بيانات النشر: Uppsala universitet, E-hälsa och hälsodata
Univ Oxford, Dept Psychiat, Oxford, England.;Warneford Hosp, Oxford Hlth NHS Fdn Trust, Oxford, England.;NIHR Oxford Hlth Biomed Res Ctr, Oxford Precis Psychiat Lab, Oxford, England.;Univ Oxford, Warneford Hosp, Dept Psychiat, Warneford Lane, Oxford OX3 7JX, England.
Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Psychol, London, England.;South London & Maudsley NHS Fdn Trust, London, England.
MQ Mental Hlth Res, London, England.
Harvard Med Sch, Beth Israel Deaconess Med Ctr, Div Digital Psychiat, Boston, MA USA.
Hosp Clin Barcelona, Inst Neurosci, Dept Psychiat & Psychol, Barcelona, Spain.;Inst Invest Biomed August Pi i Sunyer IDIBAPS, Digital Innovat Grp, Bipolar & Depress Disorders Unit, Barcelona, Spain.;Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental CIBERSAM, Madrid, Spain.;Univ Barcelona, Inst Neurosci, Sch Med & Hlth Sci, Dept Med, Barcelona, Spain.
Warneford Hosp, Oxford Hlth NHS Fdn Trust, Oxford, England.;Univ Oxford, Dept Expt Psychol, Oxford, England.
Middlesex Univ, Sch Sci & Technol, London, England.
Univ Glasgow, Inst Neurosci & Psychol, Glasgow City, England.;Charite Univ Med Berlin, Dept Child & Adolescent Psychiat, Berlin, Germany.;Free Univ Berlin, Berlin, Germany.;Humboldt Univ, Berlin, Germany.
Univ Oxford, Dept Psychiat, Oxford, England.;Warneford Hosp, Oxford Hlth NHS Fdn Trust, Oxford, England.;NIHR Oxford Hlth Biomed Res Ctr, Oxford Precis Psychiat Lab, Oxford, England.
Fdn Ist Ricovero & Cura Carattere Sci, Osped Maggiore Policlin Ca Granda, Dept Neurosci & Mental Hlth, Psychiat Unit, Milan, Italy.;Univ Milan, Dept Pathophysiol & Transplantat, Milan, Italy.
نبذة مختصرة : Background: Digital approaches may be helpful in augmenting care to address unmet mental health needs, particularly for schizophrenia and severe mental illness (SMI). Objective: An international multidisciplinary group was convened to reach a consensus on the challenges and potential solutions regarding collecting data, delivering treatment, and the ethical challenges in digital mental health approaches for schizophrenia and SMI. Methods: The consensus development panel method was used, with an in -person meeting of 2 groups: the expert group and the panel. Membership was multidisciplinary including those with lived experience, with equal participation at all stages and coproduction of the consensus outputs and summary. Relevant literature was shared in advance of the meeting, and a systematic search of the recent literature on digital mental health interventions for schizophrenia and psychosis was completed to ensure that the panel was informed before the meeting with the expert group. Results: Four broad areas of challenge and proposed solutions were identified: (1) user involvement for real coproduction; (2) new approaches to methodology in digital mental health, including agreed standards, data sharing, measuring harms, prevention strategies, and mechanistic research; (3) regulation and funding issues; and (4) implementation in real -world settings (including multidisciplinary collaboration, training, augmenting existing service provision, and social and population -focused approaches). Examples are provided with more detail on human -centered research design, lived experience perspectives, and biomedical ethics in digital mental health approaches for SMI. Conclusions: The group agreed by consensus on a number of recommendations: (1) a new and improved approach to digital mental health research (with agreed reporting standards, data sharing, and shared protocols), (2) equal emphasis on social and population research as well as biological and psychological approaches, (3) meaningful collaborations across ...
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