基于智能手机应用程序的减轻压力的效果：随机对照试验。
The Efficacy of a Smartphone-Based App on Stress Reduction: Randomized Controlled Trial.
机构信息
Department of Psychiatry, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.
Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark.
出版信息
J Med Internet Res. 2022 Feb 15;24(2):e28703. doi: 10.2196/28703.
BACKGROUND
Stress management in the workplace is essential for a healthy mental and physical state. Due to technological advancements, individually tailored therapy and online cognitive behavioral therapy (CBT) are on the rise.
OBJECTIVE
This study analyzed the efficacy of a smartphone app based on third-wave CBT tailored to an individual.
METHODS
A randomized controlled trial was conducted with 126 participants who were divided into 2 groups. The intervention group used the smartphone app BetterLife for 10 weeks, while the control group was placed on a waiting list for the same duration. The Perceived Stress Scale-10 (PSS), Korean Utrecht Work Engagement Scale-9 (UWES), World Health Organization Quality of Life Assessment (WHOQOL), Beck Depression Inventory-II (BDI), and Beck Anxiety Inventory (BAI) were administered at baseline and after 10 weeks to both groups.
RESULTS
Of the 126 participants, 11 dropped out during the trial. A 2-way repeated measure analysis of covariance was conducted, controlling for baseline BDI. There were greater improvements in PSS (F=24.33, P<.001, η=0.17) and UWESK scores (F=8.32, P=.0046, η=0.06) in the intervention group than in the control group. WHOQOL scores exhibited statistically significant improvement in the intervention group in the overall quality of life (F=8.19, P=.0049, η=0.06), physical health (F=8.87, P=.003, η=0.07), psychological health (F=13.32, P<.001, η=0.10), social relationships (F=19.43, P<.001, η=0.14), and environmental domains (F=10.14, P=.002, η=0.08) but not overall health (F=1.68, P=.20). BDI (F=7.17, P=.008, η=0.06) and BAI (F=6.00, P=.02, η=0.05) showed a statistically significant improvement in the intervention group, but this significance did not survive the Bonferroni correction (P<.005).
CONCLUSIONS
These results provide evidence that smartphone-based CBT is a viable option for reducing stress in the workplace.
TRIAL REGISTRATION
Clinical Research Information Service KCT0003231; https://cris.nih.go.kr/cris/search/detailSearch.do/15137.
背景
工作场所的压力管理对于身心健康至关重要。由于技术进步，个性化的治疗和在线认知行为疗法（CBT）越来越普及。
目的
本研究分析了一款基于第三波 CBT 并针对个体定制的智能手机应用的疗效。
方法
采用随机对照试验，共有 126 名参与者被分为两组。干预组使用智能手机应用程序 BetterLife 进行 10 周治疗，而对照组则在同一时间段内进行候补治疗。在基线和 10 周后，对两组参与者均使用 10 项感知压力量表（PSS）、韩国乌特勒支工作投入量表-9（UWES）、世界卫生组织生活质量评估（WHOQOL）、贝克抑郁量表-II（BDI）和贝克焦虑量表（BAI）进行评估。
结果
在 126 名参与者中，有 11 名在试验过程中退出。进行了 2 路重复测量方差分析，控制了基线 BDI。干预组的 PSS（F=24.33，P<.001，η=0.17）和 UWESK 评分（F=8.32，P=.0046，η=0.06）有更大的改善。干预组在整体生活质量（F=8.19，P=.0049，η=0.06）、身体健康（F=8.87，P=.003，η=0.07）、心理健康（F=13.32，P<.001，η=0.10）、社会关系（F=19.43，P<.001，η=0.14）和环境领域（F=10.14，P=.002，η=0.08）方面的 WHOQOL 评分均有统计学显著改善，但在整体健康方面无显著改善（F=1.68，P=.20）。BDI（F=7.17，P=.008，η=0.06）和 BAI（F=6.00，P=.02，η=0.05）在干预组中均有统计学显著改善，但这一显著性在经过 Bonferroni 校正后不再显著（P<.005）。
结论
这些结果表明，基于智能手机的 CBT 是一种减少工作场所压力的可行选择。
试验注册
临床研究信息服务 KCT0003231；https://cris.nih.go.kr/cris/search/detailSearch.do/15137.
Zotero 插件