Tailored Text Message Prompts to Increase Therapy Homework Adherence: A Single-Case Randomised Controlled Study

IF 1.5 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Behaviour Change Pub Date : 2019-04-11 DOI:10.1017/bec.2019.10

S. Alfonsson, Joakim Englund, Thomas Parling

{"title":"Tailored Text Message Prompts to Increase Therapy Homework Adherence: A Single-Case Randomised Controlled Study","authors":"S. Alfonsson, Joakim Englund, Thomas Parling","doi":"10.1017/bec.2019.10","DOIUrl":null,"url":null,"abstract":"Abstract Background: Psychotherapy homework completion is associated with positive treatment outcomes, but many patients show low adherence to prescribed assignments. Whether text-message prompts are effective in increasing adherence to assignments is unknown. Aims: To evaluate whether tailored daily text-message prompts can increase homework adherence in a stress/anxiety treatment. Method: This study used a randomised controlled single-case alternating treatment design with parallel replication in seven participants. Participants received a five-week relaxation program for stress and anxiety with daily exercises. The intervention consisted of daily text messages tailored for each participant. Phases with or without text messages were randomly alternated over the study course. Randomisation tests were used to statistically analyse differences in mean number of completed relaxation exercises between phases. Results: There was a significant (combined p = .018) effect of daily text messages on homework adherence across participants with weak to medium effect size improvements. No negative effects of daily text messages were identified. Conclusions: Tailored text messages can marginally improve adherence to assignments for patients in CBT. Further studies may investigate how text messages can be made relevant for more patients and whether text messages can be used to increase homework quality rather than quantity.","PeriodicalId":46485,"journal":{"name":"Behaviour Change","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2019-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/bec.2019.10","citationCount":"3","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Behaviour Change","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1017/bec.2019.10","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 3

Abstract

Abstract Background: Psychotherapy homework completion is associated with positive treatment outcomes, but many patients show low adherence to prescribed assignments. Whether text-message prompts are effective in increasing adherence to assignments is unknown. Aims: To evaluate whether tailored daily text-message prompts can increase homework adherence in a stress/anxiety treatment. Method: This study used a randomised controlled single-case alternating treatment design with parallel replication in seven participants. Participants received a five-week relaxation program for stress and anxiety with daily exercises. The intervention consisted of daily text messages tailored for each participant. Phases with or without text messages were randomly alternated over the study course. Randomisation tests were used to statistically analyse differences in mean number of completed relaxation exercises between phases. Results: There was a significant (combined p = .018) effect of daily text messages on homework adherence across participants with weak to medium effect size improvements. No negative effects of daily text messages were identified. Conclusions: Tailored text messages can marginally improve adherence to assignments for patients in CBT. Further studies may investigate how text messages can be made relevant for more patients and whether text messages can be used to increase homework quality rather than quantity.

查看原文本刊更多论文

定制短信提示增加治疗作业依从性:一项单例随机对照研究

摘要背景：心理治疗作业完成与积极的治疗结果相关，但许多患者对指定作业的依从性较低。短信提示是否能有效提高对作业的遵守程度尚不清楚。目的：评估在压力/焦虑治疗中，量身定制的每日短信提示是否能提高家庭作业的依从性。方法：本研究采用随机对照的单例交替治疗设计，对7名参与者进行平行复制。参与者接受了为期五周的放松计划，通过日常锻炼来缓解压力和焦虑。干预包括为每位参与者量身定制的每日短信。在研究过程中，有或没有短信的阶段被随机交替。随机测试用于统计分析各阶段之间完成放松练习的平均次数的差异。结果：在参与者中，每日短信对家庭作业依从性有显著影响（综合p=0.018），效果大小从弱到中等。未发现每日短信的负面影响。结论：定制短信可以略微提高CBT患者对作业的依从性。进一步的研究可能会调查短信如何与更多患者相关，以及短信是否可以用来提高家庭作业的质量而不是数量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Behaviour Change PSYCHOLOGY, CLINICAL-

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies review articles case studies brief technical and clinical notes book reviews special issues dealing with particular topics in depth.