Computer-Based Prevention and Intervention to Reduce Substance Use in Youth.
Computer-Based Prevention and Intervention to Reduce Substance Use in Youth.
复制标题
基于计算机的预防和干预，以减少青少年的药物使用。
DOI：
10.1007/s40429-017-0171-x
复制
发表时间：
2017
影响因子：
4.3
通讯作者：
Schwinn,TraciMarie
中科院分区：
文献类型：
--
作者：
Schinke,Steven;Schwinn,TraciMarie
审查目的基于计算机的青少年药物使用预防和干预计划正在兴起。无论是通过计算机本身还是通过电子平板电脑或智能手机提供，技术驱动的课程都与年轻人获取信息和与世界互动的方式和谐一致。这篇综述审查了针对青少年药物滥用的基于计算机的项目的最新证据，特别关注随机试验的结果。最新发现过去 5 年发表的基于计算机的药物使用相关项目的结果研究显示，在不同的干预方法和实施环境中，结果好坏参半。许多研究都因高流失率而受到损害。最近的文献中值得注意的是技术驱动的药物使用预防和干预计划的国际性质。除了一些例外，大多数计划似乎都没有针对其接受人群进行定制。尽管数量很少，但基于计算机的程序的最高质量研究显示出在降低药物使用率方面取得了积极成果。总结根据最近的研究结果，在计算机提供的方法成为减少青少年药物使用的行之有效的方法之前，需要做大量的工作。专门为青年群体开发的原创节目供不应求。尽管受控设计正在变得司空见惯，但太多基于计算机的程序研究都存在缺陷（包括高损耗率），限制了积极结果的发现。
Purpose of ReviewComputer-based programs for substance use prevention and intervention among youth are on the ascendancy. Whether delivered by computer per se or by electronic tablet or smartphone, technology-driven programs are harmonious with how young people access information and interact with their worlds. This review examines recent evidence on computer-based programs aimed at substance use among youth, with particular attention to results from randomized trials.Recent FindingsOutcome studies of computer-based, substance use-related programs published over the past 5 years reveal mixed results amidst diverse intervention approaches and delivery settings. Many studies are marred by high attrition. Notable in the recent literature is the international nature of technology-driven substance use prevention and intervention programs. With some exceptions, most programs appear to not have been customized for their recipient populations. Though few in number, the highest-quality studies of computer-based programs show positive outcomes in reduced substance use rates.SummaryBased on recent findings, considerable work needs to happen before computer-delivered approaches are a proven means for reducing substance use among youth. Original programs, expressly developed for subgroups of youth, are in short supply. Though controlled designs are becoming commonplace, too many studies of computer-based programs suffer from flaws—including high rates of attrition—that limit the discovery of positive outcomes.