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一项名为“隔壁友善挑战”的随机对照试验:研究方案。

A randomised controlled trial of the Nextdoor Kind Challenge: a study protocol.

机构信息

Iverson Health Innovation Research Institute, Swinburne University of Technology, Hawthorn, Victoria, Australia.

Manchester Institute of Education, University of Manchester, Manchester, UK.

出版信息

BMC Public Health. 2021 Aug 5;21(1):1510. doi: 10.1186/s12889-021-11489-y.

Abstract

BACKGROUND

Community interventions are often promoted as a way of reducing loneliness and social isolation in our neighbourhoods. However, those community interventions are rarely examined within rigorous study designs. One strategy that holds the potential to reduce loneliness and can promote health and wellbeing is doing acts of kindness. The current study involves evaluating the impact of kindness acts on loneliness in community-dwelling individuals using an online social networking platform.

METHODS

This study is made up of three randomised controlled trials conducted in three countries. Each randomised controlled trial has two arms (intervention vs waitlist control) and is designed to compare the effectiveness of the KIND challenge, which involves doing at least one act of kindness per week within a four-week period. This study will recruit users of an online community, be randomised online, and will be conducted using online assessments. We will first explore the effects of the intervention on the primary outcome of loneliness, followed by secondary outcomes, social isolation, neighbour relationship quality and contact, mental health symptoms, stress, quality of life, and positive affect. Further, we will assess the feasibility, acceptability, and safety of the KIND Challenge.

DISCUSSION

This study, designed to evaluate the impact of kindness on the community, will be the first large scale randomised control trial conducted across three countries, Australia, UK, and USA. It will examine the potential of community-led interventions to reduce loneliness, improve social isolation, and promote neighbourhood cohesion, health, and wellbeing, which is especially crucial during the COVID-19 public health crisis.

TRIAL REGISTRATION

Clinical Trials Registry. NCT04398472 . Registered 21st May 2020.

摘要

背景

社区干预措施常被推广为减少邻里孤独和社会隔离的一种方法。然而,这些社区干预措施很少在严格的研究设计中进行检验。一种有潜力减少孤独感并能促进健康和幸福感的策略是做好事。目前的研究涉及使用在线社交网络平台评估善良行为对社区居民孤独感的影响。

方法

这项研究由在三个国家进行的三项随机对照试验组成。每个随机对照试验都有两个组(干预组与等待名单对照组),旨在比较 KIND 挑战的有效性,该挑战涉及在四周内每周至少进行一次善举。这项研究将招募在线社区的用户,进行在线随机分组,并通过在线评估进行。我们将首先探讨干预对孤独这一主要结局的影响,然后探讨次要结局、社会隔离、邻里关系质量和接触、心理健康症状、压力、生活质量和积极影响。此外,我们将评估 KIND 挑战的可行性、可接受性和安全性。

讨论

这项旨在评估善良对社区影响的研究将是首次在澳大利亚、英国和美国三个国家进行的大规模随机对照试验。它将检验社区主导的干预措施减少孤独感、改善社会隔离和促进邻里凝聚力、健康和幸福感的潜力,这在 COVID-19 公共卫生危机期间尤为重要。

试验注册

临床试验注册处。NCT04398472。2020 年 5 月 21 日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca02/8340532/7479fc53a292/12889_2021_11489_Fig1_HTML.jpg

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