有甲基苯丙胺使用障碍的参与者中的虚拟代理:可接受性和可用性研究。

IF 3.2 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Journal of Telemedicine and Telecare Pub Date : 2025-06-01 Epub Date: 2024-01-23 DOI:10.1177/1357633X231219039
Shuo Li, Yue Wang, Liyu Chen, Tianzhen Chen, Jiang Du, Hang Su, Haifeng Jiang, Qianying Wu, Lei Zhang, Jiayi Bao, Min Zhao
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引用次数: 0

摘要

简介虽然虚拟代理(VA)在治疗成瘾方面的潜在作用前景广阔,但对参与者在心理治疗中使用虚拟代理的态度仍未进行充分调查。这种缺乏调查的情况可能会阻碍以虚拟代理为主导的心理疗法在药物使用障碍(SUD)患者中的应用。本研究旨在探讨甲基苯丙胺使用障碍患者对虚拟形象的可接受性和可用性:49名因DSM-V药物依赖而积极寻求治疗的人(平均年龄为39.06±8.02岁)在通过Echo-app接受了一次由自愿者主导的心理治疗后,填写了自填问卷并参加了焦点小组访谈。这些问卷旨在调查参与者对心理治疗类型的偏好,以及他们是否愿意参与由自愿者协会主导的心理治疗,同时考虑到他们的不同心理需求:通过描述性和推论性统计方法对定量数据进行了分析。有趣的是,与基于电子邮件的心理疗法相比,参与者对传统面对面心理疗法的接受度明显更高(p = 0.042),但他们对传统心理疗法和退伍军人主导的心理疗法的接受度在统计学上没有显著差异(p = 0.059)。问卷结果表明,参与者愿意参与由退伍军人主导的心理治疗,以达到预防复发干预、解决情绪问题、控制躯体体验以及促进社会和家庭功能恢复等目的。此外,参与者对退伍军人主导的心理治疗的态度还受到以下因素的影响:需要焦虑心理治疗(p = 0.027;OR [95%CI] = 0.14[0.03,0.80])、存在慢性躯体疾病(p = 0.017;OR [95%CI] = 13.58[1.59,116.03])和婚姻状况(p = 0.031;OR [95%CI] = 5.02[1.16,21.79]):通过访谈,本研究揭示了支持或阻碍参与者体验退伍军人主导的心理治疗的因素,同时也收集了对未来改进的建议。这项研究强调了患有 SUD 的个人接受退伍军人主导型心理疗法的意愿和实用性。预计研究结果将有助于完善以自愿者协会为主导的工具,使其更符合使用者的偏好和需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Virtual agents among participants with methamphetamine use disorders: Acceptability and usability study.

IntroductionWhile the potential future role of virtual agents (VAs) in treating addiction is promising, participants' attitudes toward the use of VAs in psychotherapy remain insufficiently investigated. This lack of investigation could pose barriers to the adoption of VA-led psychotherapy for people with substance use disorders (SUD). This research aims to explore the acceptability and usability of VAs for people with methamphetamine use disorder.MethodsFollowing a single session of psychotherapy led by VAs through the Echo-app, a group of 49 individuals actively seeking treatment for current DSM-V substance dependence (with a mean age of 39.06 ± 8.02) completed self-administered questionnaires and participated in focus group interviews. These questionnaires aimed to investigate participants' preference regarding the type of psychotherapy and their willingness to engage in VA-led psychotherapy, taking into account their diverse psychological needs.ResultsQuantitative data were subjected to analysis through both descriptive and inferential statistical methods. Interestingly, participants exhibited a significantly higher acceptability for traditional face-to-face psychotherapy compared to email-based psychotherapy (p = 0.042), but there was no statistically significant difference between their acceptance of traditional psychotherapy and VA-led psychotherapy (p = 0.059). The questionnaire outcomes indicated participants' willingness to engage in VA-led psychotherapy for purposes such as relapse prevention intervention, addressing emotional issues, managing somatic experiences, and facilitating social and family functional recovery. Furthermore, the participants' attitudes toward VA-led psychotherapy were predicted by factors including the need for anxiety-focused psychotherapy (p = 0.027; OR [95%CI] = 0.14[0.03,0.80]), the presence of chronic somatic diseases (p = 0.017; OR [95%CI] = 13.58[1.59,116.03]), and marital status (p = 0.031; OR [95%CI] = 5.02[1.16,21.79]).DiscussionThrough the interviews, the study uncovered the factors that either supported or hindered participants' experiences with VA-led psychotherapy, while also gathering suggestions for future improvements. This research highlights the willingness and practicality of individuals with SUD in embracing VA-led psychotherapy. The findings are anticipated to contribute to the refinement of VA-led tools to better align with the preferences and needs of the users.

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来源期刊
CiteScore
14.10
自引率
10.60%
发文量
174
审稿时长
6-12 weeks
期刊介绍: Journal of Telemedicine and Telecare provides excellent peer reviewed coverage of developments in telemedicine and e-health and is now widely recognised as the leading journal in its field. Contributions from around the world provide a unique perspective on how different countries and health systems are using new technology in health care. Sections within the journal include technology updates, editorials, original articles, research tutorials, educational material, review articles and reports from various telemedicine organisations. A subscription to this journal will help you to stay up-to-date in this fast moving and growing area of medicine.
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