Swiss Research Institute for Public Health and Addiction at Zurich University, Konradstrasse 32, 8005, Zurich, Switzerland.
BMC Public Health. 2020 Dec 14;20(1):1910. doi: 10.1186/s12889-020-09995-6.
A large proportion of apprentices shows addictive behaviours like cigarette smoking, alcohol, cannabis, or compulsive Internet use, others do not show such behaviours at all. ready4life is a smartphone application-based coaching program for apprentices, which takes into account the heterogeneity of adolescent addictive behaviour by promoting life skills and reducing risk behaviours. The main objective of the planned study is to test the efficacy of ready4life for addiction prevention among apprentices in Switzerland within a controlled trial.
METHODS/DESIGN: The efficacy of the ready4life coaching program will be tested in comparison to an assessment only control group, within a cluster-randomised controlled trial with one follow-up assessment after 6 months. At the beginning of the program, participants of the intervention group will receive an individual profile, showing areas in which they have sufficient resources and in which there is a need for coaching. Based on this feedback, they can select two out of the following six program modules: stress, social skills, Internet use, tobacco/e-cigarettes, cannabis, and alcohol. Participants of the intervention group will receive individualised coaching by a conversational agent (chatbot) for a period of four months. The coaching relies on motivational and social-cognitive principles of behaviour change. Within weekly dialogues, the coach provides individually tailored information in different formats, such as videoclips, texts, or pictures. Study participants will be 1318 apprentices with a minimum age of 15, recruited in approximately 100 vocational school classes in Switzerland. Primary outcome will be a composite measure for addictive behaviours including (1) at risk-drinking, (2) tobacco/e-cigarette smoking, (3) cannabis use, and (4) problematic Internet use.
The study will reveal whether this universally implementable but individually tailored intervention approach is effective in preventing the onset and escalation of addictive behaviors among apprentices.
ISRCTN59908406 (registration date: 21/10/2020).
很大一部分学徒表现出吸烟、饮酒、吸食大麻或强迫性上网等成瘾行为，而另一些人则根本没有表现出此类行为。ready4life 是一款基于智能手机应用的培训计划，通过促进生活技能和减少风险行为来考虑青少年成瘾行为的异质性。该计划研究的主要目的是在瑞士的一项对照试验中测试 ready4life 对预防学徒成瘾的效果。
方法/设计：该研究将在一项基于群组随机对照试验中进行，与仅评估对照组进行比较，在 6 个月后进行一次随访评估。在计划开始时，干预组的参与者将收到一份个人档案，显示他们有足够资源的领域和需要培训的领域。基于此反馈，他们可以从以下六个计划模块中选择两个：压力、社交技能、互联网使用、烟草/电子烟、大麻和酒精。干预组的参与者将在四个月的时间内接受对话代理（聊天机器人）的个性化培训。培训依赖于行为改变的动机和社会认知原则。在每周的对话中，教练以不同的格式提供个性化的信息，如视频剪辑、文本或图片。研究参与者将是 1318 名年龄在 15 岁以上的学徒，他们来自瑞士大约 100 个职业学校班级。主要结果是成瘾行为的综合衡量标准，包括（1）有风险的饮酒、（2）吸烟/电子烟、（3）大麻使用和（4）网络问题使用。
该研究将揭示这种普遍可实施但个性化的干预方法是否能有效预防学徒成瘾行为的发生和升级。
ISRCTN59908406（注册日期：2020 年 10 月 21 日）。
