尽管精神健康障碍的患病率很高,寻求专业帮助往往是无人寻求的,经历过这种情况的人的整体功能受损加剧。
这项研究旨在评估在线HOPE干预对新加坡一所大学18至24岁年轻人寻求帮助的态度和意图。该研究还描述了在线HOPE干预的过程评估。
该研究采用了平行的两臂RCT。基线测量结果,测试后和两个月的随访是(1)抑郁症的识别,(2)求助障碍,(3)寻求帮助的意图(4)对干预的态度,帮助源,药物和(5)参与者对干预的看法。
在测试后,干预组对抑郁作为压力的认可度显著较低。两个月后,对照组明显更关注药物的副作用。两组之间寻求帮助的所有障碍都没有显着差异,干预前和干预后。干预组对抗抑郁药的认可度更高,镇静剂和抗精神病药.专题分析揭示了四个主要主题。
抑郁症的基线认可度较高。寻求帮助意图的改善部分归因于寻求帮助障碍的减少。
在线HOPE干预可以及时为年轻人实施,以增强对心理健康障碍的识别,早期寻求帮助和恢复。护士在病人教育中发挥了重要作用,在这个要求社会距离的Covid时期,在线干预尤其重要。[NCT04266119].
Despite the high prevalence of mental health disorders, professional help seeking was often unsought, worsening impairments in overall functioning among those who experienced them.
This study aimed to evaluate the online HOPE intervention on help-seeking attitudes and intentions among young adults 18 to 24 years old in a University in Singapore. The study also described the process evaluation of the online HOPE intervention.
The study adopted a parallel two arms RCT. Outcome measurements measured at baseline, post-test and two-month follow-up were (1) recognition of depression, (2) barriers of help-seeking, (3) help-seeking intentions (4) attitudes about interventions, help sources, medications and (5) participants\' perceptions about the intervention.
At post-test, intervention group had significantly lower acknowledgement of depression as stress. At two months, control group was significantly more concerned about side effects of medications. There were no significant differences in all barriers of help-seeking between groups, pre and post intervention. The intervention group had greater acknowledgement of antidepressants, tranquilisers and antipsychotics. Thematic analysis revealed four main themes.
There was high baseline recognition of depression. Improvements in help-seeking intentions were partially attributed to decreased help-seeking barriers.
The online HOPE intervention could be promptly implemented for young adults to enhance the identification of mental health disorders, early help-seeking and recovery. Nurses played an important role in patient education, and online interventions are especially crucial during this Covid period which mandated social distancing. [NCT04266119].