Internet Interventions-The Application of Information Technology in Mental and Behavioural Health最新文献

{"title":"Not just spontaneous remission: Time-dependent and independent effects in pre-intervention symptom reduction","authors":"Vilgot Huhn ,&nbsp;Nils Hentati Isacsson ,&nbsp;Marie Bendix ,&nbsp;Martin Kraepelien ,&nbsp;Hanna Sahlin ,&nbsp;Viktor Kaldo ,&nbsp;Erik Forsell","doi":"10.1016/j.invent.2026.100926","DOIUrl":"10.1016/j.invent.2026.100926","url":null,"abstract":"<div><div>Psychological symptoms tend to change over time, even in the absence of clinical intervention. For example, self-ratings are often higher at screening compared to start of treatment. A plausible hypothesis is that this is due to patients' self-referring when their gradually fluctuating symptoms are worse than usual. That hypothesis predicts that patients that wait longer will have had longer time to return to their average symptom level. On the other hand, other processes related to measurement reactivity, contact with a clinician, or regression towards the mean, do not predict a time-dependent relationship.</div><div>Our aim was to estimate the extent of this hypothesized symptom reduction in depression, social anxiety disorder, panic disorder, health anxiety and insomnia (both total reduction and the relationship with time). The sample included adults (<em>N</em> = 8744) from an outpatient psychiatric clinic providing ICBT in Swedish routine care. Time-dependent effects were estimated with linear regression for both primary symptoms and secondary depressive symptoms. A simulation of symptom fluctuations was built to estimate power and further contextualize the effects.</div><div>Patients improved on average from screening to the start of the intervention, but this varied substantially depending on diagnosis and questionnaire used. The waiting time weakly predicted the degree of improvement both for primary depressive symptoms and comorbid depressive symptoms. The estimate for primary depressive symptoms was sensitive to modeling choices, shrinking towards zero when modeled with fat-tailed residuals. The preponderance of “immediate” reductions in symptoms have implications for reporting standards of pre-treatment-measurements, especially in single-group intervention studies.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"44 ","pages":"Article 100926"},"PeriodicalIF":4.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147387696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MyADHD: A therapist-guided internet-delivered intervention for adult ADHD — Results from a single-armed open clinical trial in routine care","authors":"Aleksander Heltne ,&nbsp;Robin Maria Francisca Kenter ,&nbsp;Robin Gulseth ,&nbsp;Tine Nordgreen","doi":"10.1016/j.invent.2026.100922","DOIUrl":"10.1016/j.invent.2026.100922","url":null,"abstract":"<div><h3>Background</h3><div>Adults seeking treatment for the syndrome of ADHD often face barriers to accessing evidence-based care. Digital interventions may help address these challenges, but their effectiveness in routine clinical settings remains underexplored.</div></div><div><h3>Objective</h3><div>This study evaluated pre–post change in ADHD symptoms and quality of life following a therapist-guided internet-delivered intervention for adults with ADHD in routine care. A secondary aim was to examine demographic, contextual, and clinical predictors of treatment response.</div></div><div><h3>Methods</h3><div>In an open, single-arm trial, 228 adults with ADHD received a 7–10 week therapist-guided intervention. ADHD symptoms (Adult ADHD Self-Report Scale; ASRS) and quality of life (Adult ADHD Quality of Life questionnaire; AAQoL) were assessed at baseline, mid-treatment, and post-treatment. Random intercept, fixed slope linear mixed models were estimated to examine change over time and impact of potential predictors.</div></div><div><h3>Results</h3><div>Participants showed moderate improvements in ADHD symptoms (d = −0.47) and quality of life (d = 0.45). Inattention and productivity domains improved most. Reliable change was observed in 23.9% of completers for ADHD symptoms and 31.0% for quality of life. No demographic, contextual, or clinical variables significantly predicted treatment response.</div></div><div><h3>Conclusions</h3><div>In this open, single-arm study conducted in routine clinical care, therapist-guided internet-delivered treatment was associated with moderate improvements in ADHD symptoms and quality of life among adults with ADHD. Findings were comparable across baseline levels of comorbidity, treatment expectation and route to care. Given the absence of a control group, findings should be interpreted cautiously, and causal inferences cannot be drawn. Replication in adequately powered randomized controlled trials is needed to determine the intervention's efficacy and to clarify for whom and under what conditions it is most effective.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"44 ","pages":"Article 100922"},"PeriodicalIF":4.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147387695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring online and in-person mental healthcare access and app use in a cohort of people living with disability: results from the 2019 and 2020 California Health Interview Survey","authors":"William Bevens ,&nbsp;Jeongmi Kim ,&nbsp;Biblia Cha ,&nbsp;Nicole A. Stadnick ,&nbsp;Elizabeth Eikey ,&nbsp;Margaret Schneider ,&nbsp;Stephen M. Schueller ,&nbsp;Dana B. Mukamel ,&nbsp;Dara H. Sorkin","doi":"10.1016/j.invent.2026.100931","DOIUrl":"10.1016/j.invent.2026.100931","url":null,"abstract":"<div><h3>Background</h3><div>Disability is an increasingly prevalent issue in the United States, which affects over 67 million people. Poor mental health in individuals with disabilities is common; however, access to traditional modes of mental healthcare remains a challenge.</div></div><div><h3>Objectives</h3><div>This study aims to compare use of traditional and online mental healthcare services between people with and without disabilities.</div></div><div><h3>Methods</h3><div>This study used a cross-sectional sample of adults aged 18 years and older (<em>n</em> = 44,096) from the 2019–2020 California Health Interview Survey. Mental healthcare access in-person and online, or use of digital technologies for mental healthcare were compared between several disability groups to individuals without disabilities.</div></div><div><h3>Results</h3><div>15.3% of those in this sample reported being in one of the five reported disability groups: cognition, independent-living, seeing/hearing, self-care or multiple. Individuals with disabilities were 2.80 times more likely to access mental healthcare in-person compared to those without disabilities. Several disability groups had increased odds of accessing mental healthcare online, using online technologies for referrals to mental health professionals and connecting to others with a similar condition online.</div></div><div><h3>Conclusions</h3><div>People with disabilities readily access mental healthcare, in-person and online, and use technologies for broader mental healthcare needs. This study highlights the importance of centering accessibility within health technologies.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"44 ","pages":"Article 100931"},"PeriodicalIF":4.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147387633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptive actions and treatment outcomes in transdiagnostic internet-delivered cognitive behaviour therapy for chronic health conditions","authors":"Heather D. Hadjistavropoulos ,&nbsp;Vanessa Peynenburg ,&nbsp;Aaron E. Philipp-Muller ,&nbsp;Auguste Nomeikaite ,&nbsp;Nickolai Titov ,&nbsp;Blake F. Dear ,&nbsp;Lauren Staples","doi":"10.1016/j.invent.2026.100930","DOIUrl":"10.1016/j.invent.2026.100930","url":null,"abstract":"<div><div>Transdiagnostic internet-delivered cognitive behavioural therapy (ICBT) has demonstrated effectiveness for improving a range of outcomes for individuals living with diverse chronic health conditions. However, the behavioural processes that contribute to these outcomes remain unclear. This study examined whether participation in a 5-lesson transdiagnostic ICBT program for chronic health conditions was associated with changes in adaptive actions (i.e., Healthy Thinking, Meaningful Activities, Goals and Plans, Healthy Habits, and Social Connections) and whether these changes were maintained at follow-up. We also explored whether changes in adaptive actions were associated with changes on measures of depression, anxiety, pain intensity, and pain interference. Adults (<em>N</em> = 121) received a transdiagnostic ICBT program for chronic health conditions in a routine online care setting. Adaptive actions were assessed with the Things You Do Questionnaire–15 Item (TYDQ–15). GEE analyses indicated that the TYDQ–15 total and domain scores improved significantly from pre- to post-treatment and were maintained at follow-up. Effect sizes were small to moderate. Hierarchical linear regression models indicated a significant association between adaptive behaviours and clinical outcomes on the PHQ-9, GAD-7, and BPI-Interference. The findings highlight the potential value of encouraging adaptive actions early in treatment and underscore the need for further research to identify actions that may contribute to improvements in depression, anxiety, and related outcomes.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"44 ","pages":"Article 100930"},"PeriodicalIF":4.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147387697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Real-world data on uptake and use of digital mental health interventions among waitlisted patients with various mental disorders","authors":"Marie Neubert ,&nbsp;Esra Sünkel ,&nbsp;Jari Planert ,&nbsp;Anne Hildebrand ,&nbsp;Tim Klucken","doi":"10.1016/j.invent.2026.100915","DOIUrl":"10.1016/j.invent.2026.100915","url":null,"abstract":"<div><h3>Background</h3><div>Digital mental health interventions (DMHI) have the potential to provide patients awaiting outpatient psychotherapy with a valuable and immediate treatment option to bridge long waiting periods. However, randomized controlled trials concerning these interventions are marred by high attrition rates and low adherence, and research on the implementation of these interventions in real-world settings is scarce. The present study aims to provide real-world data on the uptake and use of prescribed DMHI, as well as the effect of DMHI use on psychological well-being.</div></div><div><h3>Method</h3><div>150 patients with various mental disorders awaiting face-to-face psychotherapy were included in this preregistered study. All patients received a prescription for a diagnosis-specific DMHI to bridge the waiting period. Structured telephone interviews were conducted to assess uptake of the prescription, use of the DMHI, and psychological well-being four and 12 weeks after inclusion.</div></div><div><h3>Results</h3><div>56% of the patients reported an uptake of the DMHI prescription. The percentage of patients who actually used the DMHI was lower than for uptake (29%). Patients who expressed interest in the use of DMHI, higher treatment expectations, and lower psychological well-being were more likely to use the DMHI. A linear mixed model indicated a significant improvement in psychological well-being among DMHI users.</div></div><div><h3>Conclusion</h3><div>The findings of the present study underscore that the implementation of DMHI in real-world settings is hindered by low uptake rates and even lower utilization. To improve DMHI use, it is essential to incorporate potential mediating factors, such as treatment expectations, into future research.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"44 ","pages":"Article 100915"},"PeriodicalIF":4.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A practical step-by-step approach for patient and public involvement in eHealth intervention research: Lessons learned from three case projects","authors":"Milon H.M. van Vliet ,&nbsp;Roxy A. van Eersel ,&nbsp;Charlotte C. Poot ,&nbsp;Jasper S. Faber ,&nbsp;Jiska J. Aardoom ,&nbsp;Eline Meijer ,&nbsp;Anke Versluis","doi":"10.1016/j.invent.2025.100896","DOIUrl":"10.1016/j.invent.2025.100896","url":null,"abstract":"<div><h3>Background</h3><div>The importance of patient and public involvement (PPI) in research is increasingly acknowledged. PPI is a collaborative approach in which research is conducted with or by end-users. It can enhance research quality and benefit the involved end-users. However, involving end-users in the non-linear and often interdisciplinary process of eHealth development can be challenging. While many resources on PPI exist, a functional and practical overview tailored to eHealth research is lacking. This paper presents a step-by-step approach to support PPI implementation in eHealth intervention research.</div></div><div><h3>Methods</h3><div>Three (ongoing) eHealth projects, each targeting a different population and applying different forms of PPI, informed the approach development. It was iteratively refined based on insights gained from these projects and feedback from other researchers and end-users involved in one of the projects.</div></div><div><h3>Results</h3><div>A six-step approach was developed, each step accompanied by reflective questions to support preparation and evaluation. The steps are: (1) <em>Where in the eHealth evaluation cycle is your research project positioned?</em>; (2) <em>Why do you want to use PPI?; (</em>3) <em>Who is your target population?</em>; (4) <em>How are you going to achieve your aims?</em>; (5) <em>What considerations and conditions need to be taken into account to facilitate PPI?</em>; (6) <em>How did the PPI process unfold?</em> Each step includes recommendations, lessons learned, case examples, and relevant resources (e.g., literature, websites).</div></div><div><h3>Conclusion</h3><div>The approach integrates literature with practical, field-based insights. We hope that the approach inspires and supports researchers in implementing meaningful PPI in research.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"43 ","pages":"Article 100896"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Participants' experiences with and perceptions of a digital health intervention to reduce sugar-sweetened beverage intake: A mixed methods summative evaluation of iSIPsmarter”","authors":"Kathleen J. Porter ,&nbsp;Donna-Jean P. Brock ,&nbsp;Annie L. Reid ,&nbsp;Theresa Markwalter ,&nbsp;Caroline Jones ,&nbsp;Lee M. Ritterband ,&nbsp;Jamie M. Zoellner","doi":"10.1016/j.invent.2026.100921","DOIUrl":"10.1016/j.invent.2026.100921","url":null,"abstract":"<div><div>iSIPsmarter is a promising digital health intervention targeting sugar-sweetened beverage (SSB) intake among Appalachian adults. This summative evaluation describes participants' post-program perceptions of barriers to adherence and iSIPsmarter's utility and perceived impact. An electronic survey was administered that included established measures and open-ended questions. Four focus groups were held. Measures assessed adherence barriers and perceptions of iSIPsmarter's utility and impact. Using a convergent mixed methods approach, quantitative data were summarized descriptively and qualitative data were content coded. Data sources triangulated by indicator. 91% (116/127) of participants completed the survey, with a subset (<em>n</em> = 28) participating in focus groups. Participants were ∼ 45 years old and primarily female and non-Hispanic White; ∼50% made &lt;$55,000 per year. 5/29 adherence barriers were rated as a little or major problem by &gt;20% of participants, all of which reflected personal (e.g., competing priorities) and program-related (e.g., time required) factors. Personal and program-related factors were also key adherence barriers identified in qualitative sources. Overall, participants were positive about iSIPsmarter's utility, with &lt;25% replying negatively to any survey item. Qualitative sources identified 7 positive (e.g., supporting accountability) and 6 negative (e.g., user interface not optimized for smartphones) attributes of iSIPsmarter. Across quantitative and qualitative sources, participants consistently identified positive impacts related to SSB and, to a lesser degree, weight. iSIPsmarter was generally well-received by participants who completed summative evaluation activities. Findings highlight six considerations for improving experiences with and perceptions of digital health interventions, including within underserved rural regions like Appalachia, and suggest specific refinements for enhancing iSIPsmarter.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"43 ","pages":"Article 100921"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147396889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing prompt frequency in a brief online emotion regulation training for community adults: A three-arm randomized controlled trial","authors":"Wan-Lan Chen","doi":"10.1016/j.invent.2026.100903","DOIUrl":"10.1016/j.invent.2026.100903","url":null,"abstract":"<div><h3>Background</h3><div>Online emotion regulation interventions show promise for addressing mental health concerns, yet optimal delivery parameters remain unclear. This study aimed to (1) evaluate the efficacy of a brief online emotion regulation (ER) intervention against a robust active control, and (2) investigate the impact of practice prompt frequency on clinical outcomes.</div></div><div><h3>Methods</h3><div>In this three-arm randomized controlled trial, community adults (<em>N</em> = 194) were randomly allocated to: emotion regulation training with three daily prompts (ER-TD), emotion regulation training with one daily prompt (ER-OD), or stress psychoeducation control (SPC). The 5-week intervention delivered evidence-based emotion regulation skills (awareness, acceptance, self-compassion, mindfulness, cognitive reappraisal) or educational content about stress. Assessments occurred at baseline, weeks 2 and 4, post-intervention, and 3-month follow-up. Primary outcomes were depression (CES<img>D) and perceived stress (PSS-10); secondary outcome was emotion regulation difficulties (DERS-18).</div><div>Results: Participants in both ER conditions (ER-TD and ER-OD) demonstrated significantly greater improvements in depression, perceived stress, and emotion regulation difficulties compared to the SPC group at the end of training. Direct comparisons revealed no significant differences between the ER-TD and ER-OD groups on any outcome at the end of the intervention. However, at the 3-month follow-up, improvements in overall emotion regulation skills were sustained only in the ER-TD group.</div></div><div><h3>Conclusions</h3><div>Brief online emotion regulation training effectively reduces depression and stress compared to a robust active control. While single daily prompts were sufficient for initial skill acquisition—suggesting a minimal effective dose for engagement—higher frequency supported superior long-term maintenance. These findings point toward adaptive implementation strategies: starting with lower-frequency prompts to reduce burden, then increasing frequency for skill maintenance.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"43 ","pages":"Article 100903"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uptake and engagement with digital mental health in the workplace: A mixed-methods analysis of the EMPOWER trial","authors":"Stijn B. Peeters ,&nbsp;Marleen de Mul ,&nbsp;Frederick W. Thielen ,&nbsp;Marjo Sinokki ,&nbsp;Kaja Staszewska ,&nbsp;Luis Salvador-Carulla ,&nbsp;Sue Lukersmith ,&nbsp;Beatriz Olaya ,&nbsp;Leona Hakkaart-van Roijen","doi":"10.1016/j.invent.2026.100911","DOIUrl":"10.1016/j.invent.2026.100911","url":null,"abstract":"<div><div>This study examined contextual factors influencing the uptake and use of the EMPOWER digital mental health platform, implemented in small and medium-sized enterprises and public agencies in Spain, Poland, Finland, and the United Kingdom. The platform was developed within an EU-funded project to promote workplace mental health and evaluated in a randomised controlled trial assessing its effectiveness and cost-effectiveness. A mixed-methods design was applied combining logistic regression analyses of baseline employee data with qualitative semi-structured interviews exploring barriers and facilitators to engagement. Results indicated that successful uptake was supported by strong employer involvement, a positive workplace culture, clear communication of benefits and data privacy, tailoring of content to employee needs, and available technical support. Barriers included insufficient communication, limited organisational support, lack of allocated time for use, unclear instructions, and concerns about anonymity. Employers often expressed reluctance to take responsibility for facilitating implementation, reflecting low organisational readiness. While the platform itself was generally regarded as user-friendly, its integration into daily workplace practices was inconsistent, with many employees using it outside of working hours. In conclusion, effective and sustainable implementation of digital workplace mental health interventions requires more active stakeholder engagement, clearer and sustained communication strategies, and alignment with organisational policies and structures. Addressing these contextual factors is essential for maximising uptake and ensuring that digital health platforms such as EMPOWER achiever their intended impact in supporting mental health at work.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"43 ","pages":"Article 100911"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and preliminary effects of an individually customizable ecological momentary stress management intervention: A mixed methods pilot study","authors":"Hannah Tschenett ,&nbsp;Aljoscha Dreisörner ,&nbsp;Katrin Schäfer ,&nbsp;Ricarda Mewes ,&nbsp;Urs M. Nater","doi":"10.1016/j.invent.2025.100901","DOIUrl":"10.1016/j.invent.2025.100901","url":null,"abstract":"<div><div>While many interventions are known to reduce stress, evidence-based stress management interventions that can be applied during stressful events in everyday life are lacking. This pilot study investigated an ecological momentary intervention for everyday stress management, comprising eight modules (e.g., relaxation, music listening), in terms of its feasibility, its immediate effects following stressful events, and its pre- to post-intervention effects. Over 45 days, undergraduate psychology students (<em>N</em> = 27, 21.6 ± 1.9 years, 74 % female) completed momentary assessments four times daily and whenever they experienced stress. During the 35-day intervention period (days 6–40), participants were intra-individually randomized to either use the intervention (5–20 min intervention use) or not use the intervention (continuing with usual activities) after indicating a stressful event. Additionally, they used the intervention as needed in their daily lives. The feasibility of the intervention was indicated by no drop-outs, high usage rates and positive reports in the acceptability questionnaire and semi-structured group interviews, while lower compliance with momentary assessments indicates reduced feasibility of the study design. After using the intervention in response to stressful events, participants reported significantly decreased stress and negative affect. Moreover, participants showed improvements in stress, mindfulness, and self-compassion post-intervention. Our pilot findings suggest that the intervention is feasible and indicate reductions in event-related and daily stress in everyday life.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"43 ","pages":"Article 100901"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}