智能手机传递的解读偏差干预在黑人和拉丁裔成年人样本中的可接受性和参与度：开放试验。

Acceptability and Engagement of a Smartphone-Delivered Interpretation Bias Intervention in a Sample of Black and Latinx Adults: Open Trial.

机构信息

Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA, United States.

Department of Basic Neuroscience, McLean Hospital, Belmont, MA, United States.

出版信息

JMIR Ment Health. 2024 Jul 31;11:e56758. doi: 10.2196/56758.

DOI:10.2196/56758

PMID:39083330

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11325113/

Abstract

BACKGROUND

Access to evidence-based interventions is urgently required, especially for individuals of minoritized identities who experience unique barriers to mental health care. Digital mental health interventions have the potential to increase accessibility. Previous pilot studies testing HabitWorks, a smartphone app providing an interpretation bias intervention, have found strong engagement and adherence for HabitWorks; however, previous trials' samples consisted of predominantly non-Hispanic, White individuals.

OBJECTIVE

This study conducted an open trial of HabitWorks in a community sample of adults who identified as Black, Hispanic or Latinx, or both. This study aims to test safety, acceptability, and engagement with the HabitWorks app for Black and Latinx adults.

METHODS

Black, Hispanic or Latinx adults (mean age 32.83, SD 11.06 y; 22/31, 71% women) who endorsed symptoms of anxiety or depression were asked to complete interpretation modification exercises via HabitWorks 3 times per week for 1 month. Interpretation bias and anxiety and depression symptoms were assessed at baseline and posttreatment assessments. Participants completed qualitative interviews to assess overall perceptions of HabitWorks.

RESULTS

Of the 31 participants that downloaded the app, 27 (87%) used HabitWorks all 4 weeks. On average, participants completed 15.74 (SD 7.43) exercises out of the 12 prescribed, demonstrating high engagement. Acceptability ratings met all a priori benchmarks except for relevancy. Qualitative interviews also demonstrated high acceptability and few negative experiences. Significant improvements were found in interpretation style (t=2.29; P<.001), with a large effect size (Cohen d=1.53); anxiety symptoms (t=2.29; P=.03), with a small effect size (Cohen d=0.41); and depression symptoms (t=3.065; P=.005), with a medium effect size (Cohen d=0.55).

CONCLUSIONS

This study adds to the literature evaluating digital mental health interventions in Black and Latinx adults. Preliminary results further support a future controlled trial testing the effectiveness of HabitWorks as an intervention.

摘要

背景

急需获得基于证据的干预措施，尤其是对于那些面临独特心理健康障碍的少数族裔身份的个体。数字心理健康干预措施有可能提高可及性。之前测试 HabitWorks 的试点研究发现，HabitWorks 这款提供解释偏差干预的智能手机应用程序具有很强的参与度和依从性；然而，之前的试验样本主要由非西班牙裔、白人组成。

目的

本研究在一个自认为是黑人和拉丁裔或两者兼有的成年人的社区样本中进行了 HabitWorks 的开放试验。本研究旨在测试 HabitWorks 应用程序对黑人和拉丁裔成年人的安全性、可接受性和参与度。

方法

邀请有焦虑或抑郁症状的黑人和拉丁裔成年人（平均年龄 32.83，SD 11.06 y；22/31，71%女性）每周通过 HabitWorks 完成 3 次解释修正练习，持续 1 个月。在基线和治疗后评估时评估解释偏差以及焦虑和抑郁症状。参与者完成定性访谈以评估对 HabitWorks 的总体看法。

结果

在下载应用程序的 31 名参与者中，有 27 名（87%）在所有 4 周内都使用了 HabitWorks。平均而言，参与者完成了 12 个规定练习中的 15.74 个（SD 7.43），表现出高度的参与度。可接受性评分除了相关性之外，均达到了所有预先设定的标准。定性访谈也表明了高度的可接受性和很少的负面体验。在解释风格方面（t=2.29；P<.001），具有大的效应量（Cohen d=1.53）；焦虑症状（t=2.29；P=.03），具有小的效应量（Cohen d=0.41）；以及抑郁症状（t=3.065；P=.005），具有中等的效应量（Cohen d=0.55），都有显著的改善。