Cluster randomised controlled trial of the e-couch Anxiety and Worry program in schools
Cluster randomised controlled trial of the e-couch Anxiety and Worry program in schools
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DOI：
10.1016/j.jad.2016.02.049
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发表时间：
2016-05-15
影响因子：
6.6
通讯作者：
Christensen, Helen
中科院分区：
文献类型：
--
作者：
Calear, Alison L.;Batterham, Philip J.;Christensen, Helen
背景：焦虑是青少年常见的心理健康问题。当前的研究旨在测试在线自我导向焦虑预防计划在学校样本中的有效性，并比较在学校实施焦虑计划的两种方法。方法：在 30 所澳大利亚学校中进行了一项三臂集群分层随机对照试验。每所学校被随机分配接受：(1) 外部支持的干预，(2) 教师支持的干预，或 (3) 候补名单控制。所有同意的学生（N=1767）被邀请完成干预前、干预后、6个月和12个月的随访问卷，测量广泛性焦虑、社交焦虑、焦虑敏感性、抑郁症状和心理健康。干预参与者在 6 周内完成了 e-couch 焦虑和担忧计划。 结果：在干预后、6 个月和 12 个月的随访中，在广泛性焦虑（Cohen's d=-0.14 至 0.15）、社交焦虑（d=0.04-0.23）、焦虑敏感性（d= 0.07 至 0.07）、抑郁症状方面，干预条件和控制条件之间没有观察到显着差异。 （d= 0.05 至 0.04）或心理健康（d=-0.06至0.30）。局限性：当前的研究仅包括可能受到情境因素或偏见影响的自我报告测量。结论：电子沙发焦虑和担忧计划对参与者的心理健康或福祉没有显着的积极影响。增加一名心理健康教育官员来支持课堂教师实施该计划也对干预结果没有影响。未来的预防研究应该寻求开发更简短、更具互动性的干预措施，让年轻人更有吸引力。 (C) 2016 Elsevier B.V. 保留所有权利。
Background: Anxiety is a common mental health problem in youth. The current study aimed to test the effectiveness of an online self-directed anxiety prevention program in a school-based sample and to compare two methods of implementing an anxiety program in schools.Methods: A three-arm cluster stratified randomised controlled trial was conducted with 30 Australian schools. Each school was randomly assigned to receive: (1) externally-supported intervention, (2) teacher -supported intervention, or (3) wait-list control. All consenting students (N=1767) were invited to complete pre-intervention, post-intervention, 6- and 12-month follow-up questionnaires measuring generalised anxiety, social anxiety, anxiety sensitivity, depressive symptoms and mental wellbeing. Intervention participants completed the e-couch Anxiety and Worry program over 6 weeks.Results: At post-intervention, 6- and 12-month follow-up no significant differences were observed between the intervention and control conditions for generalised anxiety (Cohen's d=-0.14 to 0.15), social anxiety (d=0.04-0.23), anxiety sensitivity (d= 0.07 to 0.07), depressive symptoms (d= 0.05 to 0.04) or mental wellbeing (d=-0.06 to 0.30).Limitations: The current study only included self-report measures that may have been influenced by situational factors or biases.Conclusions: The e-couch Anxiety and Worry program did not have a significant positive effect on participant mental health or wellbeing. The addition of a mental health education officer to support classroom teachers in the delivery of the program also had no effect on intervention outcomes. Future prevention research should look to develop briefer and more interactive interventions that are more engaging for youth. (C) 2016 Elsevier B.V. All rights reserved.