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评估自闭症儿童的压力和正念:5Minutes4Myself 应用程序的正念模块对照顾者的可接受性、使用情况和影响:多方法可行性研究。

Assessment of Acceptability, Usage, and Impact on Caregivers of Children With Autism's Stress and Mindfulness: Multiple-Method Feasibility Study of the 5Minutes4Myself App's Mindfulness Module.

机构信息

Occupational Therapy Program, Department of Kinesiology, University of Wisconsin-Madison, 2180 MSC, 1300 University Avenue, Madison, WI, 53706, United States, 1 608-265-0520.

Honeybee OT, LLC, Private Practice, Onalaska, WI, United States.

出版信息

JMIR Hum Factors. 2024 Oct 31;11:e54171. doi: 10.2196/54171.

DOI:10.2196/54171
PMID:39480802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11542669/
Abstract

BACKGROUND

Caregiver wellness programs need to be easily accessible to address caregivers' constraints to participation.

OBJECTIVE

We aimed to assess the feasibility of 5Minutes4Myself app's mindfulness module (usability, usage, and impact on caregivers' levels of mindfulness and perceived stress).

METHODS

Before and after participation in the 5Minutes4Myself program, 15 participants were asked to complete the Perceived Stress Scale (PSS) and Five Facet Mindfulness Questionnaire (FFMQ). Data on the usage of app-delivered meditations were collected electronically via the app, and app usability was rated on the Modified System Usability Scale. Analyses assessed participants' frequency of use of app-delivered meditations, app usability, and changes in participants' stress and mindfulness post intervention.

RESULTS

Overall, participants completed 10.9 minutes of mindfulness meditations per week and rated the app 76.7, indicating above-average usability. Related samples t tests (2-tailed) found that group PSS (t10=1.20, P=.26) and FFMQ (t10=-1.57, P=.15) pre- or postintervention mean scores were not significantly different. However, a visualization of pre- and post-PSS and mindfulness scores suggested there was a group of responders who had decreased stress with increased mindfulness. This was confirmed via an individual change analysis. The effect size of the FFMQ scores (d=0.47) suggests there may be treatment effects with a larger sample. A hierarchical multiple regression analysis examined the degree mindfulness impacted perceived stress; 20% of the variance in participants' perceived stress could be attributed to increases in self-rated mindfulness (P=.04) when controlling for preintervention stress levels.

CONCLUSIONS

Caregivers found the app highly usable and on average used low-dose levels of mindfulness meditations (10 min/wk). For responders, increased mindfulness was related to stress reduction to population-based levels.

摘要

背景

为解决照护者参与的制约因素,照护者健康计划需要易于获取。

目的

评估 5Minutes4Myself 应用程序正念模块(可用性、使用情况以及对照护者正念水平和感知压力的影响)的可行性。

方法

在参与 5Minutes4Myself 计划前后,15 名参与者被要求完成感知压力量表(PSS)和五因素正念量表(FFMQ)。通过应用程序以电子方式收集关于应用程序提供的冥想使用数据,应用程序可用性通过修改后的系统可用性量表进行评估。分析评估了参与者使用应用程序提供的冥想的频率、应用程序可用性以及干预后参与者压力和正念的变化。

结果

总体而言,参与者每周完成 10.9 分钟的正念冥想,应用程序评分为 76.7,表明可用性高于平均水平。相关样本 t 检验(双侧)发现,组 PSS(t10=1.20,P=.26)和 FFMQ(t10=-1.57,P=.15)干预前后的平均值得分没有显著差异。然而,PSS 和正念得分的预-后可视化表明,有一群人的压力随着正念的增加而降低。这通过个体变化分析得到了证实。FFMQ 得分的效应量(d=0.47)表明,在更大的样本中可能存在治疗效果。分层多元回归分析检验了正念对感知压力的影响程度;当控制干预前的压力水平时,参与者感知压力的 20%可以归因于自我评估正念的增加(P=.04)。

结论

照护者认为该应用程序高度可用,平均使用低剂量的正念冥想(每周 10 分钟)。对于反应者,正念的增加与压力降低到基于人群的水平有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcff/11542669/ff34977b4107/humanfactors-v11-e54171-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcff/11542669/0f7c894d6bf7/humanfactors-v11-e54171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcff/11542669/ff34977b4107/humanfactors-v11-e54171-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcff/11542669/0f7c894d6bf7/humanfactors-v11-e54171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcff/11542669/ff34977b4107/humanfactors-v11-e54171-g002.jpg

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