RESUMO
Previous studies reported that digital psychotherapy was a clinically beneficial intervention for suicide ideation. However, the effects of digital psychotherapy on other aspects of suicide beyond ideation remain unclear. Therefore, this study investigated the effects of digital psychotherapy on suicide and depression. Articles were identified by searching Cochrane, Google Scholar, Medline, PubMed, Web of Science, and PsycINFO in line with the PRISMA statement, yielding nine randomized controlled trials. The difference between conditions regarding suicide and depression in the effect size of the individual article was calculated using Hedges' g. Most digital psychotherapy interventions were based on cognitive behavioral therapy and delivered via apps or the web for at least six weeks. Suicide outcomes primarily focused on suicide ideation. The findings showed digital psychotherapy achieved a significantly larger effect size for suicide (g = 0.488, p < 0.001) and depression (g = 0.316, p < 0.001), compared to controls. Specifically, digital psychotherapy showed a significant effect on both suicide ideation (g = 0.478, p < 0.001) and other suicidal variables (g = 0.330, p < 0.001). These results suggest the effectiveness of digital psychotherapy in reducing suicide and depression compared to traditional face-to-face therapy. Future research should consider a wider range of outcomes and examine the long-term effectiveness of digital psychotherapy to better understand its effects on suicide prevention.
RESUMO
Center of pressure refers to the centroid of the ground reaction force vector detected underneath the walking foot, which is a summary measure representing body segment movements during human locomotion. In this study, we developed a cost-effective, lightweight insole-type textile capacitive sensor (I-TCPs) to analyze plantar pressure (PP) distribution and center of pressure (COP) trajectory. To test the accuracy of I-TCPs, the measured pressure data was compared with that of F-scan. The sensor performance test was divided into a static baseline test and a dynamic gait experiment, both at two different gait speeds self-selected by the subjects. Static gait results showed that I-TCPs were capable of recognizing PP segments at different gait speeds. Dynamic gait results showed an average RMSE of 1.29 ± 0.47 mm in COPx (mediolateral shift) and 12.55 ± 5.08 mm in COPy (anteroposterior shift) at a comfortable gait speed. The COP correlation between I-TCPs and F-scan was 0.54 ± 0.09 in COPx and 0.92 ± 0.04 in COPy in comfortable gait speed conditions, in which COPy values presented a stronger correlation. RMSE and correlation in fast gait speed conditions also showed similar results. The findings of this study can be the basis for future research, including rehabilitation engineering, developing ICT devices, and creating smart wearable sensors to improve quality of life for patients and healthy individuals.
