关键词: Digital Interventions Interviews Psychosis Qualitative Synthesis Technology

来  源:   DOI:10.1007/s00127-024-02692-4

Abstract:
OBJECTIVE: Although the development of digital mental health support for people with psychosis has been increasing, the development and opportunities to access this have been more limited compared to other mental health conditions. Qualitative research exploring the experiences of using digital interventions amongst people with psychosis is even less well developed; however, such research is crucial in capturing the experiences of using digital interventions to ensure they are meeting the needs of people with psychosis. This paper aimed to synthesise qualitative data related to the experiences of people with psychosis who have used digital interventions.
METHODS: A systematic literature search was conducted of articles published between 1992 and October 2023 using PubMed, MBase, PsycINFO, & OVID Medline. Two reviewers independently reviewed and screened 268 papers. Papers that met inclusion criteria were quality assessed using The Critical Appraisal Skills Programme (CASP) qualitative studies checklist. The Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) checklist was used to guide the structure of the report.
RESULTS: A thematic synthesis of 19 studies revealed six overarching themes which related to different aspects and features of the digital interventions: participants\' relationship with technology; the accessibility of the interventions; how the interventions could impact on individuals\' awareness and management of mental health; enhanced communication and relationships; and opportunities for reflection.
CONCLUSIONS: Benefits of using digital interventions are discussed. Areas for development and improvements are highlighted. Finally, recommendations for stakeholders who develop and implement digital interventions for psychosis are made.
摘要:
目标:尽管针对精神病患者的数字心理健康支持的发展一直在增加,与其他精神健康状况相比,这种疾病的发展和获得这种疾病的机会更为有限。探索在精神病患者中使用数字干预措施的经验的定性研究甚至不那么发达;然而,这样的研究对于获取使用数字干预措施的经验以确保它们满足精神病患者的需求至关重要。本文旨在综合与使用数字干预措施的精神病患者的经验相关的定性数据。
方法:使用PubMed对1992年至2023年10月之间发表的文章进行了系统的文献检索,MBase,PsycINFO,&OVIDMedline。两名审稿人独立审查和筛选了268篇论文。使用关键评估技能计划(CASP)定性研究清单对符合纳入标准的论文进行质量评估。使用“提高报告质量研究综合报告的透明度”(ENTREQ)清单来指导报告的结构。
结果:19项研究的主题综合显示了与数字干预措施的不同方面和特征有关的六个总体主题:参与者与技术的关系;干预措施的可及性;干预措施如何影响个人对心理健康的认识和管理;加强沟通和关系;以及反思的机会。
结论:讨论了使用数字干预的益处。强调了发展和改进的领域。最后,为制定和实施精神病数字干预措施的利益相关者提出了建议。
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