@Article{信息:doi 10.2196 / / jmir。1294，作者=“Costin, Daniel L和Mackinnon, Andrew J和Griffiths, Kathleen M和Batterham, Philip J和Bennett, Anthony J和Bennett, Kylie和Christensen, Helen”，标题=“健康电子卡作为鼓励年轻人寻求抑郁症帮助的一种手段:随机对照试验”，期刊=“J Med Internet Res”，年=“2009”，月=“10”，日=“22”，卷=“11”，数=“4”，页=“e42”，关键词=“抑郁症;情绪障碍;年轻的成年人;求医行为;对健康的态度;意图;健康促进;随机对照试验;背景:有必要确定干预措施，以增加年轻人寻求抑郁症的帮助。 Objective: The aim was to evaluate a brief depression information intervention employing health e-cards (personalized emails containing links to health information presented on a Web page). Methods: A randomized controlled trial was carried out with 348 19- to 24-year-olds drawn from the community. Participants were randomized to receive one of three conditions, all of which delivered a short series of health e-cards. Two active conditions involved the delivery of depression information designed to increase help-seeking behavior and intentions and to improve beliefs and knowledge associated with help seeking. A control arm delivered information about general health issues unrelated to depression. The primary outcome was help-seeking behavior. Secondary outcomes were help-seeking intentions; beliefs about the efficacy of depression treatments and help sources; ability to recognize depression; knowledge of the help-seeking process; and depressive symptoms. The study's primary focus was outcomes relating to formal help seeking (consultation with a general practitioner or mental health professional) but also targeted behaviors, intentions, and beliefs relating to informal help seeking. Results: Relative to the control condition, depression health e-cards were not associated with an increase in formal help-seeking behavior, nor were they associated with improved beliefs about depression treatments; ability to recognize depression; knowledge of the help-seeking process; or depressive symptoms. Depression e-cards were associated with improved beliefs about the overall efficacy of formal help sources (z = 2.4, P = .02). At post-intervention, participants in all conditions, relative to pre-intervention, were more likely to have higher intentions of seeking help for depression from a formal help source (t641 = 5.8, P < .001) and were more likely to rate interpersonal psychotherapy as being helpful (z = 2.0, P = .047). Depression e-cards were not associated with any significant changes in informal help-seeking behavior, intentions, or beliefs. Conclusions: The study found no evidence that providing depression information in the form of brief e-cards encourages help seeking for depression among young adults. Involvement in the study may have been associated with increased help-seeking intentions among participants in all conditions, suggesting that mechanisms other than depression information may increase help seeking. Trial Registration: International Standard Randomized Controlled Trial Number (ISRCTN): ISRCTN98406912; http://www.controlled-trials.com/ISRCTN98406912/ISRCTN98406912 (Archived by WebCite at http://www.webcitation.org/5k221KiMi) ", issn="1438-8871", doi="10.2196/jmir.1294", url="//www.mybigtv.com/2009/4/e42/", url="https://doi.org/10.2196/jmir.1294", url="http://www.ncbi.nlm.nih.gov/pubmed/19850549" }