"勇敢之旅"的电子学习版本的可行性研究:基于认知行为治疗的普遍焦虑预防计划
Shoichi Ohashi1,2, Yuko Urao3,4, Kazumasa Fujiwara5
1United Graduate School of Child Development, Osaka University, 2-2 Yamadaoka, Suita City, Osaka, Japan. shoichi.o@chiba-u.jp.
BMC psychiatry
|November 15, 2024
概括
这项研究发现,针对儿童的电子学习认知行为疗法 (CBT) 计划的满意度和可行性很高. 该计划显示了减少焦虑和改善年轻人的情绪调节技能的潜力.
科学领域:
- 儿童和青少年精神病学
- 数字健康干预措施 数字健康干预措施
- 焦虑预防计划 焦虑预防计划
背景情况:
- 基于学校的认知行为疗法 (CBT) 对于预防童年焦虑是有效的,但面临时间限制.
- 基于互联网的CBT (I-CBT) 提供了一个高效的替代方案,但对其在基于学校的普遍预防中使用的研究是有限的.
- 为了提高灵活性和可访问性,开发了"勇敢之旅"CBT计划的电子学习适应.
研究的目的:
- 评估为10-12岁儿童提供学校式,电子学习版本的焦虑预防计划的可行性.
- 通过放弃率和用户满意度来评估程序的可接受性.
- 检查该计划对焦虑症状,情绪调节和行为问题的影响.
主要方法:
- 一项单臂研究涉及44个亲子双.
- 孩子们在家中完成了电子学习计划,在基线,干预后和3个月后续进行评估.
- 可行性是通过放弃率,满意度,学习记录和经过验证的心理尺度 (SCAS,ERSQ,SDQ) 的变化来衡量.
主要成果:
- 该计划的退学率为23.8%,高满意度报告为83.9%的儿童和96.8%的家长.
- 从基线到随访,家长评估焦虑 (SCAS-P) 显著下降 (p=0.014),情绪调节技能 (ERSQ) 显著改善 (p=0.045).
- 儿童级焦虑症 (SCAS-C) 没有显著下降,行为困难 (SDQ) 在干预后下降,但在随访时没有下降.
结论:
- 电子学习CBT计划表现出良好的可行性,其特点是学率低,用户满意度高.
- 初步结果表明,减少焦虑和增强儿童情绪调节技能的潜在好处.
- 该计划的适应性和积极的接待表明其作为预防儿童焦虑的可扩展干预的承诺.
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