Enhancing Problem-Solving Therapy With Smartphone Technology: A Pilot Randomized Controlled Trial.

IF 3.2

Psychiatric services (Washington, D.C.) Pub Date : 2022-07-01 Epub Date: 2022-02-10 DOI:10.1176/appi.ps.201900254

Kathleen M Grubbs, Traci H Abraham, Jeffrey M Pyne, Carolyn J Greene, Ellen J Teng, John C Fortney

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引用次数: 1

Abstract

Objective: Development of smartphone apps for mental health care has outpaced research on their effectiveness. This pilot study tested Moving Forward, an app designed to support problem-solving therapy (PST).

Methods: Thirty-three veterans seeking mental health care in U.S. Department of Veterans Affairs primary care clinics were randomly assigned to receive six sessions of PST accompanied by either the Moving Forward app (N=17) or a workbook (N=16). Participants completed measures of anxiety, depression, stress, problem-solving style, satisfaction, and between-session practice at baseline and 6- and 12-week follow-ups. Qualitative interviews were used to elicit feedback.

Results: Participants in both groups reported high satisfaction and reductions in depression, anxiety, and stress. Veterans who used the app reported skills practice, and qualitative data indicated that patients perceived the app as valuable, with the potential to reduce barriers to care.

Conclusions: This study provides preliminary evidence to support the ability of the Moving Forward app to augment brief psychotherapy in primary care clinics.

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利用智能手机技术加强问题解决疗法:一项随机对照试验。

目的:精神卫生保健智能手机应用程序的开发已经超过了对其有效性的研究。这项试点研究测试了一款旨在支持问题解决疗法(PST)的应用程序Moving Forward。方法:33名在美国退伍军人事务部初级保健诊所寻求精神卫生保健的退伍军人被随机分配接受6次PST，并伴有前进应用程序(N=17)或工作簿(N=16)。参与者在基线和6周和12周的随访中完成了焦虑、抑郁、压力、解决问题的方式、满意度和间歇练习的测量。使用定性访谈来获得反馈。结果:两组参与者都报告了高满意度和抑郁、焦虑和压力的减少。使用该应用程序的退伍军人报告了技能练习，定性数据表明，患者认为该应用程序很有价值，有可能减少护理障碍。结论:本研究为支持Moving Forward应用程序在初级保健诊所增加简短心理治疗的能力提供了初步证据。

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

Psychiatric services (Washington, D.C.)

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