一项针对 16-24 岁人群心理健康的线上文化体验（与典型博物馆网站合作）的原理验证随机对照试验。
A co-produced online cultural experience compared to a typical museum website for mental health in people aged 16-24: A proof-of-principle randomised controlled trial.
机构信息
Department of Psychiatry, University of Oxford, Oxford, UK.
Oxford Health NHS Foundation Trust, Oxford, UK.
出版信息
Aust N Z J Psychiatry. 2023 May;57(5):745-757. doi: 10.1177/00048674221115648. Epub 2022 Sep 8.
OBJECTIVE
We aimed to compare a co-produced online intervention encompassing the diverse human stories behind art and artefacts, named Ways of Being (WoB), with a typical museum website, the Ashmolean (Ash) on negative affect (NA), positive affect (PA) and psychological distress (K10).
METHODS
In this parallel group RCT, 463 YP aged 16-24 were randomly assigned, 231 to WoB and 232 to Ash.
RESULTS
Over the intervention phase (an aggregate score including all post-allocation timepoints to day-five) a group difference was apparent in favour of WoB for NA (WoB-Ash n=448, NA -0.158, p=0.010) but no differences were detected for PA or K10 and differences were not detected at week six. Group differences in NA in favour of WoB were detected in specific subgroups, e.g. ethnic minorities and males. Across participants (from both groups) mean K10 and NA improved between baseline and six weeks despite increased COVID-19 restrictions. Trial recruitment was rapid, retention high and feedback positive with broad geographical, occupational and ethnic diversity.
CONCLUSIONS
Online engagement with arts and culture has the potential to impact on mental health in a measurable way in YP with high unmet mental health needs.
目的
我们旨在比较一种联合制作的在线干预措施，该措施涵盖了艺术和手工艺品背后的各种人类故事，名为“存在方式”（Ways of Being，WoB），以及一个典型的博物馆网站——阿什莫林博物馆（Ashmolean，Ash），以评估它们对负性情绪（NA）、正性情绪（PA）和心理困扰（K10）的影响。
方法
在这项平行组 RCT 研究中，我们随机分配了 463 名年龄在 16-24 岁的年轻参与者（YP），其中 231 名分配到 WoB 组，232 名分配到 Ash 组。
结果
在干预阶段（包括所有分配后时间点到第五天的综合评分），WoB 组在 NA 方面明显优于 Ash 组（WoB-Ash n=448，NA -0.158，p=0.010），但在 PA 或 K10 方面没有差异，并且在第六周时也没有差异。在特定亚组中，如少数民族和男性，WoB 组在 NA 方面的优势更加明显。在所有参与者（来自两组）中，尽管 COVID-19 限制增加，但 K10 和 NA 的平均值在基线和六周时都有所改善。试验招募迅速，保留率高，反馈积极，具有广泛的地理、职业和种族多样性。
结论
在线参与艺术和文化活动有可能以可衡量的方式影响高未满足心理健康需求的年轻人群体的心理健康。
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