Centre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra ACT, Australia.
Research School of Psychology, The Australian National University, Canberra ACT, Australia.
Inform Health Soc Care. 2021 Dec 2;46(4):370-398. doi: 10.1080/17538157.2021.1896525. Epub 2021 Mar 28.
This study describes the development and pilot evaluation of a smartphone- delivered Ecological Momentary Intervention (EMI) for people with social anxiety symptoms. Using a software engineering framework (agile modeling, model-driven development, bottom-up development), mental health experts and software developers collaborated to develop a 4-module EMI app designed to reduce social anxiety in real-time. Fifty-five participants with social anxiety were randomly allocated to the EMI or a wait-list control arm. App downloads, usage and user satisfaction data were collected and mental health outcomes assessed at baseline and post-intervention. Software development practices allowed mental health experts to distil core elements of a psychological intervention into discrete software components but there were challenges in engaging mental health experts in the process. Relative to control there was no significant reduction in social anxiety among the EMI participants in the pilot trial. However, post-test data were available for only 4 intervention and 10 control participants and only 2 (4.0%) of the EMI participants downloaded the app. The two participants who both accessed the app and completed the post-test reported being satisfied with the intervention. Future research should address managing resources and providing additional training to support ongoing engagement with key stakeholders.
本研究描述了一款智能手机即时干预（EMI）应用的开发和初步评估，适用于有社交焦虑症状的人群。本研究采用软件工程框架（敏捷建模、模型驱动开发、自底向上开发），让心理健康专家和软件开发人员合作开发了一个 4 个模块的 EMI 应用程序，旨在实时减少社交焦虑。将 55 名有社交焦虑的参与者随机分配到 EMI 组或等待名单对照组。在基线和干预后评估了应用程序下载、使用和用户满意度数据以及心理健康结果。软件开发实践使心理健康专家能够将心理干预的核心要素提炼成离散的软件组件，但在让心理健康专家参与该过程方面存在挑战。与对照组相比，在初步试验中，EMI 参与者的社交焦虑并没有显著降低。然而，只有 4 名干预组和 10 名对照组参与者提供了后测数据，只有 2 名（4.0%）EMI 参与者下载了应用程序。两名均访问了应用程序并完成后测的参与者表示对干预措施感到满意。未来的研究应该解决资源管理和提供额外培训的问题，以支持与关键利益相关者的持续合作。
