心理健康障碍的智能手机应用使用模式：一项系统文献综述与荟萃分析。

Smartphone application use patterns for mental health disorders: A systematic literature review and meta-analysis.

作者信息

Guracho Yonas Deressa, Thomas Susan J, Win Khin Than

机构信息

University of Wollongong, Faculty of Engineering and Information Sciences, Wollongong, Australia; Bahir Dar University, College of Medical and Health Sciences, Bahir Dar, Ethiopia.

University of Wollongong, Faculty of Science Medicine and Health, Wollongong, Australia.

出版信息

Int J Med Inform. 2023 Nov;179:105217. doi: 10.1016/j.ijmedinf.2023.105217. Epub 2023 Sep 21.

DOI:10.1016/j.ijmedinf.2023.105217

PMID:37748330

Abstract

BACKGROUND

Mobile mental health applications play a significant role in mental health care to fill gaps in care for mental disorders. Despite the growth in mobile phone apps for mental health conditions, patients' mental health smartphone application use, perceived usefulness, and future interest in using apps for mental disorders have not been systematically examined.

METHODS

The authors designed and conducted this systematic review and meta-analysis according to the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) statement. Articles reporting mobile/smartphone applications used for mental disorders describing ownership, application use, perceived helpfulness, future interest to use, use patterns, and attitudes were included. PubMed/MEDLINE, EMBASE, PsychINFO, Scopus, and Google Scholar were searched. Published articles from 2014 up to October 2022 were included. The methodological quality was assessed using the Joanna Briggs Institute critical appraisal tool. The heterogeneity test, publication bias, funnel plots and Egger's test were applied. The outcome was calculated by metaprop command using a random-effects model.

RESULTS

Ten studies met the eligibility criteria. The pooled prevalence of smartphone ownership, application use for current mental health disorders, perceived usefulness, and future interest in using the app for their mental health problem was 88.63%, 23.29%, 72.80%, and 78.97%, respectively. Heterogeneity and publication bias were detected.

CONCLUSIONS

The results of this study indicate that despite a considerable number of smartphone users, perceived usefulness, and future interest in using smartphone mental health applications among patients with mental disorders, only about one-fifth use an application for mental health disorders. The results show that there is a large potential to increase the use of apps for patients to support self-care in the growing era of digital mental health. Further research with consumers and mental health professionals is recommended to address barriers and improve mhealth app utilization.

REGISTRATION

Prospero international prospective register of systematic reviews with ID: CRD42022359416.

摘要

背景

移动心理健康应用程序在精神卫生保健中发挥着重要作用，以填补精神障碍护理的空白。尽管用于心理健康状况的手机应用程序有所增加，但患者对心理健康智能手机应用程序的使用情况、感知有用性以及未来使用应用程序治疗精神障碍的兴趣尚未得到系统研究。

方法

作者根据系统评价和荟萃分析的首选报告项目（PRISMA）声明设计并进行了这项系统评价和荟萃分析。纳入了报告用于精神障碍的移动/智能手机应用程序的文章，这些文章描述了所有权、应用程序使用情况、感知帮助、未来使用兴趣、使用模式和态度。检索了PubMed/MEDLINE、EMBASE、PsychINFO、Scopus和谷歌学术。纳入了2014年至2022年10月发表的文章。使用乔安娜·布里格斯研究所的批判性评价工具评估方法学质量。应用了异质性检验、发表偏倚、漏斗图和埃格检验。使用随机效应模型通过metaprop命令计算结果。

结果

十项研究符合纳入标准。智能手机拥有率、当前用于心理健康障碍的应用程序使用率、感知有用性以及未来使用该应用程序解决其心理健康问题的兴趣的合并患病率分别为88.63%、23.29%、72.80%和78.97%。检测到异质性和发表偏倚。

结论

本研究结果表明，尽管有相当数量的智能手机用户，且精神障碍患者对使用智能手机心理健康应用程序有感知有用性和未来兴趣，但只有约五分之一的人使用应用程序治疗精神障碍。结果表明，在数字心理健康不断发展的时代，增加应用程序对患者的使用以支持自我护理有很大潜力。建议进一步对消费者和心理健康专业人员进行研究，以解决障碍并提高移动健康应用程序的利用率。