TY - JOUR AU - Haug, Severin AU - Paz Castro, Raquel AU - Meyer, Christian AU - Filler, Andreas AU - Kowatsch, Tobias AU - Schaub, Michael P PY - 2017da - 2017/10/04 TI -基于手机的青少年药物滥用预防生活技能培训项目:项目接受度和潜在有效性的前后研究，Ready4life JO - JMIR Mhealth Uhealth SP - e143 VL - 5 IS - 10 KW -应对技能KW -社交技能KW -物质使用障碍KW -青少年KW -学生KW -手机AB -背景:物质使用和滥用通常首先出现在青春期。通常在学校课程中进行的一般生活技能培训，可有效防止青少年开始使用药物并逐步升级。然而，这类方案的传播受到其在人员、金钱和时间方面的大量资源需求的阻碍。通过手机提供的生活技能培训可能是一种更经济、更可扩展的方法，这也符合青少年的生活方式和交流习惯。目的:本研究的目的是测试职业学校学生对个人定制的基于手机的生活技能培训计划的接受程度和初步效果。方法:全自动化程序，名为ready4life，是基于社会认知理论，并解决自我管理技能，社交技能和物质使用抵抗技能。项目参与者在6个月内每周最多收到3条短信(短信服务，SMS)。通过问答、信息和图片竞赛等互动功能，以及与奖励相结合的友好竞赛(程序用户在每次互动中都可以获得积分)，激发了用户对程序的积极参与。使用广义估计方程(GEE)分析来调查基线和6个月随访期间以下结果的变化:感知压力、自我管理技能、社交技能、高危酒精使用、吸烟和大麻使用。 Results: The program was tested in 118 school classes at 13 vocational schools in Switzerland. A total of 1067 students who owned a mobile phone and were not regular cigarette smokers were invited to participate in the life skills program. Of these, 877 (82.19%, 877/1067; mean age=17.4 years, standard deviation [SD]=2.7; 58.3% females) participated in the program and the associated study. A total of 43 students (4.9%, 43/877) withdrew their program participation during the intervention period. The mean number of interactive program activities that participants engaged in was 15.5 (SD 13.3) out of a total of 39 possible activities. Follow-up assessments were completed by 436 of the 877 (49.7%) participants. GEE analyses revealed decreased perceived stress (odds ratio, OR=0.93; 95% CI 0.87-0.99; P=.03) and increases in several life skills addressed between baseline and the follow-up assessment. The proportion of adolescents with at-risk alcohol use declined from 20.2% at baseline to 15.5% at follow-up (OR 0.70, 95% CI 0.53-0.93; P=.01), whereas no significant changes were obtained for tobacco (OR 0.94, 95% CI 0.65-1.36; P=.76) or cannabis use (OR 0.91, 95% CI 0.67-1.24; P=.54). Conclusions: These results reveal high-level acceptance and promising effectiveness of this interventional approach, which could be easily and economically implemented. A reasonable next step would be to test the efficacy of this program within a controlled trial. SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2017/10/e143/ UR - https://doi.org/10.2196/mhealth.8474 UR - http://www.ncbi.nlm.nih.gov/pubmed/28978498 DO - 10.2196/mhealth.8474 ID - info:doi/10.2196/mhealth.8474 ER -