PDF(Pubmed)
Abstract：
UNASSIGNED: To provide an overview of the digital mental health care landscape for individuals with spinal cord injury (SCI).
UNASSIGNED: PubMed, PsycInfo, and PSYNDEX were searched for articles meeting the following criteria: (1) article written in English or German; (2) digital psychosocial intervention; (3) SCI only; (4) treatment of individuals with SCI and not their relatives or caregivers. Records were screened by title and abstract and records meeting the inclusion criteria were obtained for full text screening. The references of identified articles were screened to find further relevant articles. The literature search was updated before submission. Risk of Bias was assessed by using the Cochrane risk-of-bias tool for randomized trials (RoB 2) and a narrative synthesis was conducted.
UNASSIGNED: Ten randomized-controlled trials (RCT) and ten non-randomized-controlled trials were identified and compared in this review, evaluating twelve internet- and mobile-based interventions, five smartphone apps, and three virtual reality applications. The interventions were primarily used as stand-alone aftercare programs. While some were not based on any theory, cognitive behavioral therapy mostly served as the theoretical basis for the online interventions. The extent of human support also varied greatly between the studies. The number of intervention modules ranged between 2 and 72. There were also major differences in outcome variables and effects. A meta-analytical evaluation of the data was not conducted due to heterogeneity of studies.
UNASSIGNED: Digital applications to promote the psychosocial health of individuals with SCI are an emerging field of research with many treatment approaches still to come. First high quality RCT studies report promising results. Unfortunately, not all studies are of high quality or the interventions have been insufficiently adapted to the needs of people with SCI. Therefore, more research is needed to further develop applications, and to generalize and test the effects found in the long term.
UNASSIGNED: PubMed, PsycInfo, and PSYNDEX were searched for articles meeting the following criteria: (1) article written in English or German; (2) digital psychosocial intervention; (3) SCI only; (4) treatment of individuals with SCI and not their relatives or caregivers. Records were screened by title and abstract and records meeting the inclusion criteria were obtained for full text screening. The references of identified articles were screened to find further relevant articles. The literature search was updated before submission. Risk of Bias was assessed by using the Cochrane risk-of-bias tool for randomized trials (RoB 2) and a narrative synthesis was conducted.
UNASSIGNED: Ten randomized-controlled trials (RCT) and ten non-randomized-controlled trials were identified and compared in this review, evaluating twelve internet- and mobile-based interventions, five smartphone apps, and three virtual reality applications. The interventions were primarily used as stand-alone aftercare programs. While some were not based on any theory, cognitive behavioral therapy mostly served as the theoretical basis for the online interventions. The extent of human support also varied greatly between the studies. The number of intervention modules ranged between 2 and 72. There were also major differences in outcome variables and effects. A meta-analytical evaluation of the data was not conducted due to heterogeneity of studies.
UNASSIGNED: Digital applications to promote the psychosocial health of individuals with SCI are an emerging field of research with many treatment approaches still to come. First high quality RCT studies report promising results. Unfortunately, not all studies are of high quality or the interventions have been insufficiently adapted to the needs of people with SCI. Therefore, more research is needed to further develop applications, and to generalize and test the effects found in the long term.
摘要：
■为脊髓损伤（SCI）患者提供数字精神卫生保健的概述。
■PubMed,PsycInfo,和PSYNDEX搜索符合以下标准的文章:(1)用英语或德语撰写的文章;(2)数字心理社会干预;(3)仅SCI;(4)对SCI患者的治疗,而非其亲属或护理人员.通过标题和摘要筛选记录，并获得符合纳入标准的记录进行全文筛选。筛选已识别文章的参考文献以找到进一步的相关文章。文献检索在提交前已更新。使用Cochrane偏倚风险工具进行随机试验（RoB2）评估偏倚风险，并进行叙述性综合。
■在这篇综述中确定并比较了10项随机对照试验（RCT）和10项非随机对照试验，评估12种基于互联网和移动的干预措施，五个智能手机应用程序，和三个虚拟现实应用。这些干预措施主要用作独立的护理计划。虽然有些不是基于任何理论，认知行为疗法主要作为网络干预的理论基础。在研究之间，人类支持的程度也有很大差异。干预模块的数量介于2和72之间。结果变量和效果也存在重大差异。由于研究的异质性，未对数据进行荟萃分析评估。
■促进SCI患者心理社会健康的数字应用是一个新兴的研究领域，许多治疗方法仍在未来。第一个高质量的RCT研究报告了有希望的结果。不幸的是,并非所有研究都是高质量的,或者干预措施不足以适应SCI患者的需求.因此,需要更多的研究来进一步开发应用，并推广和测试长期发现的效果。
■PubMed,PsycInfo,和PSYNDEX搜索符合以下标准的文章:(1)用英语或德语撰写的文章;(2)数字心理社会干预;(3)仅SCI;(4)对SCI患者的治疗,而非其亲属或护理人员.通过标题和摘要筛选记录，并获得符合纳入标准的记录进行全文筛选。筛选已识别文章的参考文献以找到进一步的相关文章。文献检索在提交前已更新。使用Cochrane偏倚风险工具进行随机试验（RoB2）评估偏倚风险，并进行叙述性综合。
■在这篇综述中确定并比较了10项随机对照试验（RCT）和10项非随机对照试验，评估12种基于互联网和移动的干预措施，五个智能手机应用程序，和三个虚拟现实应用。这些干预措施主要用作独立的护理计划。虽然有些不是基于任何理论，认知行为疗法主要作为网络干预的理论基础。在研究之间，人类支持的程度也有很大差异。干预模块的数量介于2和72之间。结果变量和效果也存在重大差异。由于研究的异质性，未对数据进行荟萃分析评估。
■促进SCI患者心理社会健康的数字应用是一个新兴的研究领域，许多治疗方法仍在未来。第一个高质量的RCT研究报告了有希望的结果。不幸的是,并非所有研究都是高质量的,或者干预措施不足以适应SCI患者的需求.因此,需要更多的研究来进一步开发应用，并推广和测试长期发现的效果。
