一项基于游戏的学校心理健康素养与抑郁症污名化项目（移动故事）：随机对照试验方案
A Game-Based School Program for Mental Health Literacy and Stigma Regarding Depression (Moving Stories): Protocol for a Randomized Controlled Trial.
作者信息
Tuijnman Anouk, Kleinjan Marloes, Hoogendoorn Evert, Granic Isabela, Engels Rutger Cme
机构信息
Behavioural Science Institute, Radboud University, Nijmegen, Netherlands.
Trimbos Institute, Utrecht, Netherlands.
出版信息
JMIR Res Protoc. 2019 Mar 14;8(3):e11255. doi: 10.2196/11255.
BACKGROUND
The prevalence of elevated depressive symptoms among youth in most western societies is high. Yet, most adolescents who are experiencing depressive symptoms do not seek help. Low mental health literacy, high stigma, and low social support have been shown to hinder help-seeking. A small number of interventions has been developed to target mental health literacy and stigma, but few focus on actual help-seeking and first aid behavior. We have developed a game-based school program called Moving Stories that targets mental health literacy, including knowledge and behavior, and stigma among adolescents, in regard to depression specifically.
OBJECTIVE
Our aim is to describe the protocol for a study that will test the effectiveness of the program Moving Stories in a Dutch adolescent sample. We hypothesize that adolescents who participate in the program Moving Stories will have better mental health literacy and less stigma regarding depression compared to adolescents in the nonintervention control group at posttest and at 3- and 6-months follow-up. We also expect a positive change in actual help-seeking and first aid behavior at 3- and 6-months follow-up.
METHODS
Moving Stories has been developed by a professional game design company in collaboration with researchers and relevant stakeholders. The effectiveness of Moving Stories will be tested through a randomized controlled trial with two conditions: Moving Stories versus control. Participants will fill in questionnaires at pretest, posttest, and 3- and 6-months follow-up. Our power analysis showed a required sample size of 180 adolescents.
RESULTS
Four high schools have agreed to participate with a total of 10 classes. A total of 185 adolescents filled in the pretest questionnaire. The last of the follow-up data was collected in December 2018.
CONCLUSIONS
If Moving Stories proves to be effective, it could be implemented as a school-based program to target mental health literacy and stigma regarding depression; this could, in turn, improve early help-seeking in adolescents suffering from depression.
TRIAL REGISTRATION
Nederlands Trial Register NTR7033; https://www.trialregister.nl/trial/6855.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/11255.
背景
在大多数西方社会，青少年中抑郁症状加重的患病率很高。然而，大多数有抑郁症状的青少年并不寻求帮助。心理健康素养低、耻辱感高和社会支持不足已被证明会阻碍寻求帮助。已经开发了一些针对心理健康素养和耻辱感的干预措施，但很少关注实际的寻求帮助和急救行为。我们开发了一个名为“移动故事”的基于游戏的学校项目，该项目针对青少年的心理健康素养，包括知识和行为，以及特别是关于抑郁症的耻辱感。
目的
我们的目的是描述一项研究的方案，该研究将在荷兰青少年样本中测试“移动故事”项目的有效性。我们假设，与非干预对照组的青少年相比，参与“移动故事”项目的青少年在测试后以及3个月和6个月随访时将具有更好的心理健康素养，对抑郁症的耻辱感更低。我们还预计在3个月和6个月随访时实际寻求帮助和急救行为会有积极变化。
方法
“移动故事”由一家专业游戏设计公司与研究人员及相关利益相关者合作开发。“移动故事”的有效性将通过一项随机对照试验进行测试，试验设置两个条件：“移动故事”组与对照组。参与者将在测试前、测试后以及3个月和6个月随访时填写问卷。我们的功效分析表明所需样本量为180名青少年。
结果
四所高中已同意参与，共有10个班级。共有185名青少年填写了测试前问卷。最后一批随访数据于2018年12月收集。
结论
如果“移动故事”被证明是有效的，它可以作为一个针对青少年抑郁症心理健康素养和耻辱感的学校项目实施；这反过来可能会改善抑郁症青少年的早期求助情况。
试验注册
荷兰试验注册库NTR7033；https://www.trialregister.nl/trial/6855。
国际注册报告识别码（IRRID）：DERR1-10.2196/11255。
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