Development and Application Effect of Knowledge-to-action Framework-based Health Management in Adolescents with Depressive Disorder in Remote Counties
BackgroundThe prevalence of depressive disorder in adolescents is increasing. Adolescents with depressive disorder in remote counties and their families have a low awareness of the disease, and often are difficult to complete the whole treatment.ObjectiveTo explore the application effect of knowledg...
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| Format: | Article |
| Language: | zho |
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Chinese General Practice Publishing House Co., Ltd
2022-04-01
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| Series: | Zhongguo quanke yixue |
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| Online Access: | https://www.chinagp.net/fileup/1007-9572/PDF/yx202101417.pdf |
| _version_ | 1797217245345087488 |
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| author | LU Heli, LIU Yun, HUANG Zewen, GUO Ming, HUANG Xiaoqin, XU Xi, WANG Biyi, DONG Xiangli, LI Guanhua, HU Feihu |
| author_facet | LU Heli, LIU Yun, HUANG Zewen, GUO Ming, HUANG Xiaoqin, XU Xi, WANG Biyi, DONG Xiangli, LI Guanhua, HU Feihu |
| author_sort | LU Heli, LIU Yun, HUANG Zewen, GUO Ming, HUANG Xiaoqin, XU Xi, WANG Biyi, DONG Xiangli, LI Guanhua, HU Feihu |
| collection | DOAJ |
| description | BackgroundThe prevalence of depressive disorder in adolescents is increasing. Adolescents with depressive disorder in remote counties and their families have a low awareness of the disease, and often are difficult to complete the whole treatment.ObjectiveTo explore the application effect of knowledge-to-action (KTA) framework-based health management in adolescents with depressive disorder in remote counties.MethodsNinety-four adolescents with depressive disorder coming from remote countries were recruited from the Second Affiliated Hospital of Nanchang University from June to December 2020. They were randomly divided into a routine group (receiving a 12-week routine health management) and a KTA group (receiving a 12-week KTA framework-based health management) . At the time of enrollment and 12 weeks after intervention, the status of non-suicidal self-injury was assessed by the Adolescent Non-suicidal Self-injury Assessment Questionnaire (ANSAQ) , mobile phone use was evaluated by the Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use (SQAPMPU) , the anxiety was evaluated with the score of the Screen for Child Anxiety Related Emotional Disorders (SCARED) , and the depression was assessed by the Depression Self-Rating Scale for Childhood (DSRS) .ResultsTwo groups had no significant differences in mean total scores of ANSAQ, SQAPMPU, SCARED, and DSRS before receiving intervention (P>0.05) .Two groups had no significant differences in each dimension score of SQAPMPU before receiving intervention (P>0.05) .After the 12-week intervention, the mean total scores of ANSAQ, SQAPMPU, SCARED, and DSRS decreased significantly in both groups (P<0.05) , and they were lowered more significantly in the KTA group (P<0.05) , the each dimension score of SQAPMPU decreased significantly in both groups (P<0.05) , and they were lowered more significantly in the KTA group (P<0.05) .ConclusionKTA framework-based health management could effectively reduce the incidence of non-suicidal self-injury and the problematic use rate of mobile phones, relieve the anxiety and depression in adolescents with depressive disorder in remote counties, indicating that this type of health management may have good applicability as an outpatient management in this group. |
| first_indexed | 2024-04-24T11:58:47Z |
| format | Article |
| id | doaj.art-86322c5fb0c84bed81f5ec9c83b41296 |
| institution | Directory Open Access Journal |
| issn | 1007-9572 |
| language | zho |
| last_indexed | 2024-04-24T11:58:47Z |
| publishDate | 2022-04-01 |
| publisher | Chinese General Practice Publishing House Co., Ltd |
| record_format | Article |
| series | Zhongguo quanke yixue |
| spelling | doaj.art-86322c5fb0c84bed81f5ec9c83b412962024-04-09T03:10:24ZzhoChinese General Practice Publishing House Co., LtdZhongguo quanke yixue1007-95722022-04-0125111373137710.12114/j.issn.1007-9572.2021.01.417Development and Application Effect of Knowledge-to-action Framework-based Health Management in Adolescents with Depressive Disorder in Remote CountiesLU Heli, LIU Yun, HUANG Zewen, GUO Ming, HUANG Xiaoqin, XU Xi, WANG Biyi, DONG Xiangli, LI Guanhua, HU Feihu0 1. Department of Psychosomatic Medicine，the Second Affiliated Hospital of Nanchang University，Nanchang 330006，China 2. Department of Mental Psychology，Tianhe District People's Hospital，Guangzhou 510660，China *Corresponding author：LU Heli，Attending physician，Psychotherapist；E-mail：luheli0902@163.com BackgroundThe prevalence of depressive disorder in adolescents is increasing. Adolescents with depressive disorder in remote counties and their families have a low awareness of the disease, and often are difficult to complete the whole treatment.ObjectiveTo explore the application effect of knowledge-to-action (KTA) framework-based health management in adolescents with depressive disorder in remote counties.MethodsNinety-four adolescents with depressive disorder coming from remote countries were recruited from the Second Affiliated Hospital of Nanchang University from June to December 2020. They were randomly divided into a routine group (receiving a 12-week routine health management) and a KTA group (receiving a 12-week KTA framework-based health management) . At the time of enrollment and 12 weeks after intervention, the status of non-suicidal self-injury was assessed by the Adolescent Non-suicidal Self-injury Assessment Questionnaire (ANSAQ) , mobile phone use was evaluated by the Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use (SQAPMPU) , the anxiety was evaluated with the score of the Screen for Child Anxiety Related Emotional Disorders (SCARED) , and the depression was assessed by the Depression Self-Rating Scale for Childhood (DSRS) .ResultsTwo groups had no significant differences in mean total scores of ANSAQ, SQAPMPU, SCARED, and DSRS before receiving intervention (P>0.05) .Two groups had no significant differences in each dimension score of SQAPMPU before receiving intervention (P>0.05) .After the 12-week intervention, the mean total scores of ANSAQ, SQAPMPU, SCARED, and DSRS decreased significantly in both groups (P<0.05) , and they were lowered more significantly in the KTA group (P<0.05) , the each dimension score of SQAPMPU decreased significantly in both groups (P<0.05) , and they were lowered more significantly in the KTA group (P<0.05) .ConclusionKTA framework-based health management could effectively reduce the incidence of non-suicidal self-injury and the problematic use rate of mobile phones, relieve the anxiety and depression in adolescents with depressive disorder in remote counties, indicating that this type of health management may have good applicability as an outpatient management in this group.https://www.chinagp.net/fileup/1007-9572/PDF/yx202101417.pdf|depressive disorder|adolescent|knowledge to action framework|non-suicidal self-injury behavior|health education |
| spellingShingle | LU Heli, LIU Yun, HUANG Zewen, GUO Ming, HUANG Xiaoqin, XU Xi, WANG Biyi, DONG Xiangli, LI Guanhua, HU Feihu Development and Application Effect of Knowledge-to-action Framework-based Health Management in Adolescents with Depressive Disorder in Remote Counties Zhongguo quanke yixue |depressive disorder|adolescent|knowledge to action framework|non-suicidal self-injury behavior|health education |
| title | Development and Application Effect of
Knowledge-to-action Framework-based Health Management in Adolescents with
Depressive Disorder in Remote Counties |
| title_full | Development and Application Effect of
Knowledge-to-action Framework-based Health Management in Adolescents with
Depressive Disorder in Remote Counties |
| title_fullStr | Development and Application Effect of
Knowledge-to-action Framework-based Health Management in Adolescents with
Depressive Disorder in Remote Counties |
| title_full_unstemmed | Development and Application Effect of
Knowledge-to-action Framework-based Health Management in Adolescents with
Depressive Disorder in Remote Counties |
| title_short | Development and Application Effect of
Knowledge-to-action Framework-based Health Management in Adolescents with
Depressive Disorder in Remote Counties |
| title_sort | development and application effect of knowledge to action framework based health management in adolescents with depressive disorder in remote counties |
| topic | |depressive disorder|adolescent|knowledge to action framework|non-suicidal self-injury behavior|health education |
| url | https://www.chinagp.net/fileup/1007-9572/PDF/yx202101417.pdf |
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