Rutgers, The State University of New Jersey.
Massachusetts General Hospital/Harvard Medical School.
Behav Ther. 2022 Sep;53(5):1024-1036. doi: 10.1016/j.beth.2022.04.008. Epub 2022 Apr 29.
The number of college students who need mental health treatment outpaces the resources available to counseling centers to provide these needed services, presenting a need for low-cost, scalable interventions for college populations. We conducted a pilot implementation-effectiveness trial of a scalable treatment package that consisted of a single (telehealth) workshop plus a companion app that provided ecological momentary intervention. Participants (n = 177) received a workshop provided by counseling center staff and trainees. We were interested in (1) engagement with the app, (2) acceptability of the treatment package, and (3) initial effectiveness of the treatment package. Regarding engagement with the app, we found that participants preferred two reminder prompts per day and identified two key breakpoints when engagement declined significantly: at day 15, when just over half of the sample practiced a skill on the app at least once during the day and at day 41, when just over one third of people practiced a skill on the app each day. Regarding acceptability of the treatment package, students generally reported positive attitudes about the single-session workshop and app, but also noted that the content and assessments in the app needed to be more dynamic to improve how engaging it is. Regarding effectiveness, we found that about 75% of the sample experienced a significant reduction in negative affect from pre- to post-ecological momentary intervention. Moreover, there were significant pre- to post-study decreases in experiential avoidance and symptoms of anxiety and depression and increases in self-efficacy for managing negative emotions. The results of this study are promising in terms of providing initial support for this novel treatment package and provide useful information for researchers planning to develop and test similar interventions.
需要心理健康治疗的大学生人数超过了咨询中心提供这些服务的可用资源，这就需要为大学生群体提供低成本、可扩展的干预措施。我们对一种可扩展的治疗方案进行了试点实施效果试验，该方案由一个单独的（远程医疗）研讨会和一个提供生态瞬间干预的配套应用程序组成。参与者（n=177）接受了咨询中心工作人员和学员提供的研讨会。我们对以下方面感兴趣：（1）应用程序的参与度；（2）治疗方案的可接受性；（3）治疗方案的初步效果。关于对应用程序的参与度，我们发现参与者更喜欢每天两次提醒，并确定了两个关键的下降点：在第 15 天，超过一半的样本在白天至少一次在应用程序上练习了一项技能；在第 41 天，只有三分之一以上的人每天在应用程序上练习一项技能。关于治疗方案的可接受性，学生们普遍对单次研讨会和应用程序持积极态度，但也指出应用程序中的内容和评估需要更加动态，以提高其吸引力。关于效果，我们发现大约 75%的样本在经历生态瞬间干预前后的负面情绪有显著减少。此外，在研究前后，体验回避和焦虑、抑郁症状显著减少，管理负面情绪的自我效能感显著增加。这项研究的结果为这种新型治疗方案提供了初步支持，为计划开发和测试类似干预措施的研究人员提供了有用的信息。
