TY - JOUR AU - Costin, Daniel L AU - Mackinnon, Andrew J AU - Griffiths, Kathleen M AU - Batterham, Philip J AU - Bennett, Anthony J AU - Bennett, Kylie AU - Christensen, Helen PY - 2009 DA - 2009/10/22 TI -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JO - J Med Internet Res SP - e42 VL - 11 IS - 4 KW -抑郁KW -情绪障碍KW -年轻人KW -保健寻求行为KW -健康态度KW -意向KW -健康促进KW -电子邮件背景:有必要确定增加年轻人抑郁症寻求帮助的干预措施。目的:目的是评估使用健康电子卡片(包含健康信息链接的个性化电子邮件)的简短抑郁信息干预。方法:从社区抽取348名19 ~ 24岁的青少年进行随机对照试验。参与者被随机分配到三种情况中的一种，所有情况都提供了一系列简短的健康电子卡片。两个积极的条件包括传递抑郁信息，旨在增加寻求帮助的行为和意图，并改善与寻求帮助相关的信念和知识。控制组提供与抑郁症无关的一般健康问题的信息。主要结果是寻求帮助的行为。次要结局是寻求帮助的意向;对抑郁症治疗和帮助来源的有效性的信念; 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) SN - 1438-8871 UR - //www.mybigtv.com/2009/4/e42/ UR - https://doi.org/10.2196/jmir.1294 UR - http://www.ncbi.nlm.nih.gov/pubmed/19850549 DO - 10.2196/jmir.1294 ID - info:doi/10.2196/jmir.1294 ER -