Recent years have seen a rapidly increasing trend towards the delivery of health technology through mobile devices.Smartphones and tablet devices are thus becoming increasingly popular for accessing information and a ...Recent years have seen a rapidly increasing trend towards the delivery of health technology through mobile devices.Smartphones and tablet devices are thus becoming increasingly popular for accessing information and a wide range of services,including health care services.Modern mobile apps can be used for a variety of reasons,ranging from education for the patients and assistance to clinicians to delivery of interventions.Mobile phone apps have also been established to benefit patients in a scope of interventions across numerous medical specialties and treatment modalities.Medical apps have their advantages and disadvantages.It is important that clinicians have access to knowledge to make decisions regarding the use of medical apps on the basis of risk-benefit ratio.Mobile apps that deliver psycho social interventions offer unique challenges and opportunities.A number of reviews have highlighted the potential use of such apps.There is a need to describe,report and study their side effects too.The adverse effects associated with these apps can broadly be divided into:(1)those resulting from the security and safety concerns;(2)those arising from the use of a particular psycho social intervention;and(3)those due to the interaction with digital technology.There is a need to refine and reconsider the safety and adverse effects in this area.The safety profile of a mobile PSI app should describe its safety profile in:(1)privacy and security;(2)adverse effects of psychotherapy;and(3)adverse effects unique to the use of apps and the internet.This is,however,a very new area and further research and reporting is required to inform clinical decision making.展开更多
BACKGROUND Recommendations for psychotherapy have evolved over the years,with cognitive behavioral therapy(CBT)taking precedence since its inception within clinical guidelines in the United Kingdom and United States.T...BACKGROUND Recommendations for psychotherapy have evolved over the years,with cognitive behavioral therapy(CBT)taking precedence since its inception within clinical guidelines in the United Kingdom and United States.The use of CBT for severe mental illness is now more common globally.AIM To investigate the feasibility and acceptability of a culturally adapted,CBT-based,third-wave therapy manual using the Comprehend,Cope,and Connect approach with individuals from a diverse population presenting to primary and secondary healthcare services.METHODS A pilot study was used to assess the feasibility and acceptability of the manualised intervention.Outcome measures were evaluated at baseline,post-intervention and 12 wk-follow up.32 participants with mental health conditions aged 20-53 years were recruited.Assessments were completed at three time points,using Clinical Outcomes in Routine Evaluation(CORE),Hospital Anxiety and Depression Scale(HADS),Bradford Somatic Inventory and World Health Organization Disability Assessment Schedule 2.0(WHODAS).The Patient Experience Questionnaire was completed post-treatment.RESULTS Repeated measures of analysis of variance associated with HADS depression,F(2,36)=12.81,P<0.001,partialη^(2)=0.42 and HADS anxiety scores,F(2,26)=9.93,P<0.001,partialη^(2)=0.36;CORE total score and WHODAS both showed significant effect F(1.25,18.72)=14.98,P<0.001,partialη^(2)=0.5.and F(1.29,14.18)=6.73,P<0.001,partialη^(2)=0.38 respectively.CONCLUSION These results indicate the effectiveness and acceptability of the culturally adapted,CBT-based,third-wave therapy manual intervention among minoritized groups with moderate effect sizes.Satisfaction levels and acceptability were highly rated.The viability and cost-effectiveness of this approach should be explored further to support universal implementation across healthcare systems.展开更多
文摘Recent years have seen a rapidly increasing trend towards the delivery of health technology through mobile devices.Smartphones and tablet devices are thus becoming increasingly popular for accessing information and a wide range of services,including health care services.Modern mobile apps can be used for a variety of reasons,ranging from education for the patients and assistance to clinicians to delivery of interventions.Mobile phone apps have also been established to benefit patients in a scope of interventions across numerous medical specialties and treatment modalities.Medical apps have their advantages and disadvantages.It is important that clinicians have access to knowledge to make decisions regarding the use of medical apps on the basis of risk-benefit ratio.Mobile apps that deliver psycho social interventions offer unique challenges and opportunities.A number of reviews have highlighted the potential use of such apps.There is a need to describe,report and study their side effects too.The adverse effects associated with these apps can broadly be divided into:(1)those resulting from the security and safety concerns;(2)those arising from the use of a particular psycho social intervention;and(3)those due to the interaction with digital technology.There is a need to refine and reconsider the safety and adverse effects in this area.The safety profile of a mobile PSI app should describe its safety profile in:(1)privacy and security;(2)adverse effects of psychotherapy;and(3)adverse effects unique to the use of apps and the internet.This is,however,a very new area and further research and reporting is required to inform clinical decision making.
文摘BACKGROUND Recommendations for psychotherapy have evolved over the years,with cognitive behavioral therapy(CBT)taking precedence since its inception within clinical guidelines in the United Kingdom and United States.The use of CBT for severe mental illness is now more common globally.AIM To investigate the feasibility and acceptability of a culturally adapted,CBT-based,third-wave therapy manual using the Comprehend,Cope,and Connect approach with individuals from a diverse population presenting to primary and secondary healthcare services.METHODS A pilot study was used to assess the feasibility and acceptability of the manualised intervention.Outcome measures were evaluated at baseline,post-intervention and 12 wk-follow up.32 participants with mental health conditions aged 20-53 years were recruited.Assessments were completed at three time points,using Clinical Outcomes in Routine Evaluation(CORE),Hospital Anxiety and Depression Scale(HADS),Bradford Somatic Inventory and World Health Organization Disability Assessment Schedule 2.0(WHODAS).The Patient Experience Questionnaire was completed post-treatment.RESULTS Repeated measures of analysis of variance associated with HADS depression,F(2,36)=12.81,P<0.001,partialη^(2)=0.42 and HADS anxiety scores,F(2,26)=9.93,P<0.001,partialη^(2)=0.36;CORE total score and WHODAS both showed significant effect F(1.25,18.72)=14.98,P<0.001,partialη^(2)=0.5.and F(1.29,14.18)=6.73,P<0.001,partialη^(2)=0.38 respectively.CONCLUSION These results indicate the effectiveness and acceptability of the culturally adapted,CBT-based,third-wave therapy manual intervention among minoritized groups with moderate effect sizes.Satisfaction levels and acceptability were highly rated.The viability and cost-effectiveness of this approach should be explored further to support universal implementation across healthcare systems.
