基于远程测量的心理健康护理干预措施的系统评价和荟萃分析方案。
Remote measurement based care (RMBC) interventions for mental health-Protocol of a systematic review and meta-analysis.
机构信息
Department of Psychiatry and Psychotherapy, Charité Campus Mitte, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Berlin, Germany.
出版信息
PLoS One. 2024 Feb 16;19(2):e0297929. doi: 10.1371/journal.pone.0297929. eCollection 2024.
BACKGROUND
Poor management of mental illnesses is associated with lower treatment adherence, chronification, avoidable re-hospitalisations, and high costs. Remote measurement based care (RMBC) interventions have gained increasing relevance due to its potential in providing a comprehensive and patient-centric approach to mental health management.
OBJECTIVES
The systematic review and meta-analysis aims to provide a comprehensive overview and analysis of existing evidence on the use of RMBC for patients with mental illness and to examine the effectiveness of RMBC interventions in alleviating disorder-specific symptoms, reducing relapse and improving recovery-oriented outcomes, global functioning, and quality of life.
METHODS AND ANALYSIS
Our multidisciplinary research team will develop a comprehensive search strategy, adapted to each electronic database (PubMed, Medline, Embase, and PsychINFO) to be examined systematically. Studies with patients formally diagnosed by the International Classification of Diseases or the Diagnostic and Statistical Manual of Mental Disorders which include assessment of self-reported psychiatric symptoms will be included. Publications will be reviewed by teams of independent researchers. Quality of studies will be assessed using the Cochrane Collaboration's tool for assessing risk of bias. Outcomes cover symptom-focused or disease-specific outcomes, relapse, recovery-focused outcomes, global functioning, quality of life and acceptability of the intervention. Further data that will be extracted includes study characteristics, target population, intervention, and tracking characteristics. Data will be synthesised qualitatively, summarising findings of the systematic review. Randomised controlled trials (RCTs) will be considered for meta-analysis if data is found comparable in terms of mental illness, study design and outcomes. Cumulative evidence will be evaluated according to the Grading of Recommendations Assessment, Development and Evaluation framework.
TRIAL REGISTRATION
Trial registration number: PROSPERO CRD42022356176.
背景
精神疾病管理不善与治疗依从性降低、慢性化、可避免的再住院和高成本有关。远程监测为基础的护理（RMBC）干预措施由于其为精神卫生管理提供全面以患者为中心方法的潜力而变得越来越重要。
目的
本系统评价和荟萃分析旨在全面概述和分析现有关于 RMBC 在精神疾病患者中应用的证据，并考察 RMBC 干预措施在减轻特定疾病症状、减少复发以及改善以康复为导向的结局、总体功能和生活质量方面的有效性。
方法和分析
我们的多学科研究团队将制定一项全面的搜索策略，针对每个电子数据库（PubMed、Medline、Embase 和 PsychINFO）进行系统检查。将纳入有患者正式诊断为国际疾病分类或精神障碍诊断与统计手册，并包括自我报告精神科症状评估的研究。出版物将由独立研究团队进行审查。使用 Cochrane 协作风险偏倚评估工具评估研究质量。研究结果涵盖症状为重点或疾病特异性结局、复发、以康复为导向的结局、总体功能、生活质量和干预措施的可接受性。还将提取包括研究特征、目标人群、干预措施和随访特征在内的进一步数据。数据将定性综合，总结系统评价的结果。如果在精神疾病、研究设计和结局方面发现数据具有可比性，则将考虑对随机对照试验（RCT）进行荟萃分析。将根据推荐评估、制定和评估框架对累积证据进行评估。
试验注册
试验注册号：PROSPERO CRD42022356176。
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