精神分裂症患者基于移动医疗APP的认知矫正联合干预方案的构建

Construction of joint intervention program of cognitive remediation based on mobile health APP for schizophrenia patients

目的构建精神分裂症患者认知矫正联合干预方案,为开展基于移动端的精神分裂症患者认知干预提供参考依据。方法采用文献分析法,将认知矫正治疗与药物管理技能训练相结合,初步拟定基于移动医疗APP的认知矫正联合干预方案草案,选取14名专家进行2轮德尔菲专家函询,进一步修订形成基于移动医疗APP的认知矫正联合干预方案终稿。结果2轮专家函询问卷有效回收率分别为93%、100%;专家权威系数为0.860;2轮咨询中重要性和可行性的变异系数均<0.25;第2轮专家咨询重要性和可行性的肯德尔协调系数为0.282、0.225(P均<0.05)。最终形成的干预方案包括4项主题、15项认知策略、16项认知练习。结论基于移动医疗APP的认知矫正联合干预方案经过专家函询,具备一定的严谨性、可行性和潜在价值,能够为精神分裂症患者开展基于移动端的认知干预提供参考依据。

Objective To construct a joint intervention program of cognitive remediation for schizophrenia patients,and to provide reference for conducting mobile-based cognitive intervention.Methods Through literature analysis,a draft of the mobile health APP-based cognitive remediation program was formulated by combining cognitive remediation therapy and medication management skill training.Fourteen experts were invited to conduct 2 rounds of Delphi expert correspondence questionnaire for the revision of the program.Results The effective recovery rates of the 2-round correspondence expert questionnaire was 93%and 100%,respectively;the expert authority coefficient was 0.860;the coefficient of variation for importance and feasibility in the first round of consultation was<0.25;and the Kendall’s concordance coefficient for importance and feasibility in the second round of expert consultation was 0.282 and 0.225(all P<0.05)respectively.The final intervention program included 4 themes,15 cognitive strategies,and 16 cognitive exercises.Conclusion The joint intervention program of cognitive remediation based on mobile health APP is rigorous and feasible,and has potential effect,which can provide reference for carrying out mobile-based cognitive interventions.