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在学校课程中对16至24岁青少年引入基于正念的干预措施。一项全国性整群随机试验。

Introducing a mindfulness-based intervention in school curriculum to 16-24-year-olds. A nationwide cluster-randomized trial.

作者信息

Juul Lise, Frydenberg Morten, Bonde Emilie Hasager, Beck Michelle Sand, Goetzsche Katinka, Bruggisser Susanne, Fjorback Lone Overby

机构信息

Department of Clinical Medicine, Danish Center for Mindfulness, Aarhus University, Aarhus, Denmark.

MFStat, Aarhus, Denmark.

出版信息

Npj Ment Health Res. 2025 Aug 11;4(1):37. doi: 10.1038/s44184-025-00150-w.

DOI:10.1038/s44184-025-00150-w
PMID:40789917
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12340006/
Abstract

The aim was to assess the effectiveness of an intervention comprising a teacher-training program and the implementation of a ten-session mindfulness-based intervention (MBI) in regular classroom teaching for 16- to 24-year-old students in Denmark. In a cluster-randomized trial (2019-2021), upper secondary schools and vocational schools for social and health care were randomly assigned 1:1 to receive the intervention (21 schools, 35 teachers, 438 students) or teaching-as-usual (22 schools, 38 teachers, 551 students). Eighteen self-report measures of mental health were collected at baseline, three, and six months, with the Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS) as the primary outcome. Intention-to-treat analyses were conducted using mixed-effects linear regression and bootstrapping. Fourteen intervention schools (n = 277) and 17 teaching-as-usual schools (n = 419) provided follow-up data. No statistically significant effect on the primary outcome (SWEMWBS) was found in the total population. However, a small positive effect on SWEMWBS was observed among females in upper secondary schools at three months, but not sustained at six months. Trial Registration: ClinicalTrials.gov Identifier: NCT04610333, registered October 26, 2020, https://clinicaltrials.gov/ct2/results?cond=&term=NCT04610333&cntry=&state=&city=&dist= .

摘要

其目的是评估一项干预措施的有效性,该干预措施包括一个教师培训项目以及在丹麦针对16至24岁学生的常规课堂教学中实施为期十节的正念干预(MBI)。在一项整群随机试验(2019 - 2021年)中,社会和医疗保健领域的高中和职业学校被随机分配,按1:1比例接受干预措施(21所学校、35名教师、438名学生)或常规教学(22所学校、38名教师、551名学生)。在基线、三个月和六个月时收集了18项心理健康的自我报告测量指标,以沃里克 - 爱丁堡心理健康量表(SWEMWBS)作为主要结果。使用混合效应线性回归和自抽样法进行意向性分析。14所接受干预措施的学校(n = 277)和17所采用常规教学的学校(n = 419)提供了随访数据。在总体人群中未发现对主要结果(SWEMWBS)有统计学显著影响。然而,在三个月时,高中女生中观察到对SWEMWBS有小的积极影响,但在六个月时未持续。试验注册:ClinicalTrials.gov标识符:NCT04610333,于2020年10月26日注册,https://clinicaltrials.gov/ct2/results?cond=&term=NCT04610333&cntry=&state=&city=&dist= 。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b5c/12340006/9572bc561f46/44184_2025_150_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b5c/12340006/9572bc561f46/44184_2025_150_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b5c/12340006/9572bc561f46/44184_2025_150_Fig1_HTML.jpg

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The World Mental Health Report: transforming mental health for all.《世界心理健康报告:为所有人转变心理健康状况》
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