@文章{信息:doi/10.2196/17155，作者=“阿尔瓦雷斯-希门内斯，马里奥和赖斯，西蒙和达方索，西蒙和莱斯特，史蒂文和本德尔，莎拉和普莱尔，英格丽和鲁森，彭尼和麦克纳里，卡拉和桑特斯蒂班-埃查里，奥尔加和达科斯塔，古斯塔沃和吉尔伯特森，坦姆辛和瓦伦丁，李和索克斯，莱亚和拉希什，阿斯温和麦克戈里，帕特里克D和格里森，约翰”，题目=“一种面向心理疾病求助的新型多模式数字服务(在线社会治疗+):全国青少年电子心理健康服务的试点评估”，期刊=“J Med Internet Res”，年=“2020”，月=“8”，日=“13”，卷=“22”，数=“8”，页数=“e17155”，关键词=“mHealth;青春;社交媒体;社交网络;移动电话;背景:精神疾病是全世界残疾的主要原因。此外，75%的精神健康问题出现在12至25岁之间。不幸的是，由于缺乏资源和对服务的参与有限，大多数受精神疾病影响的年轻人无法获得基于证据的支持。为了解决这一差距，我们的团队开发了一种多模式、可扩展的数字心理健康服务(Enhanced Moderated Online Social Therapy [MOST+])，融合了实时、临床医生提供的网络聊天咨询; interactive user-directed online therapy; expert and peer moderation; and peer-to-peer social networking. Objective: The primary aim of this study is to ascertain the feasibility, acceptability, and safety of MOST+. The secondary aims are to assess pre-post changes in clinical, psychosocial, and well-being outcomes and to explore the correlations between system use, perceived helpfulness, and secondary outcome variables. Methods: Overall, 157 young people seeking help from a national youth e-mental health service were recruited over 5 weeks. MOST+ was active for 9 weeks. All participants had access to interactive online therapy and integrated web chat counseling. Additional access to peer-to-peer social networking was granted to 73 participants (46.5{\%}) for whom it was deemed safe. The intervention was evaluated via an uncontrolled single-group study. Results: Overall, 93 participants completed the follow-up assessment. Most participants had moderate (52/157, 33{\%}) to severe (96/157, 61{\%}) mental health conditions. All a priori feasibility, acceptability, and safety criteria were met. Participants provided mean scores of ≥3.5 (out of 5) on ease of use (mean 3.7, SD 1.1), relevancy (mean 3.9, SD 1.0), helpfulness (mean 3.5, SD 0.9), and overall experience (mean 3.9, SD 0.8). Moreover, 98{\%} (91/93) of participants reported a positive experience using MOST+, 82{\%} (70/93) reported that using MOST+ helped them feel better, 86{\%} (76/93) felt more socially connected using it, and 92{\%} (86/93) said they would recommend it to others. No serious adverse events or inappropriate use were detected, and 97{\%} (90/93) of participants reported feeling safe. There were statistically significant improvements in 8 of the 11 secondary outcomes assessed: psychological distress (d=−0.39; P<.001), perceived stress (d=−0.44; P<.001), psychological well-being (d=0.51; P<.001), depression (d=−0.29; P<.001), loneliness (d=−0.23; P=.04), social support (d=0.30; P<.001), autonomy (d=0.36; P=.001), and self-competence (d=0.30; P<.001). There were significant correlations between system use, perceived helpfulness, and a number of secondary outcome variables. Conclusions: MOST+ is a feasible, acceptable, and safe online clinical service for young people with mental ill-health. The high level of perceived helpfulness, the significant improvements in secondary outcomes, and the correlations between indicators of system use and secondary outcome variables provide initial support for the therapeutic potential of MOST+. MOST+ is a promising and scalable platform to deliver standalone e-mental health services as well as enhance the growing international network of face-to-face youth mental health services. ", issn="1438-8871", doi="10.2196/17155", url="//www.mybigtv.com/2020/8/e17155", url="https://doi.org/10.2196/17155", url="http://www.ncbi.nlm.nih.gov/pubmed/32788151" }