TY - JOUR AU - Whittaker, Robyn AU - Merry, Sally AU - Stasiak, Karolina AU - McDowell, Heather AU - Doherty, Iain AU - Shepherd, Matthew AU - Dorey, Enid AU - Parag, Varsha AU - Ameratunga, Shanthi AU - Rodgers, Anthony PY - 2012 DA - 2012/01/24 TI - MEMO-A青少年手机抑郁预防干预:背景:预防青少年抑郁的发生可以预防社会功能障碍、少女怀孕、药物滥用、自杀和成年后的心理健康状况。新技术可以将预防规划扩展到大量不同的人群。目的:开发并验证新型手机传递方式对青少年抑郁预防的干预作用。我们描述了干预的发展和参与者自我报告的干预满意度的结果。方法:从认知行为疗法(CBT)的15个关键信息中发展出干预措施。该计划是完全自动化的，在9周内以每天2条手机短信的方式发送，混合了文本，视频和卡通信息以及移动网站。交付方式以社会认知理论和营销原则为指导。该干预与不同主题的相同数量和类型的信息的注意力控制程序进行了比较。本研究于2009年6月至2011年4月在新西兰奥克兰市的高中进行了一项双盲随机对照试验。 Results: A total of 1348 students (13–17 years of age) volunteered to participate at group sessions in schools, and 855 were eventually randomly assigned to groups. Of these, 835 (97.7%) self-completed follow-up questionnaires at postprogram interviews on satisfaction, perceived usefulness, and adherence to the intervention. Over three-quarters of participants viewed at least half of the messages and 90.7% (379/418) in the intervention group reported they would refer the program to a friend. Intervention group participants said the intervention helped them to be more positive (279/418, 66.7%) and to get rid of negative thoughts (210/418, 50.2%)—significantly higher than proportions in the control group. Conclusions: Key messages from CBT can be delivered by mobile phone, and young people report that these are helpful. Change in clinician-rated depression symptom scores from baseline to 12 months, yet to be completed, will provide evidence on the effectiveness of the intervention. If proven effective, this form of delivery may be useful in many countries lacking widespread mental health services but with extensive mobile phone coverage. ClinicalTrial: Australia New Zealand Clinical Trials Registry (ACTRN): 12609000405213; http://www.anzctr.org.au/trial_view.aspx?ID=83667 (Archived by WebCite at http://www.webcitation.org/64aueRqOb) SN - 1438-8871 UR - //www.mybigtv.com/2012/1/e13/ UR - https://doi.org/10.2196/jmir.1857 UR - http://www.ncbi.nlm.nih.gov/pubmed/22278284 DO - 10.2196/jmir.1857 ID - info:doi/10.2196/jmir.1857 ER -