Single-Session Interventions Embedded Within Tumblr: Acceptability, Feasibility, and Utility Study.
Single-Session Interventions Embedded Within Tumblr: Acceptability, Feasibility, and Utility Study.
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DOI：
10.2196/39004
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发表时间：
2022-07-25
影响因子：
2.2
通讯作者：
Schleider, Jessica L.
中科院分区：
文献类型：
--
作者：
Dobias, Mallory L.;Morris, Robert R.;Schleider, Jessica L.
关键词：
现有的心理健康治疗不足以满足大规模的心理健康需求，特别是对于青少年，他们现在在网上寻求心理健康信息和支持。单次会议干预措施可能特别适合作为嵌入式网络支持选项进行传播，这些选项可以在流行的社交平台上轻松访问。我们的目的是评估三个SSI的可接受性和有效性，每个SSI的持续时间为5至8分钟（行动带来改变项目，停止青少年暴力无处不在项目和REFRAME）-嵌入Tumblr上的Koko迷你课程-以改善三个关键的心理健康结果：绝望，自我憎恨和停止自我伤害行为的愿望。我们使用定量数据（即，星星评级和SSI完成率）来评价所有3种SSI的可接受性和短期效用。配对双尾t检验用于评估从SSI之前到之后的绝望、自我憎恨和停止未来自我伤害的愿望的变化。在有人口统计资料的情况下，分析仅限于青少年（13-19岁）。为每个程序提供了正面和负面定性用户反馈（即书面文本响应）的示例。2021年3月至2022年2月期间，完成了6179次SSI。所有3个SSI都产生了高星星评级（5星中的4星），相对于其他数字自助干预措施的真实世界完成率，完成率很高（约25%-57%）。配对双尾t检验发现，完成“行动带来改变”项目（P<.001，Cohen dz=-0.81，95%CI-0.85 to-0.77）和“重新审视”项目（P<.001，Cohen dz=-0.88，95%CI-0.96 to-0.80）的受试者的绝望感在事后显著降低。从项目结束前到项目结束后，自我憎恨显著减少（P<0.001，Cohen dz=-0.67，95%CI-0.74 to-0.60），停止自我伤害的愿望显著增加（P<0.001，Cohen dz=0.40，95%CI 0.33 to 0.47）。在敏感性分析中以及校正多次检验后，结果保持一致。正面和负面的定性用户反馈的例子指向SSI研究的未来方向。当嵌入流行的社交平台时，非常简短的SSI是一种有前途和可接受的方法，可以在网络上提供免费，可扩展和潜在的有用心理健康支持。考虑到许多青少年面临的获得心理健康治疗的独特障碍，这种方法可能对无法获得其他心理健康支持的青少年特别有用。
Existing mental health treatments are insufficient for addressing mental health needs at scale, particularly for teenagers, who now seek mental health information and support on the web. Single-session interventions (SSIs) may be particularly well suited for dissemination as embedded web-based support options that are easily accessible on popular social platforms. We aimed to evaluate the acceptability and effectiveness of three SSIs, each with a duration of 5 to 8 minutes (Project Action Brings Change, Project Stop Adolescent Violence Everywhere, and REFRAME)—embedded as Koko minicourses on Tumblr—to improve three key mental health outcomes: hopelessness, self-hate, and the desire to stop self-harm behavior. We used quantitative data (ie, star ratings and SSI completion rates) to evaluate acceptability and short-term utility of all 3 SSIs. Paired 2-tailed t tests were used to assess changes in hopelessness, self-hate, and the desire to stop future self-harm from before to after the SSI. Where demographic information was available, the analyses were restricted to teenagers (13-19 years). Examples of positive and negative qualitative user feedback (ie, written text responses) were provided for each program. The SSIs were completed 6179 times between March 2021 and February 2022. All 3 SSIs generated high star ratings (>4 out of 5 stars), with high completion rates (approximately 25%-57%) relative to real-world completion rates among other digital self-help interventions. Paired 2-tailed t tests detected significant pre-post reductions in hopelessness for those who completed Project Action Brings Change (P<.001, Cohen dz=−0.81, 95% CI −0.85 to −0.77) and REFRAME (P<.001, Cohen dz=−0.88, 95% CI −0.96 to −0.80). Self-hate significantly decreased (P<.001, Cohen dz=−0.67, 95% CI −0.74 to −0.60), and the desire to stop self-harm significantly increased (P<.001, Cohen dz=0.40, 95% CI 0.33 to 0.47]) from before to after the completion of Project Stop Adolescent Violence Everywhere. The results remained consistent across sensitivity analyses and after correcting for multiple tests. Examples of positive and negative qualitative user feedback point toward future directions for SSI research. Very brief SSIs, when embedded within popular social platforms, are one promising and acceptable method for providing free, scalable, and potentially helpful mental health support on the web. Considering the unique barriers to mental health treatment access that many teenagers face, this approach may be especially useful for teenagers without access to other mental health supports.
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DOI：
10.1111/j.2517-6161.1995.tb02031.x
发表时间：
1995-01-01
影响因子：
5.8
作者：
BENJAMINI, Y;HOCHBERG, Y
通讯作者：
HOCHBERG, Y
影响因子：
4.1
作者：
Dobias, Mallory L.;Schleider, Jessica L.;Fox, Kathryn R.
通讯作者：
Fox, Kathryn R.
影响因子：
2.1
作者：
Bauerly, Brittney Crock;McCord, Russell F.;Pepin, Dawn
通讯作者：
Pepin, Dawn
DOI：
10.1007/s11414-017-9558-7
发表时间：
2018-01-01
影响因子：
1.9
作者：
Boyd, Rhonda C.;Butler, Laura;Benton, Tami D.
通讯作者：
Benton, Tami D.
影响因子：
8.2
作者：
Dore, Bruce P.;Morris, Robert R.
通讯作者：
Morris, Robert R.