为精神病住院患者提供移动干预的可行性和可接受性:随机对照试验。

IF 1.9 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Brandon A Gaudiano, Madeline Ward, Madeline B Benz, Christopher Hughes, Jennifer E Johnson, Ethan Moitra
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引用次数: 0

摘要

这项随机对照试验研究了针对精神分裂症谱系障碍患者的新型移动医疗干预措施的可行性和可接受性。该应用程序采用认知行为疗法治疗精神病的策略,为个人提供及时评估和干预,以促进健康的应对技能和坚持治疗。我们对移动医疗干预进行了评估,并将其与仅包含移动评估和心理教育的对比应用程序进行了比较。我们在患者出院时以及出院后 1 个月、2 个月和 4 个月对其进行了评估。42名患有精神分裂症谱系障碍的成人住院病人出院后参与了这项研究。在研究过程中,我们事先定义的可行性和可接受性目标大部分都已实现,包括拟议的招募率和保留率、移动医疗应用程序参与度、应用程序满意度评分、随时间推移观察到的临床改善情况,以及未发生与研究相关的不良事件。参与者对移动医疗干预的参与度(74%)明显高于对比应用程序(43%)。在研究过程中,两组的功能失调应对和精神症状都明显减少。未来还需要进行更大规模的试验,以确认移动保健干预的有效性。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Feasibility and acceptability of a mobile intervention for patients with psychosis following psychiatric hospitalization: A pilot randomized controlled trial.

This pilot randomized control trial examines the feasibility and acceptability of a novel mHealth intervention for patients with schizophrenia spectrum disorders following discharge from inpatient hospitalization. Using cognitive behavior therapy for psychosis strategies, the app provides just-in-time assessment and intervention for individuals to promote healthy coping skills and treatment adherence. We assessed the mHealth intervention relative to a comparison app that included mobile assessment plus psychoeducation alone. Patients were assessed at hospital discharge, as well as 1-, 2-, and 4-months postdischarge. Forty-two adults with schizophrenia spectrum disorders discharging from inpatient care participated in the study. Our a priori-defined feasibility and acceptability goals were mostly achieved during the study, in terms of the proposed recruitment and retention rates, mHealth app engagement, app satisfaction ratings, clinical improvement observed over time, and absence of adverse events related to the study. The participants were significantly more engaged in the mHealth intervention (74%) versus the comparison app (43%). Over the course of the study, dysfunctional coping and psychiatric symptoms significantly declined in both groups. Future larger trials are needed to confirm the efficacy of the mHealth intervention. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
Psychological Services
Psychological Services PSYCHOLOGY, CLINICAL-
CiteScore
4.20
自引率
13.00%
发文量
216
期刊介绍: Psychological Services publishes high-quality data-based articles on the broad range of psychological services. While the Division"s focus is on psychologists in "public service," usually defined as being employed by a governmental agency, Psychological Services covers the full range of psychological services provided in any service delivery setting. Psychological Services encourages submission of papers that focus on broad issues related to psychotherapy outcomes, evaluations of psychological service programs and systems, and public policy analyses.
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