慢性病高发和医疗负担日益增长已成为当代医学面临的巨大挑战,数字技术和传统医疗相结合的方式会成为解决这一问题的新方法。对于患者和医疗机构来说,数字疗法可以降低治疗成本,促进患者生活方式转变,是传统治疗方法的补充甚至替代。文章将从数字疗法的起源和发展、数字疗法在精神卫生领域的应用进行分析,帮助大众了解数字疗法;并介绍上海交通大学设计学院设计管理研究所的相关设计案例,助力国内精神卫生领域数字疗法发展。
The high incidence of chronic diseases and the increasing medical burden have come to be great challenges for contemporary medicine. The way of merging digital technology and traditional medicine will become a new means of solving these problems. For the patients and medical institutions, digital therapeutics can lower treatment cost and promote a change of patients’ lifestyle, and it is the supplementation or even substitution for traditional treatment methods. This article analyzes the origin and development of digital therapeutics and the application of digital therapeutics in the field of mental health so as to help the public make sense of digital therapeutics; introduces relevant design cases from the Design Management Institute of the School of Design of Shanghai Jiao Tong University, assisting to promote the development of digital therapeutics in the field of mental health in China.
[1] 国务院办公厅. (2018). 国务院办公厅关于促进“互联网+医疗健康”发展的意见. 2022-03-10取自http://www.gov.cn/zhengce/content/2018-04/28/content_5286645.htm
[2] 姚恒美. (2022). 全球数字疗法发展态势研究. 竞争情报,18(2), 57-63. doi: 10.19442/j.cnki.ci.2022.02.006
[3] Brunette M., Williams J., & Ferron J. (2019). 6.2 digital therapeutics for tobacco use disorder in people with serious mental health conditions.Schizophrenia Bulletin, 45(Supplement_2), S95-S96. doi: 10.1093/schbul/sbz022.019
[4] Garcia L. M., Birckhead B. J., Krishnamurthy P., Sackman J., Mackey I. G., Louis, R. G.. Darnall, B. D. (2021). An 8-week self-administered at-home behavioral skills-based virtual reality program for chronic low back pain: Double-Blind, randomized, placebo-controlled trial conducted during COVID-19. J Med Internet Res, 23(2), e26292. doi:10.2196/26292
[5] Hoffman H. G., Doctor J. N., Patterson D. R., Carrougher G. J., & Furness III, T. A. (2000). Virtual reality as an adjunctive pain control during burn wound care in adolescent patients.Pain, 85(1), 305-309. doi: 10.1016/S0304-3959(99)00275-4
[6] Hoffman H. G., Richards T. L., Coda B., Bills A. R., Blough D., Richards A. L., & Sharar S. R. (2004). Modulation of thermal pain-related brain activity with virtual reality: Evidence from fMRI.Neuroreport, 15(8), 1245-1248. doi:10.1097/01.wnr.0000127826.73576.91
[7] Khirasaria R., Singh V., & Batta A. (2020). Exploring digital therapeutics: The next paradigm of modern health-care industry.Perspect Clin Res, 11(2), 54-58. doi: 10.4103/picr.PICR_89_19
[8] Kvedar J. C., Fogel A. L., Elenko E., & Zohar D. (2016). Digital medicine’s march on chronic disease.Nat Biotechnol, 34(3), 239-246. doi:10.1038/nbt.3495
[9] Pinto M. D., Greenblatt A. M., Hickman R. L., Rice H. M., Thomas T. L., & Clochesy J. M. (2016). Assessing the critical parameters of eSMART-MH: A promising avatar-based digital therapeutic intervention to reduce depressive symptoms.Perspect Psychiatr Care, 52(3), 157-168. doi: 10.1111/ppc.12112
[10] Sepah S. C., Jiang L., & Peters A. L. (2015). Long-term outcomes of a web-based diabetes prevention program: 2-year results of a single-arm longitudinal study.J Med Internet Res, 17(4), e92. doi: 10.2196/jmir.4052
[11] Walsh K. M., Saab B. J., & Farb N. A. (2019). Effects of a mindfulness meditation app on subjective well-being: Active randomized controlled trial and experience sampling study.JMIR Ment Health, 6(1), e10844. doi: 10.2196/10844
[12] Willey, S., & Walsh, J. K. (2016). Outcomes of a mobile health coaching platform: 12-week results of a single-arm longitudinal study.JMIR Mhealth Uhealth, 4(1), e3. doi: 10.2196/mhealth.4933.