关键词: app application applications apps disaster disasters emergency hazard hazards mHealth mental health mobile apps mobile health mobile phone psychological psychological trauma review methodology review methods scoping smartphone stress trauma traumatic

Mesh : Humans Mobile Applications Natural Disasters Mental Health Telemedicine / statistics & numerical data Disasters

来  源:   DOI:10.2196/49929   PDF(Pubmed)

Abstract:
BACKGROUND: Disasters are becoming more frequent due to the impact of extreme weather events attributed to climate change, causing loss of lives, property, and psychological trauma. Mental health response to disasters emphasizes prevention and mitigation, and mobile health (mHealth) apps have been used for mental health promotion and treatment. However, little is known about their use in the mental health components of disaster management.
OBJECTIVE: This scoping review was conducted to explore the use of mobile phone apps for mental health responses to natural disasters and to identify gaps in the literature.
METHODS: We identified relevant keywords and subject headings and conducted comprehensive searches in 6 electronic databases. Studies in which participants were exposed to a man-made disaster were included if the sample also included some participants exposed to a natural hazard. Only full-text studies published in English were included. The initial titles and abstracts of the unique papers were screened by 2 independent review authors. Full texts of the selected papers that met the inclusion criteria were reviewed by the 2 independent reviewers. Data were extracted from each selected full-text paper and synthesized using a narrative approach based on the outcome measures, duration, frequency of use of the mobile phone apps, and the outcomes. This scoping review was reported according to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews).
RESULTS: Of the 1398 papers retrieved, 5 were included in this review. A total of 3 studies were conducted on participants exposed to psychological stress following a disaster while 2 were for disaster relief workers. The mobile phone apps for the interventions included Training for Life Skills, Sonoma Rises, Headspace, Psychological First Aid, and Substance Abuse and Mental Health Services Administration (SAMHSA) Behavioural Health Disaster Response Apps. The different studies assessed the effectiveness or efficacy of the mobile app, feasibility, acceptability, and characteristics of app use or predictors of use. Different measures were used to assess the effectiveness of the apps\' use as either the primary or secondary outcome.
CONCLUSIONS: A limited number of studies are exploring the use of mobile phone apps for mental health responses to disasters. The 5 studies included in this review showed promising results. Mobile apps have the potential to provide effective mental health support before, during, and after disasters. However, further research is needed to explore the potential of mobile phone apps in mental health responses to all hazards.
摘要:
背景:由于归因于气候变化的极端天气事件的影响,灾害变得越来越频繁,造成生命损失,财产和心理创伤。应对灾害的精神卫生强调预防和减轻灾害,和移动健康(mHealth)应用程序已用于心理健康促进和治疗。然而,人们对它们在灾害管理的心理健康部分的使用知之甚少。
目的:进行了这项范围界定审查,以探索使用手机应用程序(应用程序)应对自然灾害的心理健康反应,并找出文献中的空白。
方法:我们确定了相关的关键词和主题词,并在六个电子数据库中进行了全面的搜索。如果样本还包括一些暴露于自然灾害的参与者,则包括参与者暴露于人为灾难的研究。仅包括以英文发表的全文研究。由两名独立的评论作者筛选了独特文章的初始标题和摘要。两名独立审稿人审查了符合纳入标准的选定文章的全文。从每篇选定的全文文章中提取数据,并根据结果衡量标准使用叙述方法进行综合,持续时间,以及手机应用程序的使用频率,和结果。此范围审查是根据系统审查的首选报告项目和范围审查的荟萃分析扩展(PRISMA-ScR)进行报告的。
结果:在检索到的1398篇文章中,这次审查包括了五名。对灾难后暴露于心理压力的参与者进行了三项研究,而两项研究是针对救灾人员的。用于干预措施的手机应用程序包括生活技能培训(TLS),索诺玛崛起,和顶部空间,心理急救,和SAMHSA行为健康灾难响应应用程序。不同的研究评估了移动应用程序的有效性或功效,可行性,可接受性,以及应用程序利用率的特征或使用预测因素。使用不同的措施来评估应用程序使用的有效性,作为主要或次要结果。
结论:有限数量的研究正在探索使用手机应用程序来应对灾难。这篇综述中包含的五项研究显示了有希望的结果。移动应用程序有可能提供有效的心理健康支持,灾难期间和之后。然而,需要进一步的研究来探索手机应用程序在心理健康应对所有危害方面的潜力。
背景:
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