一项提高在线抑郁和焦虑干预措施的参与度和依从性的简短干预措施：增强对心理社会干预措施的参与度（EEPI）随机对照试验方案。

A brief intervention to increase uptake and adherence of an online program for depression and anxiety: Protocol for the Enhancing Engagement with Psychosocial Interventions (EEPI) Randomized Controlled Trial.

机构信息

Centre for Mental Health Research, Research School of Population Health, The Australian National University, Australia.

出版信息

Contemp Clin Trials. 2019 Mar;78:107-115. doi: 10.1016/j.cct.2019.01.015. Epub 2019 Jan 31.

DOI:10.1016/j.cct.2019.01.015

PMID:30711664

Abstract

BACKGROUND

There is substantial evidence that psychosocial programs delivered online can be effective in treating and preventing mental health problems. However, use of evidence-based programs in the community is currently suboptimal, and there is a lack of evidence around how to increase engagement with existing evidence-based programs. Novel approaches to increasing the acceptability of online programs such as the use of brief engagement-facilitation interventions (EFI) require evaluation.

AIMS

The aims of this study are to 1) examine the effectiveness of a brief online engagement-facilitation intervention (EFI) presented prior to an online self-help mental health program (myCompass) in improving uptake of and adherence to that program, and 2) assess if greater uptake and/or adherence are associated with improved efficacy (greater reduction in symptoms of depression and anxiety) relative to a control condition).

METHODS

A three-arm randomized controlled trial will be conducted (target sample: N = 693 participants recruited via social media). An active online cognitive behavioral therapy (iCBT) intervention will be delivered either with (arm 1) or without (arm 2) the EFI. An attention control group (arm 3) will enable testing of the relative efficacy of the iCBT intervention. Primary outcomes are uptake of the intervention (initiation) and adherence (module completion).

RESULTS

Findings will inform the more efficient dissemination of a range of psychosocial programs into the community, with potential for significant efficiency gains in treating common mental health problems.

CONCLUSIONS

Greater engagement with online psychosocial programs may lead to significant reductions in the burden of common mental health problems in the community.

TRIAL REGISTRATION

Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12618001565235.

摘要

背景

有大量证据表明，在线提供的心理社会程序可以有效治疗和预防心理健康问题。然而，社区对基于证据的程序的使用目前并不理想，并且缺乏关于如何提高对现有基于证据的程序的参与度的证据。需要评估增加在线程序可接受性的新方法，例如使用简短的参与促进干预（EFI）。

目的

本研究的目的是 1）检验在在线自我帮助心理健康计划（myCompass）之前呈现的简短在线参与促进干预（EFI）在提高该计划的参与度和依从性方面的有效性，2）评估是否更高的参与度和/或依从性与改善疗效（更大程度地减轻抑郁和焦虑症状）相关，与对照条件相比）。

方法

将进行一项三臂随机对照试验（目标样本：通过社交媒体招募的 693 名参与者）。将提供一种积极的在线认知行为疗法（iCBT）干预措施，要么带有（第 1 组）要么没有（第 2 组）EFI。一个注意对照组（第 3 组）将能够测试 iCBT 干预的相对疗效。主要结局是干预措施的参与度（启动）和依从性（模块完成）。