@文章{信息:doi/10.2196/40637，作者=“Peynenburg, Vanessa和Hadjistavropoulos, Heather和Thiessen, David和Titov, Nickolai和Dear, Blake”，标题=“互联网提供的高等教育学生认知行为疗法:检查动机访谈和强化课程的随机因子试验”，期刊=“J Med Internet Res”，年=“2022”，月=“Sep”，日=“7”，卷=“24”，数=“9”，页=“e40637”，关键词=“高等教育学生;transdiagnostic;推进器;动机性访谈;背景:互联网提供的认知行为疗法(ICBT)可以改善学生获得心理健康护理的机会，尽管高流失率令人担忧，而且对长期结果知之甚少。动机访谈(MI)练习和辅助课程可以提高面对面认知行为治疗的参与度和效果。目的:本研究旨在探讨预处理MI练习和辅助课程在大专学生ICBT中的应用。方法:本析因试验(因子1:治疗前基于网络的心肌梗死;因素二:治疗后1个月的自我指导强化课)，308名患者随机分为4个治疗条件中的1个，其中277名(89.9%)患者开始治疗。所有患者均接受了为期5周的ICBT跨诊断课程(uniwellness课程)。 Primary outcomes included changes in depression, anxiety, and perceived academic functioning from before treatment to after treatment and at the 1-month and 3-month follow-ups. Results: Overall, 54{\%} (150/277) of students completed treatment and reported large improvements in symptoms of depression and anxiety and small improvements in academic functioning after treatment, which were maintained at the 1-month and 3-month follow-ups. Pretreatment MI did not contribute to better treatment completion or engagement, although small between-group effects favored MI for reductions in depression (Cohen d=0.23) and anxiety (Cohen d=0.25) after treatment. Only 30.9{\%} (43/139) of students randomized to one of the booster conditions accessed the booster. Overall, no main effects were found for the booster. Subanalyses revealed that clients who accessed the booster had larger decreases in depressive symptoms (Cohen d=0.31) at the 3-month follow-up. No interactions were found between MI and the booster. Conclusions: Rather than offering MI before treatment, clients may experience more benefits from MI exercises later in ICBT when motivation wanes. The low uptake of the self-guided booster limited our conclusions regarding its effectiveness. Future research should examine offering a booster for a longer duration after treatment, with therapist support and a longer follow-up period. Trial Registration: ClinicalTrials.gov NCT04264585; https://clinicaltrials.gov/ct2/show/NCT04264585 ", issn="1438-8871", doi="10.2196/40637", url="//www.mybigtv.com/2022/9/e40637", url="https://doi.org/10.2196/40637", url="http://www.ncbi.nlm.nih.gov/pubmed/36069785" }