在青少年中预防与博有关的伤害 (PRoGRAM-A),一个以中学为基础的社交网络干预:试验集群随机对照试验的结果
Fiona Dobbie1, Martine Miller1, Angela Niven1
1Usher Institute, University of Edinburgh, Edinburgh, UK.
Addiction (Abingdon, England)
|December 13, 2025
概括
PRoGRAM-A (预防青少年博相关伤害) 的干预措施是可以接受的,并且可以在学校有效地提供. 这项试点研究支持继续进行更大规模的试验,以评估其在预防青少年博危害方面的有效性.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 干预科学 干预科学
背景情况:
- 博相关伤害 (GRH) 是影响青少年的重大公共卫生问题.
- 早期干预策略对于预防博问题的出现至关重要.
- 现有的学校课程需要严格评估其有效性和可行性.
研究的目的:
- 在中学试行PRoGRAM-A (预防青少年博相关伤害) 的干预.
- 评估一个集群随机对照试验 (cRCT) 设计用于博预防计划的可行性和可接受性.
- 确定进行第三阶段RCT的实用性,以评估PROGRAM-A的有效性和成本效益.
主要方法:
- 一个双臂试点集群随机对照试验 (cRCT) 涉及苏格兰的六所中学.
- 干预组接受了PROGRAM-A,一个由同行领导的社交网络干预;对照组接受了标准的个人,社会,健康和教育 (PSHE) 课程.
- 进行了嵌入式流程评估,健康经济范围研究和社交网络分析.
主要成果:
- 对于全面的第三阶段cRCT,所有五个预设的进展标准都得到了满足.
- 在所有参与的学校都实现了高的招聘和保留率.
- 发现PROGRAM-A干预对利益相关者来说是可以接受的,并以高准确性进行交付,尽管在随访时没有观察到参与博的统计学上显著差异.
结论:
- PRoGRAM-A干预是一个可接受和可行的学校计划,用于预防青少年博相关的伤害.
- 试点cRCT的设计和方法适合进一步调查.
- 需要向更大的随机对照试验进行进展,以评估PRoGRAM-A的有效性和成本效益.
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