杂志文章@ 1438-8871 %I JMIR出版物V 22% N 8卡塔尔世界杯8强波胆分析% P e17155% T一种新型多模式数字服务(有节制的在线社会治疗+)，用于寻求帮助的精神疾病的年轻人:全国青少年电子精神健康服务试点评估% a阿尔瓦雷斯-希门尼斯，马里奥·赖斯，西蒙·达·阿方索，西蒙·莱斯特，史蒂文·本德尔，莎拉·普赖尔，英格丽德·鲁森，彭尼·麦卡利斯，卡拉·桑特斯班·埃查理，奥尔加·达·科斯塔，古斯塔沃·吉尔伯特森，坦姆辛·瓦伦丁，李·阿索斯，莱亚·拉希什，阿斯温·麦克戈里，帕特里克·D·格里森，约翰·奥里根，澳大利亚帕克维尔，3052，白杨路35号，邮号61 9966 9383，mario.alvarez@orygen.org.au %K移动健康%K青年%K社交媒体%K社交网络%K手机%K基于互联网的干预%D 2020 %7 13.8.2020 %9原始论文%J J医学互联网Res %G英语%X背景:精神疾病是全球残疾的主要原因。此外，75%的精神健康问题出现在12至25岁之间。不幸的是，由于缺乏资源和对服务的参与有限，大多数受精神疾病影响的年轻人无法获得基于证据的支持。为了解决这一差距，我们的团队开发了一种多模式、可扩展的数字心理健康服务(Enhanced Moderated Online Social Therapy [MOST+])，融合了实时、临床医生提供的网络聊天咨询;交互式用户导向在线治疗;专家和同行的节制;还有点对点的社交网络。目的:本研究的主要目的是确定MOST+的可行性、可接受性和安全性。 The secondary aims are to assess pre-post changes in clinical, psychosocial, and well-being outcomes and to explore the correlations between system use, perceived helpfulness, and secondary outcome variables. Methods: Overall, 157 young people seeking help from a national youth e-mental health service were recruited over 5 weeks. MOST+ was active for 9 weeks. All participants had access to interactive online therapy and integrated web chat counseling. Additional access to peer-to-peer social networking was granted to 73 participants (46.5%) for whom it was deemed safe. The intervention was evaluated via an uncontrolled single-group study. Results: Overall, 93 participants completed the follow-up assessment. Most participants had moderate (52/157, 33%) to severe (96/157, 61%) mental health conditions. All a priori feasibility, acceptability, and safety criteria were met. Participants provided mean scores of ≥3.5 (out of 5) on ease of use (mean 3.7, SD 1.1), relevancy (mean 3.9, SD 1.0), helpfulness (mean 3.5, SD 0.9), and overall experience (mean 3.9, SD 0.8). Moreover, 98% (91/93) of participants reported a positive experience using MOST+, 82% (70/93) reported that using MOST+ helped them feel better, 86% (76/93) felt more socially connected using it, and 92% (86/93) said they would recommend it to others. No serious adverse events or inappropriate use were detected, and 97% (90/93) of participants reported feeling safe. There were statistically significant improvements in 8 of the 11 secondary outcomes assessed: psychological distress (d=−0.39; P<.001), perceived stress (d=−0.44; P<.001), psychological well-being (d=0.51; P<.001), depression (d=−0.29; P<.001), loneliness (d=−0.23; P=.04), social support (d=0.30; P<.001), autonomy (d=0.36; P=.001), and self-competence (d=0.30; P<.001). There were significant correlations between system use, perceived helpfulness, and a number of secondary outcome variables. Conclusions: MOST+ is a feasible, acceptable, and safe online clinical service for young people with mental ill-health. The high level of perceived helpfulness, the significant improvements in secondary outcomes, and the correlations between indicators of system use and secondary outcome variables provide initial support for the therapeutic potential of MOST+. MOST+ is a promising and scalable platform to deliver standalone e-mental health services as well as enhance the growing international network of face-to-face youth mental health services. %M 32788151 %R 10.2196/17155 %U //www.mybigtv.com/2020/8/e17155 %U https://doi.org/10.2196/17155 %U http://www.ncbi.nlm.nih.gov/pubmed/32788151