TY - JOUR AU - Rauschenberg, Christian AU - Schick, Anita AU - Hirjak, Dusan AU - Seidler, Andreas AU - Paetzold, Isabell AU - Apfelbacher, Christian AU - Riedel-Heller, Steffi G AU - Reininghaus, Ulrich PY - 2021 DA - 201/3/10 TI -减轻COVID-19大流行对公共精神卫生的负面影响的数字干预证据综合:快速元回顾JO - J Med Internet Res SP - e23365 VL - 23 IS - 3kw - COVID-19 KW -移动卫生KW -电子卫生KW -远程医疗KW -预防KW -精神卫生促进KW -干预KW -数字精神卫生KW -数字干预KW -公共精神卫生AB -背景:越来越多的证据表明COVID-19大流行对公共精神卫生有负面影响。近年来开发和评估的数字干预措施可用于减轻这一大流行病的消极后果。然而，缺乏关于使用现有远程医疗和基于互联网(eHealth)和基于应用程序的移动保健(mHealth)干预措施的循证建议。目的:本研究的目的是调查与公共精神卫生服务(即精神卫生促进、预防和治疗精神障碍)相关的数字干预措施的理论和经验基础、用户视角、安全性、有效性和成本效益，这些措施可能有助于减少COVID-19大流行的后果。方法:进行快速meta综述。MEDLINE、PsycINFO和CENTRAL数据库于2020年5月11日进行搜索。研究纳入标准是广泛的、经过深思熟虑的系统综述和荟萃分析，研究了用于健康促进、预防或治疗心理健康状况的数字工具以及可能受COVID-19大流行影响的决定因素。结果:总体而言，共确定了815篇同行评议的系统综述和荟萃分析，其中83篇符合纳入标准。我们的研究结果表明，在电子健康干预措施的可用性、安全性、接受度/满意度和有效性方面有很好的证据。 Evidence on mHealth apps is promising, especially if social components (eg, blended care) and strategies to promote adherence are incorporated. Although most digital interventions focus on the prevention or treatment of mental disorders, there is some evidence on mental health promotion. However, evidence on process quality, cost-effectiveness, and long-term effects is very limited. Conclusions: There is evidence that digital interventions are particularly suited to mitigating psychosocial consequences at the population level. In times of physical distancing, quarantine, and restrictions on social contacts, decision makers should develop digital strategies for continued mental health care and invest time and efforts in the development and implementation of mental health promotion and prevention programs. SN - 1438-8871 UR - //www.mybigtv.com/2021/3/e23365 UR - https://doi.org/10.2196/23365 UR - http://www.ncbi.nlm.nih.gov/pubmed/33606657 DO - 10.2196/23365 ID - info:doi/10.2196/23365 ER -