TY - JOUR AU - Bannink, Rienke AU - Broeren, Suzanne AU - Joosten-van Zwanenburg, Evelien AU -van As, Els AU -van de Looij-Jansen, Petra AU - Raat, Hein PY - 2014 DA - 2014/05/30 TI -网络定制干预(E-health4Uth)和咨询促进青少年健康的有效性:随机对照试验JO - J Med Internet Res SP - e143 VL - 16 IS - 5 KW -青少年KW -青年保健KW -电子健康KW -互联网KW -网络定制KW -咨询KW -随机对照试验KW -健康促进KW -预防AB -背景:为了促进青少年的福祉和健康行为，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。采用多水平logistic、有序和线性回归分析，揭示干预组与对照组在健康行为和幸福感方面的差异。 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). SN - 1438-8871 UR - //www.mybigtv.com/2014/5/e143/ UR - https://doi.org/10.2196/jmir.3163 UR - http://www.ncbi.nlm.nih.gov/pubmed/24878521 DO - 10.2196/jmir.3163 ID - info:doi/10.2196/jmir.3163 ER -