033912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An early economic evaluation of Kooth, a web-based mental health platform for children and young people with emerging mental health needs 对 Kooth 的早期经济评估,Kooth 是一个针对有新心理健康需求的儿童和青少年的网络心理健康平台
IF 4.3 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-05-11 DOI: 10.1016/j.invent.2024.100748
Laura Coote , Laura Kelly , Charlotte Graham , Luc Curtis-Gretton , Maisie Green , Louisa Salhi , Santiago de Ossorno Garcia , Aaron Sefi , Hayden Holmes

Background

“Kooth” is a web-based mental health platform commissioned by the National Health Service (NHS), local authorities, charities, and businesses in the UK. The platform gives children and young people (CYP) access to an online community of peers and a team of counsellors. This study reports an early economic evaluation of the potential benefits of Kooth in the UK.

Methods

An early evidence cost calculator was built to estimate the potential costs and savings of implementing Kooth from a UK NHS and crime sector perspective. A decision tree structure was used to track the progress of CYP with emerging mental health needs (EMHN), comparing CYP with access to Kooth to CYP without access to Kooth. The model implemented a 12-month time horizon and followed a typical Kooth contract in relation to costing, engagement, and CYP demographics.

Results

The base case results followed a cohort of 2160 CYP. The results of the cost calculator estimated that engagement with Kooth is associated with a cost saving of £469,237 to the NHS across a 12-month time horizon, or £236.15 per CYP with an EMHN. From a combined NHS and UK crime sector perspective, the cost savings increased to £489,897, or £246.54 per CYP with an EMHN. The largest cost savings were provided by an estimated reduction of 5346 GP appointments and 298 antidepressant prescriptions. For this cohort, the model predicted that engagement with Kooth averted 6 hospitalisations due to suicidal ideation and 13 hospitalisations due to self-harm. Furthermore, the number of smokers and binge drinkers was reduced by 20 and 24, respectively. When a crime sector perspective was taken, 3 crimes were averted.

Discussion

This early model demonstrates that Kooth has the potential to be a cost-saving intervention from both an NHS and a combined NHS and UK crime sector perspective. Cost savings were provided through aversion in clinical and social outcomes. The model used a conservative approach to balance the uncertainty around assumptions of the intermediate outcomes (GP and medication use). However, it is limited by a paucity of costing data and published evidence relating to the impact of digital mental health platforms.

背景 "Kooth "是一个基于网络的心理健康平台,受英国国家卫生服务系统(NHS)、地方当局、慈善机构和企业委托运营。该平台为儿童和青少年(CYP)提供了一个由同龄人和辅导员组成的在线社区。本研究报告对 Kooth 在英国的潜在效益进行了早期经济评估。方法建立了一个早期证据成本计算器,从英国国家医疗服务体系和犯罪部门的角度估算实施 Kooth 的潜在成本和节约。该模型采用决策树结构来跟踪有新心理健康需求(EMHN)的青少年的进展情况,并将有机会使用 Kooth 的青少年与没有机会使用 Kooth 的青少年进行比较。该模型的时间跨度为 12 个月,在成本计算、参与度和儿童青少年人口统计学方面遵循典型的 Kooth 合同。成本计算器的结果估计,在 12 个月的时间跨度内,与 Kooth 合作可为英国国家医疗服务体系节省 469,237 英镑的成本,或为每个使用 EMHN 的儿童节省 236.15 英镑。从国家医疗服务体系和英国犯罪部门的综合角度来看,成本节约增加到 489,897 英镑,或每名使用紧急医疗网络的儿童节省 246.54 英镑。估计可减少 5346 次全科医生就诊和 298 份抗抑郁药物处方,从而节省最大成本。根据模型预测,在该群体中,与 Kooth 合作可避免 6 例因有自杀倾向而住院治疗和 13 例因自我伤害而住院治疗。此外,吸烟者和酗酒者的人数分别减少了 20 人和 24 人。如果从犯罪部门的角度来看,则可避免 3 起犯罪事件。通过避免临床和社会结果来节约成本。该模型采用保守的方法来平衡中间结果(全科医生和药物使用)假设的不确定性。然而,由于缺乏与数字心理健康平台的影响相关的成本计算数据和已发表的证据,该模型受到了限制。
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引用次数: 0
Editorial for INVENT special issue of the ISRII 2022 meeting 为国际科学与创新研究所 2022 年会议的 INVENT 特刊撰稿
IF 3.6 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-05-11 DOI: 10.1016/j.invent.2024.100749
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引用次数: 0
Readiness for mHealth interventions in Jordan: Refugee camp and urban community survey 约旦移动医疗干预的准备情况:难民营和城市社区调查
IF 4.3 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-05-08 DOI: 10.1016/j.invent.2024.100746
Dror Ben-Zeev , Alexa Beaulieu , Jessy Guler , Anna Larsen , Ahmad Bawaneh

Jordan hosts one of the largest populations of refugees in the world. This study evaluated the capacity, infrastructure, and interest in mobile health interventions to address unmet mental health needs among refugees and non-refugees in Jordan. We surveyed 209 (141 refugees) adults and youth in urban, rural, and refugee camp settings. Survey results indicated that mobile device ownership was lower among refugees than non-refugees (71 % vs. 100 %, respectively). Refugee phone users had less access to smartphones than non-refugees (75 % vs. 96 %, respectively). Refugees and non-refugees reported using mobile devices for diverse activities including calling (83 % vs. 100 %, respectively), texting (28 % vs. 87 %, respectively) social media (45 % vs. 94 %, respectively), watching videos (23 % vs. 90 %, respectively), and studying (34 % vs. 72 %, respectively). Most respondents had reliable access to electricity (75 % vs. 99 %, respectively) and to mobile-cellular service (67 % vs. 97 %, respectively). Refugees and non-refugees differed substantially in their access to WiFi (14 % vs. 91 %, respectively). Both groups identified anger, anxiety, depression, traumatic memories, and eating problems as the most common mental health problems in their communities. Approximately half of refugees (44 %) and non-refugees (50 %) reported that their communities had insufficient or no access to mental health resources. Most refugees (78 %) and non-refugee (87 %) believed that using mobile devices to provide support for people with mental health conditions would be helpful. Overall, both groups' reported access to mobile technologies and openness to digital mental health treatment options suggest that mHealth interventions may be feasible and welcomed in these communities.

约旦是世界上难民人口最多的国家之一。这项研究评估了移动医疗干预的能力、基础设施和兴趣,以解决约旦难民和非难民未得到满足的心理健康需求。我们对城市、农村和难民营环境中的 209 名成人和青年(141 名难民)进行了调查。调查结果显示,难民的移动设备拥有率低于非难民(分别为 71% 和 100%)。难民手机用户使用智能手机的比例低于非难民(分别为 75% 对 96%)。难民和非难民都表示使用移动设备进行各种活动,包括打电话(分别为 83 % 对 100 %)、发短信(分别为 28 % 对 87 %)、社交媒体(分别为 45 % 对 94 %)、看视频(分别为 23 % 对 90 %)和学习(分别为 34 % 对 72 %)。大多数受访者都有可靠的电力供应(分别为 75 % 对 99 %)和移动电话服务(分别为 67 % 对 97 %)。难民和非难民在使用 WiFi 方面差别很大(分别为 14% 和 91%)。两个群体都认为愤怒、焦虑、抑郁、创伤记忆和饮食问题是他们社区中最常见的心理健康问题。大约一半的难民(44%)和非难民(50%)表示,他们所在的社区没有足够的或根本没有心理健康资源。大多数难民(78%)和非难民(87%)认为,使用移动设备为有心理健康问题的人提供支持会有所帮助。总体而言,这两个群体所报告的对移动技术的使用情况以及对数字心理健康治疗方案的开放程度表明,移动医疗干预措施在这些社区是可行的,也是受欢迎的。
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引用次数: 0
Revealing the source: How awareness alters perceptions of AI and human-generated mental health responses 揭示源头:认识如何改变对人工智能和人类产生的心理健康反应的看法
IF 4.3 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-04-27 DOI: 10.1016/j.invent.2024.100745
Gagan Jain , Samridhi Pareek , Per Carlbring

In mental health care, the integration of artificial intelligence (AI) into internet interventions could significantly improve scalability and accessibility, provided that AI is perceived as being as effective as human professionals. This longitudinal study investigates the comparative perceptions of ChatGPT and human mental health support professionals across three dimensions: authenticity, professionalism, and practicality. Initially, 140 participants evaluated responses from both sources without knowing their origin, revealing that AI-generated responses were rated significantly higher across all dimensions. Six months later, the same cohort (n = 111) reassessed these messages with the source of each response disclosed, aiming to understand the impact of source transparency on perceptions and trust towards AI. The results indicate a shift in perception towards human responses, only in terms of authenticity (Cohen's d = 0.45) and reveal a significant correlation between trust in AI and its practicality rating (r = 0.25), but not with authenticity or professionalism. A comparative analysis between blind and informed evaluations revealed a significant shift in favour of human response ratings (Cohen's d = 0.42–0.57), while AI response ratings experienced minimal variation. These findings highlight the nuanced acceptance and role of AI in mental health support, emphasizing that the disclosure of the response source significantly shapes perceptions and trust in AI-generated assistance.

在心理健康护理领域,将人工智能(AI)整合到互联网干预措施中可以显著提高可扩展性和可及性,前提是人们认为人工智能与人类专业人员一样有效。这项纵向研究调查了 ChatGPT 和人类心理健康支持专业人员在真实性、专业性和实用性三个方面的比较看法。最初,140 名参与者在不知道两种来源的回复来源的情况下对其进行了评估,结果显示,人工智能生成的回复在所有维度上的评分都明显更高。六个月后,同一批参与者(n = 111)重新评估了这些信息,并披露了每条回复的来源,旨在了解来源透明度对人工智能认知和信任的影响。结果表明,仅在真实性方面,人们对人工回复的看法发生了转变(Cohen's d = 0.45),并揭示了人工智能信任度与其实用性评级之间的显著相关性(r = 0.25),但与真实性或专业性无关。对盲评和知情评测的比较分析表明,人工智能的响应评级在很大程度上倾向于人类(Cohen's d = 0.42-0.57),而人工智能的响应评级变化极小。这些研究结果突显了人工智能在心理健康支持中的细微接受度和作用,强调了回复来源的公开性在很大程度上影响了人们对人工智能生成的援助的看法和信任。
{"title":"Revealing the source: How awareness alters perceptions of AI and human-generated mental health responses","authors":"Gagan Jain ,&nbsp;Samridhi Pareek ,&nbsp;Per Carlbring","doi":"10.1016/j.invent.2024.100745","DOIUrl":"https://doi.org/10.1016/j.invent.2024.100745","url":null,"abstract":"<div><p>In mental health care, the integration of artificial intelligence (AI) into internet interventions could significantly improve scalability and accessibility, provided that AI is perceived as being as effective as human professionals. This longitudinal study investigates the comparative perceptions of ChatGPT and human mental health support professionals across three dimensions: authenticity, professionalism, and practicality. Initially, 140 participants evaluated responses from both sources without knowing their origin, revealing that AI-generated responses were rated significantly higher across all dimensions. Six months later, the same cohort (n = 111) reassessed these messages with the source of each response disclosed, aiming to understand the impact of source transparency on perceptions and trust towards AI. The results indicate a shift in perception towards human responses, only in terms of authenticity (Cohen's d = 0.45) and reveal a significant correlation between trust in AI and its practicality rating (r = 0.25), but not with authenticity or professionalism. A comparative analysis between blind and informed evaluations revealed a significant shift in favour of human response ratings (Cohen's d = 0.42–0.57), while AI response ratings experienced minimal variation. These findings highlight the nuanced acceptance and role of AI in mental health support, emphasizing that the disclosure of the response source significantly shapes perceptions and trust in AI-generated assistance.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"36 ","pages":"Article 100745"},"PeriodicalIF":4.3,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000381/pdfft?md5=b59efae2eec3d7973679ab7b97a46467&pid=1-s2.0-S2214782924000381-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Guided web app intervention for reducing symptoms of depression in postpartum women: Results of a feasibility randomized controlled trial 减少产后妇女抑郁症状的指导性网络应用干预:可行性随机对照试验的结果
IF 4.3 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-04-25 DOI: 10.1016/j.invent.2024.100744
Pamela Franco , Marcia Olhaberry , Saskia Kelders , Antonia Muzard , Pim Cuijpers

Background

Chile faces a significant postpartum depression prevalence and treatment gap, necessitating accessible interventions. While cognitive-behavioral internet-based interventions have proven effective in high-income countries, this field is underdeveloped in Chile. Based on the country's widespread use of digital technology, a guided 8-week cognitive-behavioral web app intervention named “Mamá, te entiendo” was developed.

Objective

This study aimed to assess the acceptability and feasibility of “Mamá, te entiendo”, for reducing depressive symptomatology in postpartum women.

Methods

Sixty-five postpartum women with minor or major depression were randomly assigned to either intervention or waitlist. Primary outcomes centered on study feasibility, intervention feasibility, and acceptability. Semi-structured interviews with a sub-sample enriched the understanding of participants' experiences. Secondary outcomes included mental health variables assessed at baseline, post-intervention, and 1-month follow-up.

Results

Chilean women displayed great interest in the intervention. 44.8 % of participants completed the intervention. Participants reported high satisfaction and engagement levels, with interviewees highlighting the value of the intervention's content, exercises, and therapist's feedback. However, preliminary efficacy analysis didn't reveal a significant interaction between group and time for outcome measures.

Discussion

This research represents a pioneering effort in Chile to evaluate an internet-based intervention for postpartum depression symptoms. The demonstrated feasibility and acceptability highlight the potential of integrating technology-driven approaches into mental health interventions. However, the intervention did not demonstrate superiority, as both groups exhibited similar positive progress in several outcomes. Therefore, the following research phase should involve a larger and more diverse sample to assess the intervention's effectiveness, identify influencing factors, and determine the individuals who benefit the most.

背景智利的产后抑郁症发病率和治疗缺口都很大,因此有必要采取干预措施。在高收入国家,基于互联网的认知行为干预被证明是有效的,但在智利,这一领域却发展不足。本研究旨在评估 "Mamá, te entiendo "在减少产后妇女抑郁症状方面的可接受性和可行性。方法 65 名患有轻度或重度抑郁症的产后妇女被随机分配到干预或等待名单中。主要结果集中在研究可行性、干预可行性和可接受性上。对部分样本进行的半结构化访谈丰富了对参与者经历的了解。次要结果包括基线、干预后和 1 个月随访时评估的心理健康变量。44.8%的参与者完成了干预。参与者的满意度和参与度都很高,受访者强调了干预内容、练习和治疗师反馈的价值。然而,初步的疗效分析并未显示出组别与时间之间在结果测量上的显著交互作用。已证明的可行性和可接受性凸显了将技术驱动方法整合到心理健康干预中的潜力。然而,干预措施并没有显示出优越性,因为两组在几项结果上都取得了类似的积极进展。因此,下一阶段的研究应涉及更大、更多样化的样本,以评估干预的有效性,找出影响因素,并确定受益最大的人群。
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引用次数: 0
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Internet Interventions-The Application of Information Technology in Mental and Behavioural Health
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