@Article{info:doi/10.2196/15592，作者=“Renfrew, Melanie Elise和Morton, Darren Peter和Morton, Jason Kyle和Hinze, Jason Scott和Beamish, Peter James和Przybylko, Geraldine和Craig, Bevan Adrian”，标题=“基于网络和移动应用程序的心理健康促进干预比较电子邮件，短信服务和视频会议对健康人群的支持:随机比较研究”，期刊=“J Med Internet Res”，年=“2020”，月=“Jan”，日=“6”，卷=“22”，号=“1”，页=“e15592”，关键词=“指南”;健康促进;电子健康;短消息服务;背景:精神健康障碍的迅速增加促使人们呼吁更加重视精神健康促进和初级预防。基于网络和移动应用程序的干预措施提供了一个可扩展的机会。人类支持对这些干预措施的结果的影响所知甚少。目的:本研究旨在比较3种人类支持模式对健康成人队列中为期10周、基于网络和移动应用程序、以生活方式为重点的心理健康促进干预的结果(即心理健康、活力、抑郁、焦虑、压力、生活满意度和繁荣)的影响。方法:参与者是通过线上和线下广告相结合的方式自愿招募的。 They were randomized, unblinded into 3 groups differentiated by human support mode: Group 1 (n=201): standard---fully automated emails (S); Group 2 (n=202): standard plus personalized SMS (S+pSMS); and Group 3 (n=202): standard plus weekly videoconferencing support (S+VCS), hosted by 1 trained facilitator. Participants accessed the intervention, including the questionnaire, on a Web-based learning management system or through a mobile app. The questionnaire, administered at pre- and postintervention, contained self-reported measures of mental well-being, including the ``mental health'' and ``vitality'' subscales from the Short Form Health Survey-36, Depression Anxiety and Stress Scale-21, Diener Satisfaction With Life Scale (SWLS), and Diener Flourishing Scale. Results: Of 605 potential participants, 458 (S: n=157, S+pSMS: n=163, and S+VCS: n=138) entered the study by completing registration and the preintervention questionnaire. At post intervention, 320 out of 458 participants (69.9{\%}; S: n=103, S+pSMS: n=114, and S+VCS: n=103) completed the questionnaire. Significant within-group improvements were recorded from pre- to postintervention in all groups and in every outcome measure (P≤.001). No significant between-group differences were observed for outcomes in any measure: mental health (P=.77), vitality (P=.65), depression (P=.93), anxiety (P=.25), stress (P.57), SWLS (P=.65), and Flourishing Scale (P=.99). Adherence was not significantly different between groups for mean videos watched (P=.42) and practical activity engagement (P=.71). Participation in videoconference support sessions (VCSSs) was low; 37 out of 103 (35.9{\%}) participants did not attend any VCSSs, and only 19 out of 103 (18.4{\%}) attended 7 or more out of 10 sessions. Stratification within the S+VCS group revealed that those who attended 7 or more VCSSs experienced significantly greater improvements in the domains of mental health (P=.006; d=0.71), vitality (P=.005; d=0.73), depression (P=.04; d=0.54), and life satisfaction (P=.046; d=0.50) compared with participants who attended less than 7. Conclusions: A Web- and mobile app--based mental health promotion intervention enhanced domains of mental well-being among a healthy cohort, irrespective of human support. Low attendance at VCSSs hindered the ability to make meaningful between-group comparisons. Supplementing the intervention with VCSSs might improve outcomes when attendance is optimized. Trial Registration: Australian New Zealand Clinical Trials Registry (ANZCTR): 12619001009101; http://www.anzctr.org.au/ACTRN12619001009101.aspx ", issn="1438-8871", doi="10.2196/15592", url="//www.mybigtv.com/2020/1/e15592", url="https://doi.org/10.2196/15592", url="http://www.ncbi.nlm.nih.gov/pubmed/31904578" }