调查基于网络的共同元素工具箱 (COMET) 单次干预措施在改善英国大学生福祉方面的有效性:随机对照试验
Jeffrey Lambert1, Maria Loades2, Noah Marshall1
1Department for Health, Universtiy of Bath, Bath, United Kingdom.
Journal of medical Internet research
|January 31, 2025
概括
在线的共同要素工具箱 (COMET) 干预措施在改善学生福祉和减少压力和抑郁症方面显示出短期的有效性. 虽然可以访问,但参与者发现它很长,这表明在这种心理健康工具中需要改进的领域.
科学领域:
- 心理学 心理学 心理学
- 数字健康数字健康
- 心理健康干预 心理健康干预
背景情况:
- 大学学生面临着心理健康挑战,获得及时支持的机会有限.
- 单会话干预 (SSI) 通过在单次接触中提供核心治疗要素,提供可扩展的解决方案.
- 共同元素工具箱 (COMET) 是一个在线的SSI,包含行为激活,认知重组,感恩和自我同情.
研究的目的:
- 评估COMET在线SSI在英国大学生中的可接受性,适当性,感知效用和有效性.
- 评估COMET对主观幸福,抑郁,焦虑,积极和消极情绪以及感知压力的影响.
- 收集用户对满意度的反,并确定改善干预的领域.
主要方法:
- 进行了一项随机对照试验,将COMET与对照组进行比较.
- 参与者 (N=468) 是英国的大学生,他们可以访问互联网.
- 结果在2周和4周的随访中使用验证的天平测量结果;根据CONSORT-EHEALTH指南使用线性混合模型分析数据.
主要成果:
- 在2周的随访中,COMET干预显著改善了主观幸福感 (P=.03) 并减少了抑郁症严重程度 (P=.03) 和感知压力 (P<.001).
- 报告显示,参与者的满意度很高,模块被评为可接受,适当和有用.
- 定性反表明一般可访问性,但指出干预时间过长;自我同情是一个受欢迎的模块,行为激活是最不受欢迎的.
结论:
- 在英国学生群体中,COMET干预表明了高参与度和初步的短期有效性.
- 参与者的反突出了满意度,可访问性和感知的好处,支持其潜在价值.
- 研究的消耗率很高,参与者的反建议优化对未来代的干预时间.
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