A Systematic Review of Online Youth Mental Health Promotion and Prevention Interventions
A Systematic Review of Online Youth Mental Health Promotion and Prevention Interventions
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DOI：
10.1007/s10964-014-0165-0
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发表时间：
2015-01-01
影响因子：
4.9
通讯作者：
Barry, Margaret M.
中科院分区：
文献类型：
--
作者：
Clarke, Aleisha M.;Kuosmanen, Tuuli;Barry, Margaret M.
青年使用在线技术的快速增长为增加获得循证精神卫生资源提供了机会。这项系统审查的目的是提供关于在线心理健康促进和预防干预措施对12-25岁青年的有效性的证据的叙述性综合。搜索一系列电子数据库，确定了自2000年以来进行的28项研究。评价6项心理健康促进干预措施的8项研究和评估15项预防干预措施的20项研究。心理健康促进干预的结果表明，有一些证据表明，以模块为基础的基于技能的干预措施可以对青少年的心理健康产生重大影响，然而，数量不足的研究限制了这一发现。在线预防干预的结果表明，计算机化认知行为疗法对青少年和新兴成人的焦虑和抑郁症状具有显著的积极作用。在一些研究中，未完成率处于中等到高水平。实施结果提供了一些证据，表明参与者面对面和/或基于网络的支持是计划完成率和结果的重要特征。需要对影响暴露、坚持和结果的因素进行更多的研究。所有研究的证据质量差异很大，因此突出表明需要对更多不同的青年样本进行更严格、更高质量的评估。虽然未来的研究是有必要的，但这项研究强调了在线精神健康促进和预防干预在促进青年福祉和减少精神健康问题方面的潜力。
The rapid growth in the use of online technologies among youth provides an opportunity to increase access to evidence-based mental health resources. The aim of this systematic review is to provide a narrative synthesis of the evidence on the effectiveness of online mental health promotion and prevention interventions for youth aged 12-25 years. Searching a range of electronic databases, 28 studies conducted since 2000 were identified. Eight studies evaluating six mental health promotion interventions and 20 studies evaluating 15 prevention interventions were reviewed. The results from the mental health promotion interventions indicate that there is some evidence that skills-based interventions presented in a module-based format can have a significant impact on adolescent mental health, however, an insufficient number of studies limits this finding. The results from the online prevention interventions indicate the significant positive effect of computerized cognitive behavioral therapy on adolescents' and emerging adults' anxiety and depression symptoms. The rates of non-completion were moderate to high across a number of studies. Implementation findings provide some evidence that participant face-to-face and/or web-based support was an important feature in terms of program completion and outcomes. Additional research examining factors affecting exposure, adherence and outcomes is required. The quality of evidence across the studies varied significantly, thus highlighting the need for more rigorous, higher quality evaluations conducted with more diverse samples of youth. Although future research is warranted, this study highlights the potential of online mental health promotion and prevention interventions in promoting youth wellbeing and reducing mental health problems.