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[通过在线科普项目提高社区居民心理健康素养的随机对照研究]

[Randomized Controlled Study on the Improvement of Community Residents' Mental Health Literacy Through Online Popular Science Program].

作者信息

Gu Ming-Chun, Chen Yan-Yun, Wu Qian-Ying, Wang Yi-Han, Qiao Ying, Zhao Min

机构信息

Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China.

Shanghai Medical Association, Shanghai 200040, China.

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2023 Mar;54(2):322-327. doi: 10.12182/20230360206.

Abstract

OBJECTIVE

To explore the effects of online mental health promotion intervention consisting of popular science articles and short videos on the level of mental health literacy (MHL), the MHL competency rate, and depression and anxiety levels of local residents.

METHODS

Local residents in Shanghai were recruited for the study and assigned to a control group ( =53) and a study group ( =53) with a random number table. The study group participated in a 12-session mental health promotion intervention program that was carried out over the course of 4 weeks, while the control group did not receive any intervention. The subjects were assessed for their MHL, depression and anxiety by questionnaire surveys at the baseline (T1), after intervention (T2), and three months after intervention (T3).

RESULTS

At T2, there was significant difference in the rate of MHL competency between the study group (43.40%) and the control group (18.87%) ( =0.006). There was no significant difference between the two groups at T1 ( =0.787) or T3 ( =0.840). The results of repeated measures analysis of variance of the total score of the MHL Questionnaire showed that the interaction effect was statistically significant ( =9.708, <0.001), the simple effect of grouping was statistically significant at T2 ( =10.935, =0.001), and the total score of MHL of the study group (134.321±20.123) was significantly higher than that of the control group (123.811±20.224) for the corresponding point of time. The simple effect of time in the study group was statistically significant ( =23.233, <0.001). The subjects in the study group scored significantly higher at T2 and T3 than they did at T1, or the baseline ( <0.001). There was no significant difference between the T2 and the T3 scores ( =0.847).

CONCLUSION

The 12-session online mental health promotion intervention can effectively improve the subjects' MHL level and the rate of MHL competency immediately after the invention was completed, and the effect endures 3 months after intervention.

摘要

目的

探讨由科普文章和短视频组成的在线心理健康促进干预对当地居民心理健康素养(MHL)水平、MHL能力达标率以及抑郁和焦虑水平的影响。

方法

招募上海当地居民参与研究,通过随机数字表将其分为对照组(n = 53)和研究组(n = 53)。研究组参加了为期4周、共12节的心理健康促进干预项目,而对照组未接受任何干预。在基线期(T1)、干预后(T2)以及干预后三个月(T3),通过问卷调查对受试者的MHL、抑郁和焦虑情况进行评估。

结果

在T2时,研究组(43.40%)和对照组(18.87%)的MHL能力达标率存在显著差异(P = 0.006)。在T1(P = 0.787)或T3(P = 0.840)时,两组之间无显著差异。MHL问卷总分的重复测量方差分析结果显示,交互效应具有统计学意义(F = 9.708,P < 0.001),分组的简单效应在T2时具有统计学意义(F = 10.935,P = 0.001),且在相应时间点,研究组的MHL总分(134.321±20.123)显著高于对照组(123.811±20.224)。研究组中时间的简单效应具有统计学意义(F = 23.233,P < 0.001)。研究组受试者在T2和T3时的得分显著高于T1时或基线时(P < 0.001)。T2和T3得分之间无显著差异(P = 0.847)。

结论

为期12节的在线心理健康促进干预能够在干预结束后即刻有效提高受试者的MHL水平和MHL能力达标率,且干预效果在干预后3个月仍持续存在。

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