TY -的盟Radovic安娜AU -李,亚明AU - Landsittel,道格盟——Odenthal凯拉R AU -斯坦,布拉德利D AU -米勒,伊丽莎白PY - 2022 DA - 2022/10/7 TI -一个社会媒体网站(支持我们重视青少年)支持治疗吸收青少年抑郁或焦虑:飞行员随机对照试验乔- JMIR失去健康SP e35313六世- 9 - 10 KW -青少年KW -青少年健康服务KW -技术KW -抑郁KW -焦虑AB -背景:患有抑郁或焦虑的青少年极少接受心理健康治疗。支持我们受重视的青少年(SOVA)是一个同伴支持网站干预,针对在初级保健环境中的青少年及其父母,其目标是通过改变消极的健康观念、增强知识、提供同伴情感支持和增加父母与青少年关于心理健康的交流来提高接受治疗的能力。目的:本先导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:我们在一个单独的青少年医学诊所进行2组、单盲、随机对照试验。参与者年龄在12至19岁之间,有临床医生确定的抑郁或焦虑症状,卫生保健提供者建议对其进行治疗。如果有兴趣,患者和家长随机接受SOVA网站和强化常规护理(EUC)与单独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个月的测量结果。评估的主要试点成果是征聘和保留战略的可行性。对实施结果、干预措施的保真度、缺失和安全协议的充分性进行了记录。 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 SN - 2368-7959 UR - https://mental.www.mybigtv.com/2022/10/e35313 UR - https://doi.org/10.2196/35313 UR - http://www.ncbi.nlm.nih.gov/pubmed/36206044 DO - 10.2196/35313 ID - info:doi/10.2196/35313 ER -
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