Edridge Chloe, Wolpert Miranda, Deighton Jessica, Edbrooke-Childs Julian
Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
Anna Freud National Centre for Children and Families, London, United Kingdom.
J Med Internet Res. 2020 Jul 27;22(7):e14223. doi: 10.2196/14223.
Mental health difficulties in young people are increasing, and there is a need for evidence on the effectiveness of digital interventions to increase opportunities for supporting mental health in young people. Such studies are complicated due to issues of implementation and adoption, outcome measurement, and appropriate study designs.
The objective of this study was to examine the effectiveness of an mHealth intervention (ReZone) in reducing mental health difficulties in young people.
The cluster-randomized controlled trial enrolled 409 participants aged 10-15 years, and classes were allocated to ReZone or management as usual. Self-reported questionnaires were completed at baseline and 3-month follow-up.
There were no significant differences between the ReZone condition and management as usual in the self-reported outcome measures. However, there were 3467 usage sessions, which corresponds to 16.9 times per student (total of 205 students) in classes allocated to ReZone.
It is essential to publish studies that do not show significant differences, as these findings can still contribute to the literature, help in learning, and inform the direction of future work. The results reported in this paper could be due to a range of reasons, including whether ReZone has the scope to impact change or limitations related to the setting, context, and appropriateness of an RCT. The findings of this study suggest that ReZone was implemented and adopted.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/resprot.7019.
年轻人的心理健康问题日益增多，需要有证据证明数字干预措施在增加支持年轻人心理健康机会方面的有效性。由于实施和采用问题、结果测量以及适当的研究设计等问题，此类研究较为复杂。
本研究的目的是检验移动健康干预措施（ReZone）在减少年轻人心理健康问题方面的有效性。
这项整群随机对照试验招募了409名年龄在10至15岁之间的参与者，班级被随机分配到ReZone组或常规管理组。在基线和3个月随访时完成自我报告问卷。
在自我报告的结果测量中，ReZone组和常规管理组之间没有显著差异。然而，ReZone组有3467次使用记录，相当于分配到ReZone组的班级中每名学生使用16.9次（共205名学生）。
发表没有显著差异的研究至关重要，因为这些发现仍可为文献做出贡献，有助于学习，并为未来工作的方向提供参考。本文报告的结果可能是由于一系列原因，包括ReZone是否有影响变化的空间，或与随机对照试验的设置、背景和适用性相关的局限性。本研究结果表明ReZone已得到实施和采用。
国际注册报告识别码（IRRID）：RR2-10.2196/resprot.7019
