在线自我同情训练改善慢性疾病青少年的幸福感：一项随机对照试验的方案。
Online self-compassion training to improve the wellbeing of youth with chronic medical conditions: protocol for a randomised control trial.
机构信息
Telethon Kids Institute, PO Box 855, West Perth, Western Australia, 6872, Australia.
School of Psychology, Curtin University, GPO Box U1987, Perth, Western Australia, 6845, Australia.
出版信息
BMC Public Health. 2020 Jan 28;20(1):106. doi: 10.1186/s12889-020-8226-7.
BACKGROUND
Chronic medical conditions (CMCs) affect up to 35% of children and adolescents. Youth with chronic medical conditions are at an increased risk of psychological distress and reduced health-related quality of life, and report rates of mental illness up to double that of their physically healthy peers. Accessible, evidence-based interventions for young people with chronic illness are urgently required to improve their mental health and daily functioning. Self-compassion involves taking a mindful, accepting approach to difficult experiences, being aware that one is not alone in one's suffering, and being kind and understanding with oneself during challenging times. Self-compassion shares strong associations with mental health outcomes among young people and preliminary work indicates that interventions that build self-compassion have the potential to substantially improve youth mental health. Self-compassion is also associated with better physical and mental health outcomes among individuals living with CMCs. While face-to-face self-compassion training is available, there are several barriers to access for youth with CMCs. Online self-compassion training potentially offers an accessible alternative for this high-risk group.
METHODS
Self-Compassion Online (SCO) is a self-compassion program that has been tested with a non-clinical adult group. For the proposed trial, a reference group of youth (16-25 years) with chronic illness reviewed the program and proposed adaptations to improve its suitability for youth with chronic illness. In alignment with the SPIRIT Checklist, this paper outlines the protocol for a CONSORT-compliant, single-blind randomised controlled trial to test the efficacy of the adapted program, relative to a waitlist control, for improving self-compassion, wellbeing, distress, emotion regulation, coping and quality of life among young Australians with CMCs. Mechanisms of action and feasibility of SCO will be analysed using quantitative data and participant interviews, respectively. Finally, cost-utility will be analysed using health-related quality of life data.
DISCUSSION
The SCO program could provide a scalable solution for improving psychological outcomes and quality of life among youth with chronic illness. The proposed trial will be the first to determine its efficacy for improving these outcomes, relative to waitlist control.
TRIAL REGISTRATION
The trial was registered on the Australian New Zealand Clinical Trials Registry on the 11th April 2019, ACTRN12619000572167. Protocol version: Version 2, 21 December 2019.
背景
慢性疾病影响了多达 35%的儿童和青少年。患有慢性疾病的年轻人面临着心理困扰和生活质量下降的风险增加，其心理健康报告率甚至是身体健康同龄人报告率的两倍。迫切需要为患有慢性疾病的年轻人提供可行的、基于证据的干预措施，以改善他们的心理健康和日常功能。自我同情涉及以一种正念、接受的方式对待困难的经历，意识到自己在苦难中并不孤单，在困难时期对自己友善和理解。自我同情与年轻人的心理健康结果密切相关，初步研究表明，培养自我同情的干预措施有可能极大地改善青少年的心理健康。自我同情也与患有慢性疾病的个体的身心健康结果相关。虽然面对面的自我同情培训是可用的，但对于患有慢性疾病的年轻人来说，有几个获取的障碍。在线自我同情培训可能为这一高风险群体提供一种可行的替代方案。
方法
自我同情在线（SCO）是一种自我同情计划，已经在非临床成年组中进行了测试。在拟议的试验中，一组患有慢性疾病的青少年（16-25 岁）参考了该计划，并提出了一些调整建议，以提高其对慢性疾病青少年的适用性。根据 SPIRIT 清单，本文概述了一项符合 CONSORT 标准的、单盲随机对照试验的方案，以测试该计划的适应性，相对于候补名单对照，该方案可以改善澳大利亚患有慢性疾病的年轻人的自我同情、幸福感、困扰、情绪调节、应对和生活质量。使用定量数据和参与者访谈分别分析作用机制和 SCO 的可行性。最后，使用健康相关生活质量数据分析成本效益。
讨论
SCO 计划可能为改善患有慢性疾病的年轻人的心理结果和生活质量提供一个可扩展的解决方案。该试验将是第一个确定与候补名单对照相比，该计划在改善这些结果方面的疗效的试验。
试验注册
该试验于 2019 年 4 月 11 日在澳大利亚和新西兰临床试验注册中心注册，ACTRN12619000572167。方案版本：第 2 版，2019 年 12 月 21 日。
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