基于应用程序的干预（应对营）在减少中国学校青少年压力方面的可行性、可接受性和疗效：一项集群随机对照试验。
The feasibility, acceptability and efficacy of an app-based intervention (the Coping Camp) in reducing stress among Chinese school adolescents: A cluster randomised controlled trial.
机构信息
Centre for Online Health, The University of Queensland, Brisbane, Queensland, Australia.
Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.
出版信息
PLoS One. 2023 Nov 27;18(11):e0294119. doi: 10.1371/journal.pone.0294119. eCollection 2023.
OBJECTIVES
This study aimed to determine the efficacies of the Coping Camp app in reducing stress, depression, and anxiety and improving stress-coping behaviours and mental health wellbeing. Additionally, feasibility and acceptability of Coping Camp were evaluated.
METHODS
In this unblinded cluster RCT, 540 participants from two high schools in China were randomly assigned to the Coping Camp intervention (n = 6 classes; 275 students) or treatment as usual (n = 5 classes; 265 students) at the class level. Coping Camp was an automated self-help app, consisting of 11 sessions delivered over 11 weeks, with primary outcomes including perceived stress, depression, anxiety, stress-coping behaviours, and mental health well-being. All outcomes were assessed at baseline, post-intervention (11 weeks), and follow-up (19 weeks), with efficacy analysed using linear mixed models and feasibility/acceptability measured by a 5-point Likert scale and qualitative feedback.
RESULTS
At post-intervention and follow-up assessments, 75.4% and 81.7% of participants respectively attended. On average, participants logged in for 8.56 out of 11 sessions. Compared to the control group, the intervention group had significant reductions in levels of perceived stress (p = 0.01, d = 0.15 at T1; p < 0.001, d = 0.18 at T2), anxiety (p = 0.11; d = 0.08 at T1; p = 0.01; d = 0.13 at T2) and depression (p = 0.04, d = 0.11 at T1; p = 0.05, d = 0.10 at T2) but did not have a greater increase in stress-coping behaviours (p = 0.10 at T1; p = 0.97 at T2) or mental health wellbeing (p = 0.93 at T1; p = 0.08 at T2). The average ratings for each session were above 4, and qualitative feedback showed that most participants found the intervention to be "great," "good," and "useful."
CONCLUSIONS
The Coping Camp is feasible, acceptable and effective in stress management among Chinese school adolescents.
目的
本研究旨在确定应对营地应用程序在减轻压力、抑郁和焦虑、改善应对压力行为和心理健康方面的功效。此外，还评估了应对营地的可行性和可接受性。
方法
在这项非盲的集群 RCT 中，来自中国两所高中的 540 名参与者被随机分配到应对营地干预组（n = 6 个班；275 名学生）或常规治疗组（n = 5 个班；265 名学生）。应对营地是一个自动化的自助应用程序，由 11 个课程组成，分 11 周进行，主要结果包括感知压力、抑郁、焦虑、应对压力行为和心理健康幸福感。所有结果均在基线、干预后（11 周）和随访（19 周）进行评估，使用线性混合模型进行疗效分析，使用 5 分李克特量表和定性反馈进行可行性/可接受性测量。
结果
在干预后的和随访评估中，分别有 75.4%和 81.7%的参与者出席。平均而言，参与者登录了 11 个课程中的 8.56 个课程。与对照组相比，干预组的感知压力水平显著降低（p = 0.01，d = 0.15 在 T1；p < 0.001，d = 0.18 在 T2）、焦虑（p = 0.11；d = 0.08 在 T1；p = 0.01；d = 0.13 在 T2）和抑郁（p = 0.04，d = 0.11 在 T1；p = 0.05，d = 0.10 在 T2），但应对压力行为（p = 0.10 在 T1；p = 0.97 在 T2）或心理健康幸福感（p = 0.93 在 T1；p = 0.08 在 T2）没有更大的增加。每个课程的平均评分都在 4 以上，定性反馈表明，大多数参与者认为干预“很棒”、“很好”和“有用”。
结论
应对营地在管理中国学校青少年的压力方面是可行的、可接受的和有效的。
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