通过提高心理健康素养来改善心理健康？电子心理健康应用程序作为青少年预防干预措施的随机对照评估研究方案

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2024-03-07 DOI:10.1016/j.invent.2024.100733

Olivia Krokos , Isabel Brandhorst , Lennart Seizer , Caterina Gawrilow , Johanna Löchner

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引用次数: 0

摘要

背景从 14 岁开始，许多青少年就进入了脆弱的成长阶段，16 岁时精神疾病患者急剧增加。COVID19 的流行进一步加剧了这一问题。因此，需要在青少年中普及易于获得的预防措施。由于潜在的低成本、低门槛和高可扩展性等诸多优势，电子心理健康干预措施正在兴起。然而，对移动医疗（mHealth）预防干预措施的有效性和接受度仍未进行研究。方法在一项双臂随机对照研究设计中，将招募 14 岁以上的青少年。在进行初步基线评估后，他们将被随机分配到 a) 干预组（IG，n = 75），该组将接受移动医疗干预（由生活经验专家共同开发的应用程序 "心理健康指南"）；或 b) 等候名单对照组（CG，n = 75）。两组都将在评估后 3 个月和 6 个月后接受随访。我们假设，在后期和随访评估中，IG 组的心理健康素养将高于 CG 组（主要结果：心理健康素养量表）。此外，我们还预计心理健康和心理幸福感会得到改善，情绪调节能力会得到提高，心理困扰会减少，'心理健康指南'的可用性和接受度也会得到良好的评价。我们对可能出现的结果情景进行了多次模拟，纳入了一系列因素，以生成真实的数据集，并获得对统计能力的精确估计。此外，研究结果有望为如何以较低成本为不同人群实施全民预防提供重要知识。试验注册本试验于 2023 年 6 月 23 日在 DRKS 注册（DRKS-ID：DRKS00031810）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Improving mental health by improving the mental health literacy? Study protocol for a randomised controlled evaluation of an e-mental health application as a preventive intervention for adolescents and young adults

Background

From the age of 14, many adolescents enter a vulnerable developmental phase, with a sharp increase in mental illness at 16. The COVID19 pandemic has further exacerbated this issue. Hence, universal and easily accessible prevention in the young is needed. E-mental health interventions are on the rise due to numerous benefits such as potential low-costs, low-threshold and high scalability. However, effectiveness and acceptance of mobile health (mHealth) preventive interventions remain unresearched.

Method

In a two-armed, randomised controlled study design adolescents and young adults from 14 years old will be recruited. Following an initial baseline assessment, they will be randomised to a) the intervention group (IG, n = 75), which will receive a mHealth intervention (the application ‘Mental Health Guide’, co-developed by lived experience experts) or b) the waiting list control group (CG, n = 75). Both groups will be followed up after 3 and 6 months following post assessment. We hypothesize an increase in mental health literacy in the IG compared to the CG for post and follow-up assessment (primary outcome: Mental Health Literacy Scale). In addition, we expect an improvement in mental health and psychological well-being, improved emotion regulation, reduced psychological distress, as well as good quality ratings in usability and acceptance in the use of the ‘Mental Health Guide’ We performed multiple simulations of possible outcome scenarios, incorporating an array of factors, to generate realistic datasets and obtain accurate estimates of statistical power.

Conclusion

As a first-of-its-kind in this field, this study investigates whether a mHealth intervention based on mental health literacy may improve the mental health literacy and further aspects of psychological functioning of young people in a vulnerable phase. Furthermore, the results promise to provide important knowledge of how universal prevention may be implemented with low costs for diverse populations.

Trial registration

This trial was registered in the DRKS register (DRKS-ID: DRKS00031810) on 23 June 2023.

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions