Swiss Research Institute for Public Health and Addiction, Zurich University, Konradstrasse 32, 8005, Zurich, Switzerland.
BMC Public Health. 2018 Sep 10;18(1):1102. doi: 10.1186/s12889-018-5969-5.
Life-skills trainings conducted within the school curriculum are effective in preventing the onset and escalation of substance use among adolescents. However, their dissemination is impeded due to their large resource requirements. Life-skills training provided via mobile phones might represent a more economic and scalable approach. The main objective of the planned study is to test the efficacy of a mobile phone-based life-skills training to prevent substance use among adolescents within a controlled trial.
METHODS/DESIGN: The efficacy of a mobile phone-based life-skills training to prevent substance use among adolescents will be tested in comparison to an assessment only control group, within a cluster-randomised controlled trial with two follow-up assessments after 6 and 18 months. The fully automated program is based on social cognitive theory and addresses self-management skills, social skills, and substance use resistance skills. Participants of the intervention group will receive up to 4 weekly text messages over 6 months in order to stimulate (1) positive outcome expectations, e.g., on using self-management skills to cope with stress, (2) self-efficacy, e.g., to resist social pressure, (3) observational learning, e.g. of interpersonal competences, (4) facilitation, e.g., of strategies to cope with negative emotions, and (5) self-regulation, e.g., by self-monitoring of stress and emotions. Active program engagement will be stimulated by interactive features such as quiz questions, message- and picture-contests, and integration of a friendly competition with prizes in which program users collect credits with each interaction. Study participants will be 1312 students between the ages of 14 and 16 years from approximately 100 secondary school classes. Primary outcome criteria will be problem drinking according to the short form of the Alcohol Use Disorders Identification Test and cigarette smoking within the last 30 days preceding the follow-up assessment at month 18.
This is the first study testing the efficacy of a mobile phone-based life-skills training for substance use prevention among adolescents within a controlled trial. Given that this intervention approach proves to be effective, it could be easily implemented in various settings and would reach large numbers of young people in a cost-effective way.
ISRCTN41347061 (registration date: 21/07/2018).
在学校课程中进行生活技能培训对于预防青少年物质使用的发生和升级是有效的。然而，由于其资源需求庞大，它们的传播受到了阻碍。通过手机提供生活技能培训可能代表了一种更经济、更具扩展性的方法。本研究的主要目的是在一项对照试验中测试基于手机的生活技能培训预防青少年物质使用的效果。
方法/设计：将在一项集群随机对照试验中，与仅评估对照组进行比较，测试基于手机的生活技能培训预防青少年物质使用的效果，该试验有两次随访评估，分别在 6 个月和 18 个月后进行。这个完全自动化的程序基于社会认知理论，解决自我管理技能、社交技能和抵制物质使用的技能。干预组的参与者将在 6 个月内每周收到 4 条短信，以激发（1）积极的结果预期，例如，运用自我管理技能来应对压力，（2）自我效能感，例如，抵制社交压力，（3）观察性学习，例如人际能力，（4）促进，例如，应对负面情绪的策略，以及（5）自我调节，例如，通过自我监测压力和情绪。通过互动功能（如测验问题、消息和图片竞赛以及集成有奖友好竞争，让程序用户在每次互动中获得积分）来激发主动参与计划。研究参与者将是来自大约 100 个中学班级的 1312 名年龄在 14 至 16 岁的学生。主要结果标准将是根据酒精使用障碍识别测试的简短形式评估的问题饮酒和在随访评估前 30 天内吸烟。
这是第一项在对照试验中测试基于手机的生活技能培训预防青少年物质使用的效果的研究。如果这种干预方法被证明是有效的，它可以很容易地在各种环境中实施，并以具有成本效益的方式接触到大量的年轻人。
ISRCTN41347061（注册日期：2018 年 7 月 21 日）。
