Kaveladze Benjamin, Ghosh Arka, Funkhouser Carter J, Schueller Stephen M, Schleider Jessica L
Department of Preventive Medicine, Northwestern University, Chicago, IL, United States.
Department of Medical Social Sciences, Northwestern University, Chicago, IL, United States.
Clin Psychol Sci. 2025 Aug 17. doi: 10.1177/21677026251358836.
Online self-guided single-session interventions (SSIs), which provide a complete mental health intervention in one brief experience, promise to increase global access to evidence-based support. One way to expand current SSIs' reach is to shorten them, but doing so could also compromise their effectiveness. We conducted two randomized trials to test if shortening evidence-based SSIs reduces their efficacy among adult online workers facing mental health struggles. In study 1 ( = 262), the 8-minute "Overcoming Loneliness" SSI reduced loneliness over eight weeks more than a 23-minute version of it ( = 2.64; = 0.22; 95% CI 0.02, 0.41; = .03). In study 2 ( = 1,145), 15-minute, 9-minute, 5-minute, and 3-minute versions of the "Action Brings Change" SSI did not significantly differ in how much they affected depression eight weeks later (s > .14). Our results suggest that longer digital SSIs are not necessarily more helpful than shorter ones.
在线自我引导单节干预(SSIs),即在一次简短体验中提供完整心理健康干预,有望增加全球范围内基于证据的支持途径。扩展当前SSIs覆盖范围的一种方法是缩短它们,但这样做也可能损害其有效性。我们进行了两项随机试验,以测试缩短基于证据的SSIs是否会降低其在面临心理健康问题的成年在线工作者中的疗效。在研究1(n = 262)中,8分钟的“克服孤独”SSI在八周内比23分钟版本更能减少孤独感(d = 2.64;SE = 0.22;95% CI 0.02,0.41;p = .03)。在研究2(n = 1,145)中,15分钟、9分钟、5分钟和3分钟版本的“行动带来改变”SSI在八周后对抑郁的影响程度上没有显著差异(ps > .14)。我们的结果表明,较长的数字SSIs不一定比较短的更有帮助。