基于应用程序的干预措施减少职业学校学生物质使用、赌博和数字媒体使用的效果：一项随机对照试验的研究方案。
Effectiveness of an app-based intervention to reduce substance use, gambling, and digital media use in vocational school students: study protocol for a randomized controlled trial.
机构信息
German Centre for Addiction Research in Childhood and Adolescence, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
IFT Institut für Therapieforschung, Munich, Germany.
出版信息
Trials. 2022 Apr 8;23(1):277. doi: 10.1186/s13063-022-06231-x.
BACKGROUND
Substance-related and addictive disorders are among the most common mental disorders in adolescence and young adulthood. Vocational school students are a risk group for problematic substance use and addictive behavior. However, the availability of evidence-based prevention concepts and programs is underdeveloped in the vocational school setting.
METHODS/DESIGN: A two-arm cluster randomized waitlist-controlled trial will be conducted to evaluate the effectiveness of an app-based intervention to decrease substance use, gambling, and digital media use in vocational school students in Germany. Vocational students will participate in an app-based intervention that is designed to support voluntary commitment to abstain from or reduce substance or digital media use over a period of 2 weeks. The "education-as-usual" control arm will have access to the intervention after data collection is completed. One of the primary outcome measures will be the use of alcohol, nicotine, and digital media 30 days after the intervention. Several secondary outcome measures will also be included, such as cannabis consumption, gambling, symptoms of stress, physical activity, mindfulness, well-being, impulsivity and sensation seeking, and readiness to change. A total of 4500 vocational students from 225 classes will be recruited and randomized across three German federal states.
DISCUSSION
This study protocol describes the design of an RCT testing the effectiveness of an app-based intervention to reduce addictive behaviors in vocational school students. It is expected that this approach will be feasible for and effective in the vocational school setting and that the study provides comprehensive information on the key factors involved in temporary abstaining or reducing substance or digital media use.
TRIAL REGISTRATION
German Clinical Trials Register DRKS00023788 . Registered on 20 January 2021.
背景
物质相关和成瘾障碍是青少年和青年时期最常见的精神障碍之一。职业学校学生是有问题的物质使用和成瘾行为的高危人群。然而，职业学校环境中基于证据的预防概念和方案的可用性还不够发达。
方法/设计：将进行一项两臂集群随机对照等待期对照试验，以评估基于应用程序的干预措施在减少德国职业学校学生物质使用、赌博和数字媒体使用方面的有效性。职业学生将参与基于应用程序的干预措施，旨在支持在两周内自愿承诺戒除或减少物质或数字媒体使用。“常规教育”对照组将在数据收集完成后获得干预措施。主要结果测量之一将是干预后 30 天内酒精、尼古丁和数字媒体的使用情况。还将包括一些次要结果测量，如大麻消费、赌博、压力症状、身体活动、正念、幸福感、冲动和寻求刺激以及改变的意愿。将从三个德国联邦州招募和随机分配 225 个班级的 4500 名职业学生。
讨论
本研究方案描述了一项 RCT 测试基于应用程序的干预措施在减少职业学校学生成瘾行为方面的有效性的设计。预计这种方法在职业学校环境中是可行且有效的，并为临时戒除或减少物质或数字媒体使用所涉及的关键因素提供全面信息。
试验注册
德国临床试验注册处 DRKS00023788。于 2021 年 1 月 20 日注册。
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