门诊抑郁症患者对电子精神卫生的可接受度调查

A survey of acceptability of E-Mental Health in outpatients with depression

目的探讨门诊抑郁症患者对电子精神卫生(E-Mental Health,EMH)应用于临床实践的可接受度。方法通过自制在线问卷调查的方式对151例抑郁症患者进行调查,调查内容包括调查编号、人口统计信息、使用互联网和移动设备的的情况、使用互联网获取健康信息和支持的情况、临床使用基于评估的治疗(MBC)的可接受度、对强化基于评估的治疗(使用手机应用程序进行MBC管理)的可接受度、评论/其他意见等。结果调查显示几乎所有的抑郁症患者(98.7%)都拥有自己的智能手机,绝大多数抑郁症患者(88.7%)对使用EMH服务感兴趣。患者对EMH的可接受程度受一些关键因素的影响,例如从互联网上获取健康信息的信心、利用互联网上的健康信息做出健康决策的能力、参与治疗决策的积极性、对抑郁自评量表的看法(P<0.05)。部分抑郁症患者强调了手机应用程序的私密性和安全性及量表的权威性。结论尽管存在一些隐私和安全性方面的顾虑,大部分抑郁症患者对EMH应用于临床实践持肯定态度。对影响可接受度的关键因素进行干预,提高抑郁症患者的可接受度将有助于EMH在临床实践中的应用。

Objective To explore the acceptability of applying E-Mental Health(EMH)to clinical practice in outpatients with depression.Methods A self-made online questionnaire was used to investigate the outpatients with depression(n=151)on survey numbers,demographic information,use of the Internet and mobile technology,use of the Internet for health information and support,In-clinic Measurement-Based Care(MBC)acceptability,Enhanced Measurement-Based Care(using mobile applications for MBC management)acceptability,comments/other suggestions,etc.Results According to the survey,almost all the patients with depression(98.7%)had their smartphones,and the vast majority(88.7%)reported they would be interested in using EMH service.The acceptability of EMH was influenced by some key factors,such as the confidence in accessing health information on the Internet,ability to use health information from the Internet to make health decisions,enthusiasm to participate in treatment decision-making,and views on the self-rating depression scales(P<0.05).Privacy,the security of mobile applications and the authority of the scale were highlighted as issues of significant importance.Conclusion Despite the concerns about privacy and security,depression patients’attitudes toward the application of EMH in clinical practice appear to be positive.Intervention on the key factors affecting acceptability and improving the acceptability will contribute to the application of EMH in clinical practice.