Digital health technologies such as smartphones present the potential for increased access to care and on-demand services. However, many patients with serious mental illnesses (eg, schizophrenia) have not been offered the digital health training necessary to fully utilize these innovative approaches. To bridge this digital divide in knowledge and skills, we created a hands-on and interactive training program grounded in self-determination theory, technology use cases, and the therapeutic alliance. This article introduces the need and theoretical foundation for and the experience of running the resulting Digital Opportunities for Outcomes in Recovery Services (DOORS) group in the setting of 2 programs: a first-episode psychosis program and a clubhouse for individuals with serious mental illness. The experience of running these 2 DOORS groups resulted in 2 publicly available, free training manuals to empower others to run such groups and adapt them for local needs. Future work on DOORS will expand the curriculum to best support digital health needs and increase equity of access to and knowledge and skills related to technology use in serious mental illness.

译文

智能手机等数字健康技术具有增加获得护理和按需服务的潜力。但是,许多患有严重精神疾病 (例如精神分裂症) 的患者尚未获得充分利用这些创新方法所必需的数字健康培训。为了弥合知识和技能上的数字鸿沟,我们创建了一个基于自决理论,技术用例和治疗联盟的动手和交互式培训计划。本文介绍了在2个程序的设置中运行康复服务 (DOORS) 组结果数字机会的需求,理论基础和经验: 第一集精神病程序和针对严重精神疾病患者的会所。运营这两个DOORS小组的经验产生了两本公开提供的免费培训手册,以使其他人能够运营此类小组并使其适应当地需求。未来的DOORS工作将扩大课程范围,以最好地支持数字健康需求,并增加与严重精神疾病中技术使用相关的获取以及知识和技能的公平性。

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