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建立联系:一项基于学校的干预措施,旨在改善对物质使用问题的求助行为。

MAKINGtheLINK: A school-based intervention to improve help-seeking for substance use problems.

作者信息

Lubman Dan I, Cheetham Ali, Berridge Bonita J, McKay-Brown Lisa

机构信息

Turning Point, Eastern Health, Melbourne, Victoria, Australia.

Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia.

出版信息

Early Interv Psychiatry. 2018 Oct;12(5):915-921. doi: 10.1111/eip.12402. Epub 2017 May 18.

Abstract

BACKGROUND

Many young people are reluctant to seek professional help for alcohol and other substance use problems, preferring to rely on family and friends. MAKINGtheLINK is a school-based intervention that teaches adolescents how to help their peers overcome barriers to engaging with professional help. The current study examined the effect of the MAKINGtheLINK programme in a sample of 12- to 15-year-old students.

METHODS

Participants included 247 Grade 8 students (49% male, 51% female) recruited from 3 schools in Victoria, Australia. Participants completed questionnaires measuring barriers to professional help-seeking, help-seeking intentions and confidence to seek help at 3 time points (pre-intervention, post-intervention and 6-week follow-up). A non-controlled repeated measures design was used to assess the effect of the programme on help-seeking across time points.

RESULTS

The programme decreased barriers, increased intentions to seek help from formal sources, decreased intentions to seek help from family and increased confidence to seek help for a peer. The decrease in barriers was maintained at the 6-week follow-up, as were decreased intentions to seek help from family members, and increased intentions to seek help from school counsellors and alcohol and drug workers. The effects of the intervention did not differ substantially between males and females.

CONCLUSIONS

The MAKINGtheLINK is the first intervention to focus on overcoming barriers to help-seeking for substance use problems by helping adolescents develop skills to support their peers. The intervention has promise as a means of facilitating help-seeking during adolescence, although further research is needed to test its effectiveness in a more rigorous design.

摘要

背景

许多年轻人不愿就酒精及其他物质使用问题寻求专业帮助,而是更倾向于依靠家人和朋友。“建立联系”(MAKINGtheLINK)是一项基于学校的干预措施,旨在教导青少年如何帮助同龄人克服寻求专业帮助的障碍。本研究调查了“建立联系”项目对12至15岁学生样本的影响。

方法

参与者包括从澳大利亚维多利亚州3所学校招募的247名八年级学生(49%为男性,51%为女性)。参与者在3个时间点(干预前、干预后和6周随访)完成了测量寻求专业帮助的障碍、寻求帮助的意愿以及寻求帮助的信心的问卷。采用非对照重复测量设计来评估该项目在不同时间点对寻求帮助的影响。

结果

该项目减少了障碍,增加了向正规渠道寻求帮助的意愿,减少了向家人寻求帮助的意愿,并增强了为同龄人寻求帮助的信心。在6周随访时,障碍的减少得以维持,向家庭成员寻求帮助的意愿降低,而向学校辅导员以及酒精和药物问题工作人员寻求帮助的意愿增加。干预效果在男性和女性之间没有显著差异。

结论

“建立联系”是首个专注于通过帮助青少年培养支持同龄人的技能来克服物质使用问题寻求帮助障碍的干预措施。尽管需要进一步研究以在更严谨的设计中测试其有效性,但该干预措施有望成为促进青少年寻求帮助的一种手段。

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