Adherence to the MoodGYM program: Outcomes and predictors for an adolescent school-based population
Adherence to the MoodGYM program: Outcomes and predictors for an adolescent school-based population
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DOI：
10.1016/j.jad.2012.11.036
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发表时间：
2013-05-01
影响因子：
6.6
通讯作者：
Griffiths, Kathleen M.
中科院分区：
文献类型：
--
作者：
Calear, Alison L.;Christensen, Helen;Griffiths, Kathleen M.
背景：项目依从性与改善精神和身体状况的干预结果有关。本研究的目的是调查青少年对学校网络抑郁预防项目的依从性，以确定依从性对结果的影响，并确定项目依从性的预测因素。方法：本研究的数据（N=1477）来自青年情绪项目，该项目旨在测试MoodGYM项目在减少和预防青少年在校人群焦虑和抑郁症状方面的有效性。目前的研究比较了三个亚组的干预效果：高依从者，低依从者和等候名单对照条件。结果：与对照组相比，高依从性干预组在干预后和6个月随访时对焦虑（d=0.34-0.39 vs. 0.11-0.22）、男性（d=0.43-0.59 vs. 0.26-0.35）和女性抑郁（d=0.13-0.20 vs. 0.02-0.04）的干预效果强于低依从性干预组。在高依从性组和低依从性组之间没有发现显著的干预效果。九年级学生生活在农村地区，并且在干预前抑郁症状或自尊水平较高，这预示着他们更坚持MoodGYM项目。局限性：试验项目是基于互联网的，因此确定的依从性预测因素可能不能推广到面对面的干预。结论：目前的研究为学校环境中项目依从性与结果之间的正相关关系提供了初步支持。确定重要的依从性预测因素将有助于确定最愿意参与在线抑郁症预防计划的用户类型。(C) 2012 Elsevier B.V.版权所有
Background: Program adherence has been associated with improved intervention outcomes for mental and physical conditions. The aim of the current study is to investigate adolescent adherence to an Internet-based depression prevention program in schools to identify the effect of adherence on outcomes and to ascertain the predictors of program adherence.Methods: Data for the current study (N=1477) was drawn from the YouthMood Project, which was conducted to test the effectiveness of the MoodGYM program in reducing and preventing symptoms of anxiety and depression in an adolescent school-based population. The current study compares intervention effects across three sub-groups: high adherers, low adherers and the wait-list control condition.Results: When compared to the control condition, participants in the high adherence intervention group reported stronger intervention effects at post-intervention and 6-month follow-up than participants in the low adherence group for anxiety (d=0.34-0.39 vs. 0.11-0.22), and male (d=0.43-0.59 vs. 0.26-0.35) and female depression (d=0.13-0.20 vs. 0.02-0.04). No significant intervention effects were identified between the high and low adherence groups. Being in Year 9, living in a rural location and having higher pre-intervention levels of depressive symptoms or self-esteem were predictive of greater adherence to the MoodGYM program.Limitations: The program trialled is Internet-based and therefore the predictors of adherence identified may not generalise to face-to-face interventions.Conclusions: The current study provides preliminary support for the positive relationship between program adherence and outcomes in a school environment. The identification of significant predictors of adherence will assist in identifying the type of user who will engage most with an online depression prevention program. (C) 2012 Elsevier B.V. All rights reserved.