期刊文章JMIR出版公司基于网络的定制干预(E-health4Uth)卡塔尔世界杯8强波胆分析和咨询促进青少年健康的有效性:随机对照试验%A Bannink,Rienke %A Broeren,Suzanne %A Joosten-van Zwanenburg,Evelien %A van As,Els %A van de Looij-Jansen,Petra %A Raat,Hein %+荷兰鹿特丹Erasmus大学医学中心公共卫生系，邮政信箱2040,3000 CA，鹿特丹，31 107044634;h.raat@erasmusmc.nl %K青少年%K青少年卫生保健%K电子健康%K互联网%K网络定制%K咨询%K随机对照试验%K健康促进%K预防%D 2014 %7 30.05.2014 %9背景:为了促进青少年的健康和健康行为，在12所中学实施了2项干预措施。电子保健小组的青少年收到了针对其健康行为和福祉的基于网络的定制信息。电子保健和咨询小组的青少年收到了同样的定制信息，但如果他们有心理健康问题的风险，随后会被转介给学校护士进行咨询。目的:本研究评估了E-health4Uth以及E-health4Uth和咨询对幸福感(即心理健康状况和与健康相关的生活质量)和健康行为(即酗酒和吸毒、吸烟、安全性行为)的影响。方法:采用整群随机对照试验，选取中学三、四年级学生(平均年龄15.9岁，SD 0.69)。学校班级(组)被随机分配到(1)电子医疗保健组，(2)电子医疗保健和咨询组，或(3)对照组(即照护)。青少年在基线和4个月随访时完成一份问卷，通过优势和困难问卷(SDQ)和青年自我报告(YSR)评估饮酒、吸烟、吸毒、避孕套使用、心理健康;仅在随访时测量)，以及与健康相关的生活质量。 Multilevel logistic, ordinal, and linear regression analyses were used to reveal differences in health behavior and well-being between the intervention groups and the control group at follow-up. Subsequently, it was explored whether demographics moderated the effects. Results: Data from 1256 adolescents were analyzed. Compared to the control intervention, the E-health4Uth intervention, as a standalone intervention, showed minor positive results in health-related quality of life (B=2.79, 95% CI 0.72-4.87) and condom use during intercourse among adolescents of Dutch ethnicity (OR 3.59, 95% CI 1.71-7.55) not replicated in the E-health4Uth and consultation group. The E-health4Uth and consultation intervention showed minor positive results in the mental health status of adolescents (SDQ: B=−0.60, 95% CI −1.17 to −0.04), but a negative effect on drug use among boys (OR 0.36, 95% CI 0.13-0.96). In the subgroup of adolescents who were at risk of mental health problems at baseline (and referred for a consultation with the nurse), the E-health4Uth and consultation group showed minor to moderate positive results in mental health status (SDQ: B=−1.79, 95% CI −3.35 to −0.22; YSR: B=−9.11, 95% CI −17.52 to −0.71) and health-related quality of life (B=7.81, 95% CI 2.41-13.21) at follow-up compared to adolescents in the control group who were at risk of mental health problems at baseline. Conclusions: Findings from this study support the use of the E-health4Uth and consultation intervention in promoting the well-being of adolescents at risk of mental health problems. Future research is needed to further evaluate the effects of the consultation as a standalone intervention, and the dual approach of further tailored eHealth messages and a consultation. Trial Registration: Nederlands Trial Register: NTR 3596; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=3596 (Archived by WebCite at http://www.webcitation.org/6PmgrPOuv). %M 24878521 %R 10.2196/jmir.3163 %U //www.mybigtv.com/2014/5/e143/ %U https://doi.org/10.2196/jmir.3163 %U http://www.ncbi.nlm.nih.gov/pubmed/24878521