下载《治愈:探索精神病治疗中数字疗法的像素之路》(Digital Therapeutics in Psychiatric Care)。

IF 3.6 3区 医学 Q1 PSYCHIATRY
Jai Ahuja, Sanobar Jaka, Sikandar Saeed, Sasidhar Gunturu
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引用次数: 0

摘要

随着医疗保健技术的进步,数字疗法也在迅速发展。尽管其使用日益广泛,但在了解其监管框架、整合以及对药物使用障碍、失眠、注意缺陷多动障碍和创伤后应激障碍等疾病的疗效方面仍存在差距。本研究对美国食品药物管理局批准的数字疗法进行了评估,并探讨了这些疗法在当前的技术和监管变革中彻底改变精神疾病治疗的潜力。我们对主要数据库进行了全面审查,重点关注截至 2024 年 1 月发表的有关 FDA 批准的数字疗法的文章。我们排除了非英语文章、缺乏实证数据或关注非 FDA 批准疗法的文章。我们的分析涵盖了监管合规性、临床结果以及与传统疗法的整合。通过对九种获得 FDA 批准的数字疗法的审查,我们发现了它们的优势,如提高了治疗的可及性,并有可能降低医疗成本。例如,Somryst 是一种基于认知行为疗法的失眠治疗方法,结果显示,40% 以上的用户克服了长期失眠,60% 的用户在无不良反应的情况下获得了改善。然而,挑战依然存在,包括提供商采用率低、保险覆盖面不足以及用户退出率高等。虽然数字疗法提高了可及性,但它们也面临着监管挑战、报销问题以及对可靠临床证据的需求。成功与否取决于利益相关者之间的合作,以展示价值、确保安全并将其整合到现有的医疗保健系统中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Download to Heal: Navigating the Pixelated Path of Digital Therapeutics in Psychiatric Care.

Digital therapeutics have evolved rapidly with technological advances in healthcare. Despite their increasing use, gaps remain in understanding their regulatory frameworks, integration, and efficacy for conditions like substance use disorder, insomnia, attention deficit hyperactivity disorder, and post-traumatic stress disorder. This study evaluates FDA-approved digital therapeutics and explores their potential to revolutionize psychiatric treatments amid ongoing technological and regulatory changes. We conducted a comprehensive review of major databases, focusing on articles published up to January 2024 on FDA-approved digital therapeutics. We excluded non-English articles and those lacking empirical data or focusing on non-FDA-approved therapeutics. Our analysis covered regulatory compliance, clinical outcomes, and integration with traditional treatments. The review of nine FDA-cleared digital therapeutics revealed benefits like improved treatment accessibility and potential reductions in healthcare costs. For example, Somryst, a cognitive-behavioral therapy-based treatment for insomnia, showed that over 40 percent of users overcame chronic insomnia, and 60 percent experienced improvements without adverse effects. However, challenges remain, including low provider adoption, inadequate insurance coverage, and high user dropout rates. While digital therapeutics enhance accessibility, they face regulatory challenges, reimbursement issues, and the need for robust clinical evidence. Success depends on collaboration among stakeholders to demonstrate value, ensure safety, and integrate them into existing healthcare systems.

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来源期刊
Revista Brasileira de Psiquiatria
Revista Brasileira de Psiquiatria 医学-精神病学
CiteScore
6.60
自引率
0.00%
发文量
83
审稿时长
6-12 weeks
期刊介绍: The Revista Brasileira de Psiquiatria (RBP) is the official organ of the Associação Brasileira de Psiquiatria (ABP - Brazilian Association of Psychiatry). The Brazilian Journal of Psychiatry is a bimonthly publication that aims to publish original manuscripts in all areas of psychiatry, including public health, clinical epidemiology, basic science, and mental health problems. The journal is fully open access, and there are no article processing or publication fees. Articles must be written in English.
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