TY - JOUR AU - Bolinski, Felix AU - Kleiboer, Annet AU - Neijenhuijs, Koen AU - Karyotaki, Eirini AU - Wiers, Reinout AU - de Koning, Lisa AU - Jacobi, Corinna AU - Zarski, Anna-Carlotta AU - Weisel, Kiona K AU - Cuijpers, Pim AU - Riper, Heleen PY - 2022 DA - 2022/12/14 TI -招募大学生进行网络抑郁和焦虑预防的挑战:结果随机对照试验(ICare prevention) JO - J Med Internet Res SP - e40892 VL - 24 IS - 12 KW -数字心理健康KW -学生KW -指示性预防KW -招募KW -随机试验KW -手机AB -背景:抑郁和焦虑是大学生人群中常见的心理健康状况。为那些有亚临床症状的患者提供跨诊断的、基于网络的预防项目，如ICare prevention，有可能减少一些接受帮助的障碍(例如，服务的可用性、隐私考虑和学生对自主权的渴望)。然而，对这些干预措施的吸收往往很低，需要对招聘挑战进行说明，以补充现有的学生群体有效性研究。目的:本研究的目的是描述ICare预防的招募挑战以及有效的招募策略，并提供干预有效性的基本信息。方法:在一组有抑郁和焦虑亚临床症状的学生样本中进行了一项三组随机对照试验，研究了单独指导(每次课程后提供的人类支持和练习反馈，为每位参与者量身定制)和自动指导(每次课程后提供计算机生成的信息，针对动机)版本的ICare prevention的有效性。一种基于网络的跨诊断干预措施，用于抑郁和焦虑的预防。将干预与照护进行比较。描述性统计用于概述招聘挑战、有效的网络和离线策略以及学生对干预措施的使用情况。 A basic analysis of intervention effects was conducted using a Bayesian linear mixed model, with Bayes factors reported as the effect size. Results: Direct recruitment through students’ email addresses via the central student administration was the most effective strategy. Data from 35 participants were analyzed (individually guided: n=14, 40%; automatically guided: n=8, 23%; care as usual: n=13, 37%). Use of the intervention was low, with an average of 3 out of 7 sessions (SD 2.9) completed. The analyses did not suggest any intervention effects other than anecdotal evidence (all Bayes factors10≤2.7). Conclusions: This report adds to the existing literature on recruitment challenges specific to the student population. Testing the feasibility of recruitment measures and the greater involvement of the target population in their design, as well as shifting from direct to indirect prevention, can potentially help future studies in the field. In addition, this report demonstrates an alternative basic analytical strategy for underpowered randomized controlled trials. Trial Registration: International Clinical Trials Registry Platform NTR6562; https://tinyurl.com/4rbexzrk International Registered Report Identifier (IRRID): RR2-10.1186/s13063-018-2477-y SN - 1438-8871 UR - //www.mybigtv.com/2022/12/e40892 UR - https://doi.org/10.2196/40892 UR - http://www.ncbi.nlm.nih.gov/pubmed/36515986 DO - 10.2196/40892 ID - info:doi/10.2196/40892 ER -