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一项针对青少年社交焦虑症状的移动心理教育项目(OkeyMind)的有效性和成本效益:一项随机对照试验的方案

Effectiveness and Cost-Effectiveness of a Mobile Psychoeducation Program (OkeyMind) for Social Anxiety Symptoms Among Youths: Protocol for a Randomized Controlled Trial.

作者信息

Wang Yi-Zhou, Zhou De-Hui Ruth, Ng Siu-Man, Wang Bei-Bei, Feng Yu-Ya, Weng Xue

机构信息

Department of Counselling and Psychology, Hong Kong Shue Yan University, Hong Kong SAR, China (Hong Kong).

Department of Social Work and Social Administration, University of Hong Kong, Hong Kong SAR, China (Hong Kong).

出版信息

JMIR Res Protoc. 2025 Jul 14;14:e64518. doi: 10.2196/64518.


DOI:10.2196/64518
PMID:40658950
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12304781/
Abstract

BACKGROUND: Social anxiety is increasingly prevalent among youths, leading to social withdrawal, isolation, and heightened depression risk. Mobile health (mHealth) interventions offer anonymity, accessibility, and personalized support, but their effectiveness and cost-effectiveness for young individuals with social anxiety remain unclear. OBJECTIVE: This randomized controlled trial aims to evaluate the effectiveness and cost-effectiveness of a mobile-based psychoeducation program (OkeyMind) for mitigating social anxiety symptoms among youth. METHODS: Participants aged 15 years through 24 years with mild or more severe social phobia (Social Phobia Inventory [SPIN] ≥25) and access to WeChat will be recruited and screened onsite and then randomly assigned to the intervention or waiting list control group. The study will recruit 180 participants, with 90 in each group. The intervention group will receive a 1-month mobile psychoeducation program (OkeyMind), which includes both psychoeducation and meditation components, with all content fully automated. The waiting list control group will receive the same intervention after 3 months. The primary outcome is social anxiety symptoms measured using SPIN. Secondary outcomes include depression (Patient Health Questionnaire-9) and health-related quality of life (EuroQol-5). Assessments will be conducted at baseline, postintervention, and a 3-month follow-up. RESULTS: Recruitment began in September 2024. The study was funded in April 2024, and the first participant was enrolled in September 2024; as of the end of March 2025, 132 participants had been recruited. Recruitment is ongoing. Data collection will conclude in July 2025, after which data analysis will begin and be completed in August 2025, with primary findings targeted for publication in spring 2026. CONCLUSIONS: This research evaluates the effectiveness and cost-effectiveness of OkeyMind, a mobile-based psychoeducation program, for reducing social anxiety symptoms among youth. OkeyMind might be a promising strategy for combating social anxiety, especially in low- and middle-income countries with limited medical resources. If effective, this intervention could provide an accessible, cost-effective approach to managing social anxiety, particularly in resource-limited settings. TRIAL REGISTRATION: ClinicalTrials.gov NCT06490315; https://clinicaltrials.gov/study/NCT06490315. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/64518.

摘要

背景:社交焦虑在青少年中日益普遍,导致社交退缩、孤立,并增加抑郁风险。移动健康(mHealth)干预提供了匿名性、可及性和个性化支持,但其对患有社交焦虑的年轻人的有效性和成本效益仍不明确。 目的:本随机对照试验旨在评估基于移动设备的心理教育项目(OkeyMind)缓解青少年社交焦虑症状的有效性和成本效益。 方法:招募年龄在15岁至24岁之间、患有轻度或更严重社交恐惧症(社交恐惧症量表[SPIN]≥25)且能使用微信的参与者,在现场进行筛选,然后随机分配到干预组或等待名单对照组。该研究将招募180名参与者,每组90人。干预组将接受为期1个月的移动心理教育项目(OkeyMind),其中包括心理教育和冥想部分,所有内容均为全自动。等待名单对照组将在3个月后接受相同的干预。主要结局是使用SPIN测量的社交焦虑症状。次要结局包括抑郁(患者健康问卷-9)和健康相关生活质量(欧洲五维健康量表)。评估将在基线、干预后和3个月随访时进行。 结果:招募工作于2024年9月开始。该研究于2024年4月获得资助,第一名参与者于2024年9月入组;截至2025年3月底,已招募132名参与者。招募工作正在进行中。数据收集将于2025年7月结束,之后将开始数据分析,并于2025年8月完成,主要研究结果计划于2026年春季发表。 结论:本研究评估了基于移动设备的心理教育项目OkeyMind减轻青少年社交焦虑症状的有效性和成本效益。OkeyMind可能是对抗社交焦虑的一种有前景的策略,尤其是在医疗资源有限的低收入和中等收入国家。如果有效,这种干预措施可以提供一种可及、经济有效的方法来管理社交焦虑,特别是在资源有限的环境中。 试验注册:ClinicalTrials.gov NCT06490315;https://clinicaltrials.gov/study/NCT06490315。 国际注册报告识别码(IRRID):PRR1-10.2196/64518。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/12304781/a17016f1bbc4/resprot_v14i1e64518_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/12304781/93485d5c4f79/resprot_v14i1e64518_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/12304781/a17016f1bbc4/resprot_v14i1e64518_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/12304781/93485d5c4f79/resprot_v14i1e64518_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/12304781/a17016f1bbc4/resprot_v14i1e64518_fig2.jpg

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本文引用的文献

[1]
Transitions in mental health and addiction care for youth and their families: a scoping review of needs, barriers, and facilitators.

BMC Health Serv Res. 2023-5-10

[2]
Global investments to optimise the health and wellbeing of children with disabilities: a call to action.

Lancet. 2023-1-21

[3]
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PLoS One. 2022

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Clin Child Fam Psychol Rev. 2022-9

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J Affect Disord. 2021-4-1

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JMIR Ment Health. 2020-10-29

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