The development and research testing of digital mental health therapy homework utilising the Dr Julian Platform to improve compliance of homework and outcomes of therapy

利用朱利安博士平台开发和研究测试数字心理健康治疗作业，以提高作业的依从性和治疗结果

• 批准号: 10053362
• 金额: $ 41.01万
• 依托单位: DR JULIAN MEDICAL GROUP LTD
• 依托单位国家: 英国
• 项目类别: Collaborative R&D
• 财政年份: 2023
• 资助国家: 英国
• 起止时间: 2023 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=10053362
• 关键词: development; research; testing; digital; mental

The World Health Organisation has highlighted a painful truth that one in eight people live with a mental disorder, with prevalence increasing.Dr Julian Medical Group's online platform uses video and text to link trained therapists with patients experiencing mental ill health such as depression and anxiety. We support 25 NHS organisations, providing c. 3,000 therapy sessions each month and growing fast.Digital approaches are essential to increase the accessibility of talking therapies at a time of growing demand. Post-Covid lockdowns, demand has increased, with c. 1.6m people on NHS IAPT waiting lists (Increasing Access to Psychological Therapies). However, the number of trained therapists has not increased at the same rate.IAPT is characterised by significant geographical variations in outcomes, with the average recovery rate c. 50%. Recovery via the Dr Julian platform is c.57%, but we have identified a way to significantly improve recovery and speed up the therapy process.The projectOur therapists set each patient homework, but engagement is low, with c.40% of people completing it. A major reason for this is because homework is emailed, and patients need access to a printer to complete it on paperResearch indicates that patients who engage with the entire therapeutic process have a better chance of recovery, and recover quicker. Research also shows that digital tools improve engagement.No digital homework tools currently exist on any online mental health platform, so we will digitise the homework tools and research their effectiveness. We want to evidence if they:* Improve engagement* Improve outcomes, helping patients to recover quicker* Reduce the number of therapy sessions needed* Save the NHS moneyThe tools are:* Behavioural Activation Scheduling, for severe depression* Thought Records Sheet, to support cognitive behavioural therapy* Worry Recognition, to treat General Anxiety Disorder* Behavioural Experiment, to treat anxiety disordersWe will design, build, validate, test, deploy and evaluate these new digital tools with 1000 NHS patients. 500 in the test group (digital homework + standard homework) and 500 in the control group (standard homework only). Unity Insights will also conduct a health economic evaluation to identify possible direct and indirect cost savings to the NHS and society more broadly.If the outcomes are positive, we will integrate the tools to enhance our own platform, but also make them available as stand alone products that can be bolted on to improve other platforms and services.

世界卫生组织强调了一个痛苦的事实，即八分之一的人患有精神障碍，而且患病率不断上升。朱利安博士医疗集团的在线平台使用视频和文本将经过培训的治疗师与患有抑郁和焦虑等精神疾病的患者联系起来。我们支持 25 个 NHS 组织，提供 c.每月 3,000 次治疗课程，并且还在快速增长。在需求不断增长的情况下，数字化方法对于提高谈话治疗的可及性至关重要。新冠疫情封锁后，需求增加，c。 NHS IAPT 等候名单上有 160 万人（增加获得心理治疗的机会）。然而，受过培训的治疗师数量并没有以同样的速度增加。IAPT 的特点是结果存在显着的地理差异，平均恢复率为 c。 50%。通过 Dr Julian 平台的康复率约为 57%，但我们已经找到了一种显着改善康复并加快治疗过程的方法。该项目我们的治疗师为每位患者设置了作业，但参与度较低，约有 40% 的人完成了它。造成这种情况的主要原因是因为作业是通过电子邮件发送的，患者需要使用打印机才能在纸上完成作业研究表明，参与整个治疗过程的患者康复的机会更大，而且恢复得更快。研究还表明，数字工具可以提高参与度。目前任何在线心理健康平台上都没有数字作业工具，因此我们将把作业工具数字化并研究其有效性。我们希望证明它们是否： * 提高参与度 * 改善治疗结果，帮助患者更快康复 * 减少所需治疗次数 * 节省 NHS 资金 工具包括： * 行为激活计划，针对严重抑郁症 * 思想记录表，以支持认知行为疗法* 忧虑识别，治疗一般性焦虑症* 行为实验，治疗焦虑症我们将与 1000 名 NHS 患者一起设计、构建、验证、测试、部署和评估这些新的数字工具。测试组500（数字作业+标准作业），对照组500（仅标准作业）。 Unity Insights 还将进行健康经济评估，以确定可能为 NHS 和更广泛的社会节省的直接和间接成本。如果结果是积极的，我们将整合这些工具来增强我们自己的平台，但也将它们作为独立的工具提供可以附加到改进其他平台和服务的产品。