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You.Mind!研究方案:通过正念提升患有慢性病的青少年的一线心理健康护理:一项随机交错的受试者内设计。

Study protocol for You.Mind!: boosting first-line mental health care for YOUngsters suffering from chronic conditions with mindfulness: a randomised staggered within-subjects design.

作者信息

Kock Merle, Van Hoecke Eline, Raes Filip, Van der Gucht Katleen

机构信息

Leuven Mindfulness Centre, KU Leuven, Leuven, Belgium

Centre for the Psychology of Learning and Experimental Psychopathology, KU Leuven Faculty of Psychology and Educational Sciences, Leuven, Belgium.

出版信息

BMJ Open. 2021 Apr 9;11(4):e042648. doi: 10.1136/bmjopen-2020-042648.

Abstract

INTRODUCTION

Adolescents with chronic conditions often experience high levels of stress, anxiety and depression, and reduced quality of life. Mindfulness-based interventions (MBIs) have been found to improve emotional distress in clinical and non-clinical populations and are a promising technique to support adolescents with chronic conditions in managing their symptoms and ultimately enhance their quality of life.

METHODS AND ANALYSIS

To test the effects of an MBI on emotional distress and quality of life and delineate the underlying mechanisms, the You.Mind! study uses a randomised staggered within-subjects design. Thirty adolescents with a chronic condition will be randomised to a baseline phase of 14-28 days followed by an MBI, consisting of four online group sessions and online support spread over 8 weeks. Outcomes will be assessed by short, repeated measurements throughout the baseline, intervention and follow-up phases and by standardised questionnaires and experience sampling measures before randomisation, at postintervention and at 3-months follow-up. Analysis will be based on general linear modelling and multilevel mixed-effects modelling.

ETHICS AND DISSEMINATION

Ethical approval was obtained from the Ethics Committee Research UZ/KU Leuven and the Ethics Committee of Ghent University Hospital and Ghent University (S63485). Results will be disseminated through presentations at public lectures, scientific institutions and meetings, and through publication in peer-reviewed journals.

TRIAL REGISTRATION NUMBER

NCT04359563.

摘要

引言

患有慢性病的青少年常常经历高水平的压力、焦虑和抑郁,生活质量下降。基于正念的干预措施(MBIs)已被发现可改善临床和非临床人群的情绪困扰,是支持患有慢性病的青少年管理其症状并最终提高生活质量的一种有前景的技术。

方法与分析

为了测试MBI对情绪困扰和生活质量的影响,并阐明潜在机制,“你.正念!”研究采用随机交错的受试者内设计。30名患有慢性病的青少年将被随机分配到为期14 - 28天的基线期,随后接受MBI,包括四个在线小组课程和为期8周的在线支持。在整个基线期、干预期和随访期通过简短的重复测量,以及在随机分组前、干预后和3个月随访时通过标准化问卷和经验抽样测量来评估结果。分析将基于一般线性模型和多水平混合效应模型。

伦理与传播

已获得鲁汶大学医院/鲁汶大学研究伦理委员会以及根特大学医院和根特大学伦理委员会的伦理批准(S63485)。研究结果将通过在公开讲座、科研机构和会议上的报告,以及在同行评审期刊上发表来进行传播。

试验注册号

NCT04359563。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dbe/8043040/4a20d01e7d5d/bmjopen-2020-042648f01.jpg

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