Blake R L, Doyle M E, Straub V W, Zweig S C, Brent E E, Ingman S R, Vandiver T A, Glanz D, Macek L A
J Fam Pract. 1987 Apr;24(4):369-76.
This clinical trial tested the efficacy of a psychosocial intervention in a panel of white adults with a high level of recent stressful life changes and weak social supports. One hundred seventy users of three family practices were randomly assigned to receive a six-month educational program provided by a nurse practitioner or to a control group. Outcome variables were assessed over a 12-month follow-up period by mailed questionnaires and validated when possible by review of medical records. During the six months immediately following the intervention, recipients had a lower rate of restricted-activity days than controls. During the follow-up period, symptom experience, physical function, social function, and emotional function were similar in the two groups. While the overall improvement in social supports was not significantly better at the completion of the intervention for recipients than for controls, those recipients who developed strong supports had fewer restricted-activity days than those who continued to have weak supports. This educational program may provide temporary benefit to adults with high psychosocial risk for health impairment.
这项临床试验测试了一种心理社会干预措施对一组近期经历高度紧张生活变化且社会支持薄弱的白人成年人的疗效。来自三家家庭医疗诊所的170名使用者被随机分配，要么接受由一名执业护士提供的为期六个月的教育项目，要么被分到对照组。通过邮寄问卷在12个月的随访期内评估结果变量，并在可能的情况下通过查阅医疗记录进行验证。在干预后的紧接着的六个月里，接受干预者的活动受限天数比率低于对照组。在随访期内，两组的症状体验、身体功能、社会功能和情感功能相似。虽然在干预结束时，接受干预者的社会支持总体改善情况并不比对照组显著更好，但那些建立了强大支持的接受干预者的活动受限天数比那些仍然支持薄弱的人要少。这个教育项目可能会给有高心理社会健康受损风险的成年人带来暂时的益处。
