Evaluation of Digital Mental Health Technologies in the United States: Systematic Literature Review and Framework Synthesis.

IF 5.4 3区材料科学 Q2 CHEMISTRY, PHYSICAL

ACS Applied Energy Materials Pub Date : 2024-08-30 DOI:10.2196/57401

Julianna Catania, Steph Beaver, Rakshitha S Kamath, Emma Worthington, Minyi Lu, Hema Gandhi, Heidi C Waters, Daniel C Malone

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引用次数: 0

Abstract

Background: Digital mental health technologies (DMHTs) have the potential to enhance mental health care delivery. However, there is little information on how DMHTs are evaluated and what factors influence their use.

Objective: A systematic literature review was conducted to understand how DMHTs are valued in the United States from user, payer, and employer perspectives.

Methods: Articles published after 2017 were identified from MEDLINE, Embase, PsycINFO, Cochrane Library, the Health Technology Assessment Database, and digital and mental health congresses. Each article was evaluated by 2 independent reviewers to identify US studies reporting on factors considered in the evaluation of DMHTs targeting mental health, Alzheimer disease, epilepsy, autism spectrum disorder, or attention-deficit/hyperactivity disorder. Study quality was assessed using the Critical Appraisal Skills Program Qualitative and Cohort Studies Checklists. Studies were coded and indexed using the American Psychiatric Association's Mental Health App Evaluation Framework to extract and synthesize relevant information, and novel themes were added iteratively as identified.

Results: Of the 4353 articles screened, data from 26 unique studies from patient, caregiver, and health care provider perspectives were included. Engagement style was the most reported theme (23/26, 88%), with users valuing DMHT usability, particularly alignment with therapeutic goals through features including anxiety management tools. Key barriers to DMHT use included limited internet access, poor technical literacy, and privacy concerns. Novel findings included the discreetness of DMHTs to avoid stigma.

Conclusions: Usability, cost, accessibility, technical considerations, and alignment with therapeutic goals are important to users, although DMHT valuation varies across individuals. DMHT apps should be developed and selected with specific user needs in mind.

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美国数字心理健康技术评估：系统性文献回顾与框架综合。

背景：数字心理健康技术（DMHTs）具有改善心理健康护理服务的潜力。然而，有关如何评估 DMHT 以及影响其使用的因素的信息却很少：我们进行了一项系统性文献综述，从用户、支付方和雇主的角度了解美国是如何评价 DMHT 的：从 MEDLINE、Embase、PsycINFO、Cochrane 图书馆、卫生技术评估数据库以及数字和心理健康大会中筛选出 2017 年后发表的文章。每篇文章均由两名独立审稿人进行评估，以确定报告针对心理健康、阿尔茨海默病、癫痫、自闭症谱系障碍或注意力缺陷/多动症的 DMHT 评估中考虑的因素的美国研究。研究质量采用 "批判性评估技能计划定性研究和队列研究检查表 "进行评估。使用美国精神病学协会的心理健康应用评估框架对研究进行编码和索引，以提取和综合相关信息，并在发现新主题时反复添加：在筛选出的 4353 篇文章中，有 26 项独特的研究从患者、护理人员和医疗服务提供者的角度提供了数据。参与方式是报道最多的主题（23/26，88%），用户重视 DMHT 的可用性，尤其是通过焦虑管理工具等功能与治疗目标保持一致。使用 DMHT 的主要障碍包括互联网访问受限、技术知识匮乏以及隐私问题。新发现包括DMHT的隐蔽性，以避免污名化：尽管DMHT的评价因人而异，但可用性、成本、可及性、技术考虑因素以及与治疗目标的一致性对用户来说非常重要。开发和选择 DMHT 应用程序时应考虑到用户的具体需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Energy Materials Materials Science-Materials Chemistry

CiteScore

10.30

自引率

6.20%

发文量

1368

期刊介绍： ACS Applied Energy Materials is an interdisciplinary journal publishing original research covering all aspects of materials, engineering, chemistry, physics and biology relevant to energy conversion and storage. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important energy applications.