National Crime Victims Research and Treatment Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, 67 President St., MSC861, Charleston, SC 29425, USA.
Contemp Clin Trials. 2012 Jan;33(1):237-46. doi: 10.1016/j.cct.2011.10.001. Epub 2011 Oct 11.
Disasters occur with high frequency throughout the world and increase risk for development of mental health problems in affected populations. Research focused on the development and evaluation of secondary prevention interventions addressing post-disaster mental health has high potential public-health impact. Toward this end, internet-based interventions (IBIs) are particularly attractive in that they: (1) offer a low-cost means of delivering standardized, targeted, personalized intervention content to a broad audience; and (2) are easily integrated within a stepped care approach to screening and service delivery. We describe a unique study design intended to evaluate an IBI with a disaster-affected population-based sample. Description and rationale are provided for sampling selection and procedures, selection of assessment measures and methods, design of the intervention, and statistical evaluation of critical outcomes. Unique features of this intervention include the use of a population-based sample, telephone and internet-based assessments, and development of a highly individualized web-based intervention. Challenges related to the development and large-scale evaluation of IBIs targeting post-disaster mental health problems, as well as implications for future research and practice are discussed.
灾害在全球范围内频繁发生，增加了受灾人群心理健康问题的风险。针对灾后心理健康问题开展二级预防干预措施的开发和评估研究具有很高的公共卫生影响。为此，基于互联网的干预（IBI）特别有吸引力，因为它们：（1）提供了一种低成本的方法，可将标准化、有针对性、个性化的干预内容传递给广大受众；（2）可轻松整合到筛查和服务提供的分级护理方法中。我们描述了一种独特的研究设计，旨在针对受灾人群进行基于样本的 IBI 评估。本文提供了抽样选择和程序、评估措施和方法的选择、干预设计以及关键结果的统计评估的描述和基本原理。该干预措施的独特之处在于使用了基于人群的样本、电话和互联网评估以及开发了高度个性化的基于网络的干预措施。讨论了针对灾后心理健康问题开发和大规模评估 IBI 所面临的挑战，以及对未来研究和实践的影响。
