一个基于应用程序的培训,针对有问题的数字媒体使用的青少年和他们的父母 (Res@t数字):一个集群随机临床试验的协议
Kerstin Paschke1, Silke Diestelkamp1, Antonia Zapf2
1German Center for Addiction Research in Childhood and Adolescence (DZSKJ), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
Frontiers in psychiatry
|February 8, 2024
概括
本研究评估了Res@t digital,这是一项针对患有数字媒体使用障碍 (DMUD) 的青少年的基于应用程序的干预措施. 该计划旨在减少症状并改善家庭福祉,解决基于证据的治疗方法的差距.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 青少年心理学 青少年心理学
- 临床心理学 临床心理学
背景情况:
- 数字媒体使用障碍 (DMUD) 在青少年中越来越多,导致心理痛苦和家庭负担.
- 现有的DMUD治疗方法,特别是基于认知行为疗法 (CBT) 的治疗方法,缺乏针对青少年和家长的基于模型的干预措施.
- 对于青少年DMUD的可访问,理论上有基础的治疗方法,存在显著的临床差距.
研究的目的:
- 评估Res@t digital的有效性,这是一种基于应用程序的CBT干预,针对患有DMUD的青少年及其父母.
- 评估DMUD症状的减少,心理困扰和与家庭有关的问题.
- 通过基于模型的数字干预来衡量父母自我效能的增加.
主要方法:
- 一个多中心集群随机对照试验,将Res@t数字与等候名单对照组进行比较.
- 针对青少年 (Res@t-A) 和父母 (Res@t-P) 的单独但相关的模块使用多式联络技术.
- 通过使用标准化自我报告措施对1334个青少年-家长对象进行结果评估,并使用线性混合模型进行分析.
主要成果:
- 这项研究旨在评估Res@t digital在对照条件上的优越性.
- 主要结局是在10周后减少DMUD症状.
- 二次结果包括改善心理和家庭功能以及父母的自我效能.
结论:
- Res@t digital有可能为受青少年DMUD影响的家庭提供基于证据的治疗.
- 该干预措施旨在在各种医疗保健环境中实现实际实施和灵活使用.
- 这项基于应用程序的计划通过为DMUD治疗提供可扩展的解决方案来支持当地医疗机构.
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