Schleider Jessica Lee, Dobias Mallory, Sung Jenna, Mumper Emma, Mullarkey Michael C
Department of Psychology, Stony Brook University, Stony Brook, NY, United States.
JMIR Ment Health. 2020 Jun 30;7(6):e20513. doi: 10.2196/20513.
Many youths with mental health needs are unable to access care. Single-session interventions (SSIs) have helped reduce youth psychopathology across multiple trials, promising to broaden access to effective, low-intensity supports. Online, self-guided SSIs may be uniquely scalable, particularly if they are freely available for as-needed use. However, the acceptability of online SSI and their efficacy have remained unexamined outside of controlled trials, and their practical utility is poorly understood.
We evaluated the perceived acceptability and proximal effects of Project YES (Youth Empowerment & Support), an open-access platform offering three online SSIs for youth internalizing distress.
After selecting one of three SSIs to complete, participants (ages 11-17 years) reported pre- and post-SSI levels of clinically relevant outcomes that SSIs may target (eg, hopelessness, self-hate) and perceived SSI acceptability. User-pattern variables, demographics, and depressive symptoms were collected to characterize youths engaging with YES.
From September 2019 through March 2020, 694 youths accessed YES, 539 began, and 187 completed a 30-minute, self-guided SSI. SSI completers reported clinically elevated depressive symptoms, on average, and were diverse on several dimensions (53.75% non-white; 78.10% female; 43.23% sexual minorities). Regardless of SSI selection, completers reported pre- to post-program reductions in hopelessness (d=0.53; d=0.71), self-hate (d=0.32; d=0.61), perceived control (d=0.60; d=0.72) and agency (d=0.39; d=0.50). Youths rated all SSIs as acceptable (eg, enjoyable, likely to help peers).
Results support the perceived acceptability and utility of open-access, free-of-charge SSIs for youth experiencing internalizing distress.
Open Science Framework; osf.io/e52p3.
许多有心理健康需求的青少年无法获得护理。在多项试验中，单节干预（SSI）有助于减轻青少年的精神病理学症状，有望扩大获得有效、低强度支持的机会。在线、自我引导的SSI可能具有独特的可扩展性，特别是如果它们可免费按需使用。然而，在线SSI的可接受性及其疗效在对照试验之外尚未得到检验，其实际效用也知之甚少。
我们评估了“是计划”（青年赋权与支持）的感知可接受性和近端效应，这是一个开放获取平台，为青少年内化困扰提供三种在线SSI。
在选择三种SSI之一完成后，参与者（11至17岁）报告了SSI前后可能针对的临床相关结果水平（如绝望、自我厌恶）以及感知到的SSI可接受性。收集用户模式变量、人口统计学和抑郁症状，以描述参与“是计划”的青少年特征。
从2019年9月到2020年3月，694名青少年访问了“是计划”，539人开始使用，187人完成了30分钟的自我引导SSI。SSI完成者平均报告临床抑郁症状有所升高，并且在几个方面具有多样性（53.75%为非白人；78.10%为女性；43.23%为性少数群体）。无论选择哪种SSI，完成者报告项目前后绝望感（d=0.53；d=0.71）、自我厌恶（d=0.32；d=0.61）、感知控制（d=0.
