对患有抑郁症的青少年进行精确的计算机化认知行为疗法 (cCBT):SPARX-UK的试点和可行性随机对照试验协议
K Khan1,2, C L Hall3,4,5, C Babbage3,4
1Mental Health & Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, UK. kareem.khan@nottingham.ac.uk.
Pilot and feasibility studies
|March 27, 2024
概括
这项研究探讨了使用SPARX严重游戏的可行性,结合认知行为疗法 (CBT),以帮助英国患有抑郁症和焦虑症的青少年. 调查结果将指导这项数字心理健康干预的更大规模试验.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 青少年心理学 青少年心理学
背景情况:
- 使用认知行为疗法 (CBT) 的严游戏SPARX在澳大利亚对青少年抑郁症和焦虑症显示出了希望.
- 它在英国环境中的有效性和参与,特别是在现实世界的环境中,仍然未被探索.
- 之前的试验发现了用户参与自主使用的挑战.
研究的目的:
- 试点并评估英格兰SPARX随机对照试验 (RCT) 的可行性.
- 为了比较SPARX与电子教练支持之间的参与和坚持与自主指导的SPARX.
- 为了提供最佳的输送方式,样本大小,以及为最终的英国RCT设置的信息.
主要方法:
- 一个三臂试点RCT涉及120名青少年 (11-19岁) 在英格兰.
- 参与者被随机分配到SPARX,以电子教练支持,自主指导的SPARX或等候名单控制.
- 在线评估测量了抑郁症 (PHQ-A),焦虑 (RCADS),生活质量 (EQ-5D-Y),并进行了定性访谈以评估过程.
主要成果:
- 收集了关于招聘,保留和与SPARX合作的可行性数据.
- 评估了参与者对不同交付方式的坚持和接受度.
- 进行了临床和生活质量结果的描述性分析.
结论:
- 这些发现将为SPARX的最终英国RCT的设计提供信息.
- 如果有效,SPARX可以提高英国青少年心理健康护理的提供.
- 这个数字游戏为青少年心理健康提供了基于CBT的干预措施的可扩展方法.
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