电子复合心理社会筛查系统YouthCHAT与青少年临床访谈评估的比较卡塔尔世界杯8强波胆分析随机试验%A Thabrew, hiiran %A D'Silva,Simona %A Darragh,Margot %A Goldfinch,Mary %A Meads,Jake %A Goodyear-Smith,Felicity %+奥克兰大学医学与健康科学学院心理医学系，奥克兰大学心理医学系，奥克兰医院支援区12楼，奥克兰格拉夫顿公园路2号，新西兰，1142,6421402055，h.thabrew@auckland.ac.nz %K大规模筛查%K青少年%K焦虑%K抑郁%K物质相关障碍%K初级卫生保健%K学校卫生服务%K eHealth %D 2019 %7 3.12.2019 %9背景:抑郁、焦虑和药物滥用等社会心理问题在年轻人中很常见，而且负担沉重。在新西兰，对这些问题的常规筛查只针对低年级学校的九年级学生，而在儿科环境中，则利用未经验证且耗时的临床管理的家庭、教育、饮食、活动、毒品和酒精、性、自杀和抑郁、安全(HEEADSSS)访谈进行筛查。青少年版案例发现和帮助评估工具(YouthCHAT)是一种相对较新的、本地开发的、基于电子平板的复合筛选器，用于识别与HEEADSSS相似的心理社会问题。目的:本研究旨在比较13岁高中生中YouthCHAT与面对面的HEEADSSS评估的表现和可接受性。方法:对129名主要来自Māori和太平洋岛屿族裔的13岁新西兰高中生进行面对面HEEADSSS评估前后的YouthCHAT筛查的平衡随机试验。主要结果测量指标为YouthCHAT和HEEADSSS完成时间的可比性、检出率以及学生和学校护士的可接受性。结果:YouthCHAT筛查的速度是HEEADSSS评估的两倍多(平均8.57分钟vs平均17.22分钟;平均差8分25秒[范围6分20秒至11分10秒];P< 0.01)，并且在可比域上发现了更多的问题。 For substance misuse and problems at home, both instruments were roughly comparable. YouthCHAT detected significantly more problems with eating or body image perception (70/110, 63.6% vs 25/110, 22.7%; P<.01), sexual health (24/110, 21.8% vs 10/110, 9.1%; P=.01), safety (65/110, 59.1% vs 17/110, 15.5%; P<.01), and physical inactivity (43/110, 39.1% vs 21/110, 19.1%; P<.01). HEEADSSS had a greater rate of detection for a broader set of mental health issues (30/110, 27%) than YouthCHAT (11/110, 10%; P=.001), which only assessed clinically relevant anxiety and depression. Assessment order made no significant difference to the duration of assessment or to the rates of YouthCHAT-detected positive screens for anxiety and depression. There were no significant differences in student acceptability survey results between the two assessments. Nurses identified that students found YouthCHAT easy to answer and that it helped students answer face-to-face questions, especially those of a sensitive nature. Difficulties encountered with YouthCHAT included occasional Wi-Fi connectivity and student literacy issues. Conclusions: This study provides preliminary evidence regarding the shorter administration time, detection rates, and acceptability of YouthCHAT as a school-based psychosocial screener for young people. Although further research is needed to confirm its effectiveness in other age and ethnic groups, YouthCHAT shows promise for aiding earlier identification and treatment of common psychosocial problems in young people, including possible use as part of an annual, school-based, holistic health check. Trial Registration: Australian New Zealand Clinical Trials Network Registry (ACTRN) ACTRN12616001243404p; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=371422. %M 31793890 %R 10.2196/13911 %U //www.mybigtv.com/2019/12/e13911 %U https://doi.org/10.2196/13911 %U http://www.ncbi.nlm.nih.gov/pubmed/31793890