面向临床决策支持系统的以人为本视角：为重度 outpatient PTSD 病人提供治疗
Human-centered Perspectives on a Clinical Decision Support System for Intensive Outpatient Veteran PTSD Care
AI总结：
本文提出了一种面向退伍军人PTSD治疗的临床决策支持系统原型，通过三种以人为本的视角分析了系统设计的复杂性及挑战。
摘要：
心理治疗的实施依赖于患者自我报告与临床直觉之间的协商。越来越多的证据表明，技术支持可以辅助这种紧张关系的调解。为了探索这一前景，我们设计了一个临床决策支持系统（CDSS）的原型，用于治疗创伤后应激障碍（PTSD）的退伍军人，该系统应用于延长暴露（PE）疗法的密集门诊项目。我们进行了两阶段的访谈研究，以收集来自实践PE临床医生和前PE患者（美国退伍军人）的观点。我们的分析提炼了CDSS的机会（例如，提供作业复习的概览，帮助患者概念化）和与上下文和部署相关的更大挑战（例如，导航退伍军人事务）。通过三种以人为本的视角（分布式认知、情境学习、基础设施倒置）重新框架我们的发现，我们强调了在该背景下为心理治疗师设计CDSS的复杂性，并提供了理论一致的设计考虑。
英文摘要：
Psychotherapy delivery relies on a negotiation between patient self-reports and clinical intuition. Growing evidence for technological support of psychotherapy suggests opportunities to aid the mediation of this tension. To explore this prospect, we designed a prototype of a clinical decision support system (CDSS) for treating veterans with post-traumatic stress disorder in a Prolonged Exposure (PE) therapy intensive outpatient program. We conducted a two-phase interview study to collect perspectives from practicing PE clinicians and former PE patients who are United States veterans. Our analysis distills opportunities for a CDSS (e.g., offering homework review at a glance, aiding patient conceptualization) and larger challenges related to context and deployment (e.g., navigating Veterans Affairs). By reframing our findings through three human-centered perspectives (distributed cognition, situated learning, infrastructural inversion), we highlight the complexities of designing a CDSS for psychotherapists in this context and offer theory-aligned design considerations.
机构、总结、中文摘要均由AI分析而来，可能存在错误，请以论文正文为准。
