未来防范研究:一个集群随机对照试验,评估基于学校的普遍认知行为计划对青少年抑郁症的有效性
Aliza Werner-Seidler1,2, Andrew Mackinnon3, Philip J Batterham4
1Black Dog Institute, UNSW Sydney, Sydney, New South Wales, Australia a.werner-seidler@blackdog.org.au.
BMJ mental health
|March 14, 2025
概括
一个以学校为基础的数字计划 (SPARX) 并没有减少学生的抑郁症状. 低参与度和不一致的学校支持限制了这种数字认知行为干预措施的有效性.
科学领域:
- 心理健康研究 心理健康研究
- 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
背景情况:
- 基于学校的心理预防计划显示了减少抑郁症的潜力.
- 需要高质量的大规模试验来验证这些干预措施.
- 数字认知行为程序为心理健康支持提供可扩展的解决方案.
研究的目的:
- 评估数字认知行为程序"SPARX"在学校大规模交付的有效性.
- 评估SPARX在12个月内对抑郁症状的影响.
- 检查二次结果,包括焦虑,心理困扰和失眠.
主要方法:
- 一个集群随机对照试验,涉及134所澳大利亚学校和6388名学生.
- 干预组接受了SPARX应用程序,对照组接受了标准护理.
- 在基线,6周,6个月和12个月评估结果.
- 主要结局:从基线到12个月的抑郁症状的变化.
主要成果:
- 在12个月后,SPARX干预和对照组之间的抑郁症状减少没有显著差异.
- 二次结果 (焦虑,痛苦,失眠) 也没有显著差异.
- 学生参与度低 (完成率为22%) 和学校在提供课堂时间方面的支持不一致.
结论:
- 在学校大规模实施SPARX数字计划并没有有效地减少抑郁症状.
- 计划参与和交付的变化需要在广泛采用之前谨慎.
- 未来的研究应该解决参与的障碍,并优化学校环境中的交付.
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