%0期刊文章%@ 2368-7959 %I JMIR出版物%V 9% 卡塔尔世界杯8强波胆分析N 10% P e35313 %T一个社交媒体网站(支持我们宝贵的青少年)支持抑郁症或焦虑症青少年的治疗:试点随机对照试验%A Radovic,Ana %A Li,Yaming %A Landsittel,Doug %A Odenthal,Kayla R %A Stein,Bradley D %A Miller,Elizabeth +青少年和青年医学系，匹兹堡大学医学中心儿童医院，匹兹堡大学医学院，120 Lytton Ave, Suite 302, PA Pittsburgh, 15213，美国，1412 692 7227，ana.radovic@chp.edu %K青少年%K青少年健康服务%K技术%K抑郁症%K焦虑%D 2022 %7 7.10.2022 %9原始论文%J JMIR Ment健康%G英语%X背景:患有抑郁症或焦虑症的青少年开始心理健康治疗的人数较少。支持我们有价值的青少年(SOVA)是一个同伴支持网站干预，针对初级保健机构和他们的父母看到的青少年，目的是通过改变消极的健康观念，增强知识，提供同伴情感支持，以及增加父母与青少年关于心理健康的交流来增加治疗的接受。目的:本试点研究旨在完善招募和保留策略，完善文献干预保真度，并探索研究结果的变化(主要结果为治疗吸收)。方法:我们在一个青少年医学诊所进行了一项2组、单盲、试点随机对照试验。参与者年龄在12岁至19岁之间，有临床医生确定的抑郁或焦虑症状，医疗保健提供者建议对其进行治疗。患者及其父母(如果感兴趣的话)随机接受SOVA网站和强化常规护理(EUC)，与单独的EUC相比。通过基于网络的自我报告调查和盲法电子健康记录审查收集基线、6周和3个月的测量数据。评估的主要试验结果是征聘和保留战略的可行性。 Implementation outcomes, intervention fidelity, missingness, and adequacy of safety protocols were documented. Descriptive statistics were used to summarize mental health service use and target measures with 2-sample t tests to compare differences between arms. Results: Less than half of the adolescents who were offered patient education material (195/461, 42.2%) were referred by their clinician to the study. Of 146 adolescents meeting the inclusion criteria, 38 completed the baseline survey, qualifying them for randomization, and 25 (66%, 95% CI 51%-81%) completed the 6-week measures. There was limited engagement in the treatment arm, with 45% (5/11) of adolescents who completed 6-week measures reporting accessing SOVA, and most of those who did not access cited forgetting as the reason. Changes were found in target factors at 6 weeks but not in per-protocol analyses. At 12 weeks, 83% (15/18) of adolescents randomized to SOVA received mental health treatment as compared with 50% (10/20) of adolescents randomized to EUC (P=.03). Conclusions: In this pilot trial of a peer support website intervention for adolescents with depression or anxiety, we found lower-than-expected study enrollment after recruitment. Although generalizability may be enhanced by not requiring parental permission for adolescent participation in the trials of mental health interventions, this may limit study recruitment and retention. We found that implementing education introducing the study into provider workflow was feasible and acceptable, resulting in almost 500 study referrals. Finally, although not the primary outcome, we found a signal for greater uptake of mental health treatment in the arm using the SOVA intervention than in the usual care arm. Trial Registration: ClinicalTrials.gov NCT03318666; https://clinicaltrials.gov/ct2/show/NCT03318666 International Registered Report Identifier (IRRID): RR2-10.2196/12117 %M 36206044 %R 10.2196/35313 %U https://mental.www.mybigtv.com/2022/10/e35313 %U https://doi.org/10.2196/35313 %U http://www.ncbi.nlm.nih.gov/pubmed/36206044