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预防非专业照护者抑郁的智能手机应用程序的初步研究。

A pilot study for a smartphone app for the prevention of depression in non-professional caregivers.

机构信息

Department of Evolutionary and Educational Psychology, University of Santiago de Compostela, Santiago de Compostela, Spain.

Department of Psychology, University of A Coruña, A Coruña, Spain.

出版信息

Aging Ment Health. 2023 Jan;27(1):166-175. doi: 10.1080/13607863.2022.2056878. Epub 2022 Mar 30.

Abstract

OBJECTIVES

The main objective of the current study was to evaluate the feasibility and acceptability of a cognitive-behavioral prevention intervention administered through a smartphone app in non-professional caregivers with symptoms of depression. The secondary objective was to make a preliminary evaluation of its effectiveness either alone or supplemented with telephone conference calls.

METHODS

Eighty-seven participants ( = 51.8 years) were randomly assigned to an app-based cognitive-behavioral intervention (CBIA;  = 29), CBIA supplemented with telephone conference calls (CBIA + CC;  = 28), or an attention control group (ACG;  = 30). The participants for both interventions received five cognitive-behavioral modules through the app, and those in CBIA + CC an additional 30-minute phone call in each module.

RESULTS

3.4% of caregivers dropped out. In all groups, the number of modules completed was high. Participants completed a high percentage of the homework and were highly satisfied with both CBIA and CBIA + CC. At post-intervention, there was a lower incidence of depression and depressive symptoms for CBIA + CC compared with CBIA, and for CBIA and CBIA + CC compared with ACG.

CONCLUSION

The results supported the feasibility and acceptability of the cognitive-behavioral intervention, and demonstrated that telephone contact improves its effectiveness.

摘要

目的

本研究的主要目的是评估通过智能手机应用程序向有抑郁症状的非专业照护者提供认知行为预防干预的可行性和可接受性。次要目的是单独或补充电话会议来初步评估其效果。

方法

87 名参与者(平均年龄为 51.8 岁)被随机分配到基于应用程序的认知行为干预组(CBIA;n=29)、补充电话会议的 CBIA 组(CBIA+CC;n=28)或注意对照组(ACG;n=30)。两组干预组的参与者都通过应用程序接收了五个认知行为模块,而 CBIA+CC 组的参与者在每个模块中还接受了 30 分钟的电话通话。

结果

有 3.4%的照护者中途退出。在所有组中,完成的模块数量都很高。参与者完成了大量的家庭作业,对 CBIA 和 CBIA+CC 都非常满意。在干预后,CBIA+CC 组与 CBIA 组相比,以及 CBIA 组和 CBIA+CC 组与 ACG 组相比,抑郁和抑郁症状的发生率较低。

结论

结果支持认知行为干预的可行性和可接受性,并表明电话联系可以提高其效果。

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