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首页> 外文期刊>The International journal of eating disorders >Experiences of computer-based and conventional self-help interventions for eating disorders: A systematic review and meta-synthesis of qualitative research
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Experiences of computer-based and conventional self-help interventions for eating disorders: A systematic review and meta-synthesis of qualitative research

机译：基于计算机和常规自助干预的饮食障碍的经验：系统评论和质量研究的综合

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Objective Self-help interventions have been demonstrated to be effective in treating bulimic-type eating disorders (EDs). In particular, computer-based interventions have received increasing attention due to their potential to reach a wider population. This systematic review aimed to synthesize findings from qualitative studies on users' experiences of self-help interventions for EDs and to develop an exploratory framework. Method A systematic review and meta-synthesis on seven peer-reviewed qualitative studies on structured computer and book-based self-help interventions for EDs was conducted using Noblit and Hare's (1988) 7-phase meta-ethnography. Four of the selected studies investigated computer-based self-help programs, and three of the studies investigated book-based guided self-help programs. Results Six concepts were synthesized. They included intervention-related factors (anonymity and privacy; accessibility and flexibility; guidance) and user-related factors (agency/autonomy; self-motivation; and expectations/attitudes). The study revealed the "machine-like" and relational properties of the computer; the expansion of treatment time and space in psychological interventions, the changing role of the medical health professional from a "therapist" to a "guide," and a change from understanding interventions as a conclusive treatment plan to a starting point or stepping stone toward recovery. Discussion Computer-based self-help interventions should take advantage of the "machine-like" properties of a computer (neutrality, availability, etc.) as well as its ability to facilitate human interactions. Users should also be facilitated to have a realistic understanding of the purpose of self-help interventions and the place of self-help interventions in their broader treatment plans to moderate expectations and attitudes.
机译：已经证明了客观的自助干预措施是有效治疗饮食性患者（EDS）。特别是，由于其潜力达到更广泛的人群，基于计算机的干预措施已经受到越来越受到关注。这种系统审查旨在综合对用户的自助干预措施的自助干预措施经验的定性研究和发展探索性框架的调查结果。方法使用Noblit和Hare（1988）7相 - 民族术进行了系统审查和基于基于结构的计算机和基于书籍的自助干预的定性研究的系统评价和荟萃综合。其中四项选定的研究调查了基于计算机的自助计划，以及三项研究调查了基于书籍的指导自助计划。结果合成了六种概念。它们包括干预相关因素（匿名和隐私;可访问性和灵活性;指导）和用户相关的因素（代理/自主;自我激励;和期望/态度）。该研究揭示了计算机的“机器”和关系的关系属性;在心理干预中扩大治疗时间和空间，医疗保健专业人员从“治疗师”到“指导”的变化，以及从理解干预作为一个结论的治疗计划到起点或踩踏石头的变化。讨论基于计算机的自助干预应该利用计算机（中立，可用性等）的“机器类似”属性以及促进人类交互的能力。还应有助于用户对自助干预的目的具有逼真的理解，以及在更广泛的治疗计划中获得自助干预的地方，以适应中等的期望和态度。

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