Abbott Jo-Anne M, Klein Britt, McLaren Suzanne, Austin David W, Molloy Mari, Meyer Denny, McLeod Bronte
National eTherapy Centre, Brain and Psychological Sciences Research Centre, Faculty of Health, Arts and Design, Swinburne University of Technology, Hawthorn, Victoria, Australia.
Trials. 2014 Dec 23;15:504. doi: 10.1186/1745-6215-15-504.
Same-sex attracted young adults have been found to experience higher rates of mental health problems and greater difficulties in accessing specialist mental health care services compared to their heterosexual peers. Internet-based mental health interventions have the potential to be more engaging and accessible to young adults compared to those delivered face-to-face. However, they are rarely inclusive of lesbian women and gay men. Thus, the current study aims to evaluate the effectiveness of an online mental health and wellbeing program, Out & Online (http://www.outandonline.org.au), in comparison to a wait-list control group, for reducing anxiety and depressive symptoms in same-sex attracted young adults aged between 18 and 25 years.
METHODS/DESIGN: We are recruiting, through media and community organisations, 200 same-sex attracted young adults with anxiety and/or depressive symptoms and mild to moderate psychological distress (Kessler-10 score between 16 to 21). Participants will be randomly allocated to the intervention (the online program) or the wait-list control group based on a permuted blocked randomisation method to allow for stratification by gender. Participants in the intervention group will receive a tailored program for up to three types of mental health difficulties simultaneously. The primary outcome of anxiety and/or depressive symptoms, and secondary outcomes related to psychological distress, wellbeing and health behaviour will be measured at pre-intervention (0 week), post-intervention (8 weeks) and at a 3-month follow-up (20 weeks).
This online mental health and wellbeing program will be one of the first online interventions to be designed specifically to be relevant for same-sex attracted individuals. If the program is found to be effective it will improve access to specialist same-sex attracted-relevant mental health services for young adults and will facilitate wellbeing outcomes for these individuals. This program will also be a significant development in the delivery of tailored interventions that target multiple types of mental health conditions simultaneously.
Australian New Zealand Clinical Trials Registry: ACTRN12611000700932. Date registered: 7 July 2011.
与异性恋同龄人相比，发现有同性吸引倾向的年轻人心理健康问题发生率更高，在获得专业心理健康护理服务方面也面临更大困难。与面对面提供的心理健康干预措施相比，基于互联网的心理健康干预措施对年轻人可能更具吸引力且更容易获得。然而，这些干预措施很少包括女同性恋者和男同性恋者。因此，本研究旨在评估一个在线心理健康与幸福计划“出柜与在线”（http://www.outandonline.org.au）与等待名单对照组相比，对减轻18至25岁有同性吸引倾向的年轻人的焦虑和抑郁症状的有效性。
方法/设计：我们通过媒体和社区组织招募200名有焦虑和/或抑郁症状且有轻度至中度心理困扰（凯斯勒10分评分在16至21之间）的有同性吸引倾向的年轻人。参与者将根据置换区组随机化方法被随机分配到干预组（在线计划）或等待名单对照组，以便按性别分层。干预组的参与者将同时接受针对多达三种心理健康困难类型的量身定制计划。焦虑和/或抑郁症状的主要结果以及与心理困扰、幸福和健康行为相关的次要结果将在干预前（第0周）、干预后（第8周）和3个月随访（第20周）时进行测量。
这个在线心理健康与幸福计划将是首批专门为有同性吸引倾向的个体设计的在线干预措施之一。如果该计划被证明是有效的，它将改善有同性吸引倾向的年轻人获得专业心理健康服务的机会，并促进这些个体的幸福结果。该计划也将是同时针对多种心理健康状况提供量身定制干预措施方面的一项重大进展。
澳大利亚新西兰临床试验注册中心：ACTRN12611000700932。注册日期：2011年7月7日。
