背景:近年来,事实证明,移动心理干预可有效减少自我伤害和自杀相关行为。因此,必须不断增强用户体验并满足患者的需求,以促进移动心理健康干预措施的发展。识别具有移动心理健康需求的患者对于心理健康专业人员来说可能是一项挑战。为了解决这个问题,我们对定性研究进行了系统综述,以综合参与自我伤害和自杀相关行为的患者对基于移动和互联网的心理干预的需求.
方法:本研究遵循系统评价和荟萃分析报表(PRISMA)的首选报告项目和定性研究报表综合报告(ENTREQ)的增强透明度。我们探索了11个数据库,并使用专题分析综合了结果。
结果:共纳入16项定性和混合方法研究。研究发现,具有自我伤害和自杀相关行为的患者对移动心理干预的需求包括治疗,技术,文化,隐私,通信,情感支持,个性化,和自我管理。与技术接受模型(TAM)一致,具有自我伤害和自杀相关行为的患者的需求受到移动干预的感知易用性和感知有用性的影响。然而,调查结果还强调了同伴支持的重要性和未满足的需求,通信,自我管理,和授权使用移动心理干预对患者的自我伤害和自杀相关行为。
结论:该领域的研究表明,具有自我伤害和自杀相关行为的患者的需求涵盖多个阶段,包括基本的治疗和技术需求以及高级情感需求。这种复杂性使得通过数字干预来解决从事自我伤害和自杀相关行为的患者的需求变得具有挑战性。在未来,应鼓励精神卫生专业人员参与多学科合作,以扩大数字干预措施的使用,加强患者的远程自我管理,为精神病患者的持续护理提供新策略。我们在PROSPERO(CRD42022324958)上注册了审查方案。
In recent years, mobile psychological interventions have proven effective in reducing self-injury and suicide-related behaviors. Therefore, it is essential to continually enhance the user experience and address patients\' needs to facilitate the development of mobile mental health interventions. Identifying patients with mobile mental health needs can be challenging for mental health professionals. To address this, we conducted a systematic
review of qualitative research to synthesize the needs of patients engaged in self-injury and suicide-related behaviors for mobile and internet-based psychological interventions.
This study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (PRISMA) and the Enhancing Transparency in Reporting the Synthesis of Qualitative Research statement (ENTREQ). We explored 11 databases and synthesized the results using thematic analysis.
Sixteen qualitative and mixed-method studies were included. The study found that the needs of patients with self-injury and suicide-related behaviors for mobile psychological intervention included therapy, technology, culture, privacy, communication, emotional support, personalization, and self-management. Consistent with the Technology Acceptance Model (TAM), the needs of patients with self-injury and suicide-related behaviors are influenced by the perceived ease of use and perceived usefulness of the mobile intervention. However, the findings also highlight the importance and unmet needs of peer support, communication, self-management, and empowerment in using mobile psychological interventions for patients with self-injury and suicide-related behaviors.
Studies in this area have shown that the needs of patients with self-harm and suicide-related behaviors cover multiple stages, including basic therapeutic and technical needs and advanced emotional needs. This complexity makes it challenging to address the needs of patients engaged in self-injury and suicide-related behaviors through digital interventions. In the future, mental health professionals should be encouraged to participate in multidisciplinary collaborations to expand the use of digital interventions, enhancing remote self-management for patients and providing new strategies for the ongoing care of psychiatric patients. We registered the
review protocol on PROSPERO (CRD42022324958).