PDF(Pubmed)
Abstract：
The use of digital technologies as a method of delivering health behaviour change (HBC) interventions is rapidly increasing across the general population. However, the role in severe mental illness (SMI) remains overlooked. In this study, we aimed to systematically identify and evaluate all of the existing evidence around digital HBC interventions in people with an SMI. A systematic search of online electronic databases was conducted. Data on adherence, feasibility, and outcomes of studies on digital HBC interventions in SMI were extracted. Our combined search identified 2196 titles and abstracts, of which 1934 remained after removing duplicates. Full-text screening was performed for 107 articles, leaving 36 studies to be included. From these, 14 focused on physical activity and/or cardio-metabolic health, 19 focused on smoking cessation, and three concerned other health behaviours. The outcomes measured varied considerably across studies. Although over 90% of studies measuring behavioural changes reported positive changes in behaviour/attitudes, there were too few studies collecting data on mental health to determine effects on psychiatric outcomes. Digital HBC interventions are acceptable to people with an SMI, and could present a promising option for addressing behavioural health in these populations. Feedback indicated that additional human support may be useful for promoting adherence/engagement, and the content of such interventions may benefit from more tailoring to specific needs. While the literature does not yet allow for conclusions regarding efficacy for mental health, the available evidence to date does support their potential to change behaviour across various domains.
摘要：
使用数字技术作为提供健康行为改变（HBC）干预措施的方法在普通人群中迅速增加。然而,在严重精神疾病（SMI）中的作用仍然被忽视。在这项研究中,我们旨在系统地识别和评估SMI患者中有关数字HBC干预的所有现有证据.对在线电子数据库进行了系统搜索。遵守情况数据，可行性,并提取了SMI中数字HBC干预研究的结果。我们的联合搜索确定了2196个标题和摘要，其中1934年在删除重复项后仍然存在。对107篇文章进行了全文筛选，留下36项研究。从这些,14专注于身体活动和/或心脏代谢健康，19专注于戒烟，还有三个人关注其他健康行为。在不同的研究中，测量的结果差异很大。尽管超过90％的测量行为变化的研究报告了行为/态度的积极变化，收集心理健康数据的研究太少,无法确定对精神病结局的影响.数字HBC干预对SMI患者来说是可以接受的，并且可以为解决这些人群的行为健康提供有希望的选择。反馈表明，额外的人类支持可能有助于促进坚持/参与，而这些干预措施的内容可能会受益于更多针对具体需求的调整。虽然文献还没有关于心理健康功效的结论，到目前为止，现有的证据确实支持了它们在各个领域改变行为的潜力。
