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

{"title":"Mobile sensing to advance tumor modeling in cancer patients: A conceptual framework","authors":"Philip I. Chow ,&nbsp;Devin G. Roller ,&nbsp;Mehdi Boukhechba ,&nbsp;Kelly M. Shaffer ,&nbsp;Lee M. Ritterband ,&nbsp;Matthew J. Reilley ,&nbsp;Tri M. Le ,&nbsp;Paul R. Kunk ,&nbsp;Todd W. Bauer ,&nbsp;Daniel G. Gioeli","doi":"10.1016/j.invent.2023.100644","DOIUrl":"10.1016/j.invent.2023.100644","url":null,"abstract":"<div><p>As mobile and wearable devices continue to grow in popularity, there is strong yet unrealized potential to harness people's mobile sensing data to improve our understanding of their cellular and biologically-based diseases. Breakthrough technical innovations in tumor modeling, such as the three dimensional tumor microenvironment system (TMES), allow researchers to study the behavior of tumor cells in a controlled environment that closely mimics the human body. Although patients' health behaviors are known to impact their tumor growth through circulating hormones (cortisol, melatonin), capturing this process is a challenge to rendering realistic tumor models in the TMES or similar tumor modeling systems. The goal of this paper is to propose a conceptual framework that unifies researchers from digital health, data science, oncology, and cellular signaling, in a common cause to improve cancer patients' treatment outcomes through mobile sensing. In support of our framework, existing studies indicate that it is feasible to use people's mobile sensing data to approximate their underlying hormone levels. Further, it was found that when cortisol is cycled through the TMES based on actual patients' cortisol levels, there is a significant increase in pancreatic tumor cell growth compared to when cortisol levels are at normal healthy levels. Taken together, findings from these studies indicate that continuous monitoring of people's hormone levels through mobile sensing may improve experimentation in the TMES, by informing how hormones should be introduced. We hope our framework inspires digital health researchers in the psychosocial sciences to consider how their expertise can be applied to advancing outcomes across levels of inquiry, from behavioral to cellular.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"34 ","pages":"Article 100644"},"PeriodicalIF":4.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782923000441/pdfft?md5=9405840ce38b5e079321463e2b5d1df1&pid=1-s2.0-S2214782923000441-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42038849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incorporating technology in research with older bereaved adults: Lessons learned from conducting an internet-based randomized controlled trial","authors":"Thandi Lyew ,&nbsp;Joseph Kazan ,&nbsp;Khusbu Patel ,&nbsp;Emilee Croswell ,&nbsp;Sejuty Minhaj ,&nbsp;Adrianna Lopaczynski ,&nbsp;Ioana Neagoe ,&nbsp;Sarah T. Stahl","doi":"10.1016/j.invent.2023.100645","DOIUrl":"10.1016/j.invent.2023.100645","url":null,"abstract":"<div><h3>Objective</h3><p>Digital health interventions (DHI) involve multiple interactions between the user, technology platform, and study team, posing challenges for implementation. This paper describes the lessons learned while implementing an internet-based randomized controlled trial (RCT) for reducing depression symptom burden in older acutely-bereaved adults.</p></div><div><h3>Methods</h3><p>The RCT was entitled “Widowed Elders' Lifestyle after Loss” (or WELL), which compared the efficacy of a DHI to an enhanced usual care (EUC) for reducing depression symptoms in adults 60+ years who lost their spouse/life partner within the previous 12 months. Participants randomized to the DHI used their own tablet, smartphone, or pc to record the timing and regularity of sleep, meals, and physical activity twice daily, for 12 weeks. The also received weekly health coaching sessions from a clinician certified in motivational interviewing. Participants randomized to the EUC arm received weekly calls from research staff and were assessed on the same schedule as intervention participants. All study procedures were conducted virtually. Methodological and procedural challenges were discussed weekly with study staff and the primary investigator.</p></div><div><h3>Results</h3><p>Many challenges can be categorized as follows recruiting virtually, obtaining informed consent, training older adults to use technology, and establishing rapport with older adults. Solutions required researcher and interventionist flexibility in adapting to new strategies. For instance, we redesigned the informed consent process to include a user-friendly brochure that enhanced participants' understanding of the RCT and improved our enrollment rate. We also utilized user-engagement in refining an intervention protocol.</p></div><div><h3>Conclusion</h3><p>We resolved implementation challenges without compromising internal validity via interdisciplinary collaborations with mobile programmers to ensure our technology met the unique and varied needs of aging users. The solutions from this study may promote the recruitment and retainment of older adults in research studies that use technology-based interventions.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"34 ","pages":"Article 100645"},"PeriodicalIF":4.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782923000453/pdfft?md5=80e5d7346218570e162eef1271b0277f&pid=1-s2.0-S2214782923000453-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45790207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of client stories in internet-delivered cognitive behaviour therapy: A mixed-methods evaluation","authors":"Heather D. Hadjistavropoulos ,&nbsp;Taylor G. Hill ,&nbsp;Aaron E. Philipp-Muller ,&nbsp;Blake Dear ,&nbsp;Nick Titov","doi":"10.1016/j.invent.2023.100692","DOIUrl":"https://doi.org/10.1016/j.invent.2023.100692","url":null,"abstract":"<div><p>Internet-delivered Cognitive-Behavioural Therapy (ICBT) aims to support people with mental health concerns using online treatment materials. Client stories (either real or a composite based on many clients) are often used in ICBT to facilitate learning. However, these stories remain understudied in terms of how they are perceived by clients, as well as their relationship to ICBT engagement, satisfaction, and outcomes. Among a sample of 324 clients enrolled in transdiagnostic ICBT targeting symptoms of depression and anxiety, we examined client perceptions of stories through mixed-method qualitative (open-ended) and quantitative (closed-ended) data collection. Specifically, 234 (72.22 %) clients responded to questions about stories at 4 weeks and 221 (68.21 %) responded to questions at 8 weeks. Most clients who responded to questions endorsed reviewing at least some stories (79.06 % at 4 weeks, 71.95 % at 8 weeks). Moreover, they rated stories positively in terms of being relatable, making clients feel less alone, increasing knowledge, providing ideas for how to use skills, and motivating clients to use skills. These perceptions of stories remained stable over the course of treatment. Stories were perceived more positively among those with lower symptom severity at 8 weeks as well as those who were more satisfied with ICBT at 8 weeks. Story perceptions at 4 weeks were predictive of decreased post-treatment anxiety symptom severity but not depression while controlling for baseline scores, age, and education. 26.49 % of clients at 4 weeks who reviewed stories and 33.33 % at 8 weeks provided suggestions about how to improve stories. In a qualitative analysis, we found 5 categories of suggestions including increasing the variety of issues and relatability of stories, ensuring the stories are realistic, refining the formatting, and making the stories shorter. Overall, this study provides insights into how client stories could be improved to play a more significant role in future ICBT programs.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"34 ","pages":"Article 100692"},"PeriodicalIF":4.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782923000921/pdfft?md5=6fd28c36143792274e12f62c07678e74&pid=1-s2.0-S2214782923000921-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of tailoring features and reasons for dropout in a guided internet-based transdiagnostic individually-tailored cognitive behavioral therapy for symptoms of depression and/or anxiety in college students","authors":"Marketa Ciharova ,&nbsp;Pim Cuijpers ,&nbsp;Yagmur Amanvermez ,&nbsp;Heleen Riper ,&nbsp;Anke M. Klein ,&nbsp;Felix Bolinski ,&nbsp;Leonore M. de Wit ,&nbsp;Claudia M. van der Heijde ,&nbsp;Ronny Bruffaerts ,&nbsp;Sascha Struijs ,&nbsp;Reinout W. Wiers ,&nbsp;Eirini Karyotaki","doi":"10.1016/j.invent.2023.100646","DOIUrl":"10.1016/j.invent.2023.100646","url":null,"abstract":"<div><p>Transdiagnostic individually-tailored digital interventions reduce symptoms of depression and anxiety in adults with moderate effects. However, research into these approaches for college students is scarce and contradicting. In addition, the exact reasons for intervention dropout in this target group are not well known, and the use of individually-tailored intervention features, such as optional modules, has not yet been explored. The current study aimed to (1) investigate reasons for dropout from a guided internet-based transdiagnostic individually-tailored intervention for college students assessed in a randomized controlled trial (RCT) and (2) evaluate whether participants used tailoring features intended for their baseline symptoms. A sample of college students with mild to moderate depression and/or anxiety symptoms (<em>n</em> = 48) in the Netherlands (partially) followed a guided internet-based transdiagnostic individually-tailored intervention. We contacted those who did not complete the entire intervention (<em>n</em> = 29) by phone to report the reasons for intervention dropout. Further, we descriptively explored the use of tailoring features (i.e., depression versus anxiety trajectory) and optional modules of the intervention in the whole sample. We identified a range of person- and intervention-related reasons for intervention dropout, most commonly busy schedules, needs for different kinds of help, or absence of personal contact. Furthermore, only less than half of the participants used the individually-tailoring features to address the symptoms they reported as predominant. In conclusion, digital interventions clear about the content and targeted symptoms, tested in user research could prevent dropout and create reasonable expectations of the intervention. Participants would benefit from additional guidance when using tailoring features of digital interventions, as they often do not choose the tailoring features targeting their baseline symptoms.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"34 ","pages":"Article 100646"},"PeriodicalIF":4.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782923000465/pdfft?md5=a4408314f5e65d085240859f2099c0e3&pid=1-s2.0-S2214782923000465-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45365588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the impact of short animated videos on COVID-19 vaccine hesitancy: An online randomized controlled trial","authors":"Ferdinand Beleites ,&nbsp;Maya Adam ,&nbsp;Caterina Favaretti ,&nbsp;Violetta Hachaturyan ,&nbsp;Tilman Kühn ,&nbsp;Till Bärnighausen ,&nbsp;Sandra Barteit","doi":"10.1016/j.invent.2023.100694","DOIUrl":"https://doi.org/10.1016/j.invent.2023.100694","url":null,"abstract":"<div><p>Addressing the global challenge of vaccine hesitancy, amplified during the COVID-19 pandemic due to misinformation propagated via social media, necessitates innovative health communication strategies. This investigation scrutinizes the efficacy of Short, Animated, Story-based (SAS) videos in fostering knowledge, behavioral intent, and engagement around COVID-19 vaccination.</p><p>We conducted an online three-arm parallel randomized controlled trial (RCT) involving 792 adult participants (≥18 years, English-speaking) from the United States. The intervention group viewed a SAS video on COVID-19 vaccination, the attention placebo control group watched a SAS video on hope, and the control group received no intervention. Our primary objectives were to assess the influence of SAS videos on knowledge, behavioral intent, and engagement regarding COVID-19 vaccination.</p><p>Participants in the intervention group displayed significantly higher mean knowledge scores (20.6, 95 % CI: 20.3–20.9) compared to both the attention placebo control (18.8, 95 % CI: 18.5–19.1, <em>P</em> &lt; .001) and control groups (18.7, 95 % CI: 18.4–19.0, P &lt; .001). However, SAS videos did not notably affect behavioral intent. Perception of COVID-19 as a significant health threat emerged as a strong predictor for engaging with the post-trial video without further incentives (OR: 0.44; 95 % CI: 0.2–0.96). The 35–44 age group exhibited the highest post-trial engagement (<em>P</em> = .006), whereas right-wing political inclination negatively associated with engagement (OR: 1.98; 95 % CI: 3.9–1.01). Vaccination status correlated significantly with self-efficacy (<em>P</em> &lt; .001), perceived social norms (P &lt; .001), and perceived response efficacy of the COVID-19 vaccine (P &lt; .001), all heightened in the intervention group.</p><p>These findings suggest that while SAS videos effectively amplify COVID-19 vaccination knowledge, their impact on behavioral intent is not direct. They do, however, affect determinants of vaccination status, thereby indirectly influencing vaccination behavior. The study highlights the appeal of SAS videos among younger audiences, but underscores the need for further examination of factors impeding vaccination engagement. As SAS videos closely mirror conventional social media content, they hold significant potential as a public health communication tool on these platforms.</p><p><strong>Trial Registration:</strong> Trial was registered at drks.de with the identifier DRKS00027938, on 5 January 2022.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"35 ","pages":"Article 100694"},"PeriodicalIF":4.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782923000945/pdfft?md5=c91f8b67930d977ca8dc6fad1b2c587d&pid=1-s2.0-S2214782923000945-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138490544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transforming guided internet interventions into simplified and self-guided digital tools – Experiences from three recent projects","authors":"Martin Kraepelien ,&nbsp;Amira Hentati ,&nbsp;Dorian Kern ,&nbsp;Christopher Sundström ,&nbsp;Susanna Jernelöv ,&nbsp;Nils Lindefors","doi":"10.1016/j.invent.2023.100693","DOIUrl":"https://doi.org/10.1016/j.invent.2023.100693","url":null,"abstract":"<div><h3>Introduction</h3><p>Therapist-guided internet interventions are often more efficacious than unguided ones. However, the guidance itself requires clinician time, and some research suggests that self-guided interventions could potentially be equally effective. The concept of digital psychological self-care, self-guided internet interventions based on the use of digital tools and provided within a structured clinical process, is presented.</p></div><div><h3>Methods</h3><p>Three new self-care interventions, a sleep diary-based intervention for insomnia, an alcohol diary-based intervention for problematic alcohol use and an intervention with exposure and mindfulness tools for atopic dermatitis (eczema), were developed. Newly developed digital self-care interventions were compared to the earlier therapist-guided interventions they were based on, using published results from three feasibility trials (n's = 30, 36 and 21) and three randomized trials (n's = 148, 166 and 102). The comparison included type of content, duration, length of written material and within-group effect-sizes.</p></div><div><h3>Results</h3><p>In comparison to the guided interventions, clinician time was greatly reduced and the new interventions involved much less reading for participants. The digital self-care tools also showed within-group effect sizes and response rates on par with the more comprehensive guided internet interventions.</p></div><div><h3>Discussion</h3><p>Preliminary results suggest that some guided internet interventions can be transformed into self-guided digital tools. These three examples show that digital psychological self-care, if provided with telephone interviews before and after the intervention, can be viable alternatives to more comprehensive guided internet interventions. Although these examples are promising, further studies, including randomized experiments, are needed to compare treatment efficacies, and to identify which groups of patients may need more comprehensive guided internet interventions.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"34 ","pages":"Article 100693"},"PeriodicalIF":4.3,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782923000933/pdfft?md5=e02d00e1c75a1cbd845391219d68e402&pid=1-s2.0-S2214782923000933-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138430837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapist-guided, Internet-delivered cognitive behaviour therapy for adolescents with body dysmorphic disorder: A feasibility trial with long-term follow-up","authors":"Daniel Rautio ,&nbsp;Per Andrén ,&nbsp;Martina Gumpert ,&nbsp;Maral Jolstedt ,&nbsp;Amita Jassi ,&nbsp;Georgina Krebs ,&nbsp;Markus Jansson-Fröjmark ,&nbsp;Tobias Lundgren ,&nbsp;Eva Serlachius ,&nbsp;David Mataix-Cols ,&nbsp;Lorena Fernández de la Cruz","doi":"10.1016/j.invent.2023.100688","DOIUrl":"https://doi.org/10.1016/j.invent.2023.100688","url":null,"abstract":"<div><p>Body dysmorphic disorder (BDD) is a prevalent and impairing psychiatric condition that typically debuts in adolescence and is associated with risky behaviours. The disorder can be effectively treated with cognitive behaviour therapy (CBT). However, CBT for BDD is seldom available primarily due to a shortage of trained therapists. Internet-delivered CBT (ICBT) can be a way to increase treatment availability. The aim of this feasibility trial was to evaluate the feasibility, safety, and preliminary efficacy of a CBT protocol for adolescents with BDD, adapted to be delivered over the Internet with minimal therapist support. A total of 20 participants (12–17-year-olds) meeting criteria for BDD were recruited nationally to a specialist outpatient clinic in Stockholm, Sweden. One participant withdrew consent and their data could not be analysed. Nineteen participants were offered 12 modules of therapist-guided ICBT for BDD and were followed up to 12 months post-treatment. Preliminary efficacy was measured at the a priori primary endpoint (3-month follow-up) and at the 12-month follow-up with the clinician-rated Yale-Brown Obsessive Compulsive Scale Modified for BDD for Adolescents. The treatment was rated as both credible and satisfactory and was associated with a large and statistically significant reduction in BDD symptom severity (<em>d</em> = 2.94). The proportion of participants classified as responders at the primary endpoint was 73.7%, and the proportion of full or partial remitters was 63.2%. The average therapist support time was 8 min per participant per week. Treatment gains continued to accrue up to the 12-month follow-up. Two participants attempted suicide and another two reported non-suicidal self-injuries during the study period. ICBT with minimal therapist support is a feasible, potentially efficacious, and durable treatment for adolescents with BDD. Risky behaviours typical of this patient group should be carefully monitored during treatment.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"34 ","pages":"Article 100688"},"PeriodicalIF":4.3,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221478292300088X/pdfft?md5=8685b06b1d1f8028230e14b7d68dba93&pid=1-s2.0-S221478292300088X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134653695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathological network changes in patients with social anxiety disorder before and after an Internet-based CBT","authors":"Xu Wen ,&nbsp;Juergen Margraf ,&nbsp;Mingyi Qian ,&nbsp;Thomas Berger ,&nbsp;Nan Zhao ,&nbsp;Mengke Gou ,&nbsp;Shijuan Wei","doi":"10.1016/j.invent.2023.100691","DOIUrl":"https://doi.org/10.1016/j.invent.2023.100691","url":null,"abstract":"<div><p>A network perspective may shed light on the understanding of Internet-based CBT efficacy for social anxiety disorder. Previous cross-sectional evidence revealed a densely interconnected network for individuals with social anxiety. Yet, longitudinal network changes before and after ICBT are lacking. This study aimed to investigate pathological network changes with Graphical Gaussian Model among patients with social anxiety disorder (n = 249). Social phobia scale (SPS) and Social interaction anxiety scale (SIAS) were measured before and after 8 weeks Internet-based CBT. Results revealed the connection between symptom tension when speaking and symptom awkward when being watched was the most robust edges during ICBT interventions. The pathological network benefited from ICBT and exhibited modification in several prominent interconnections. The overall network connectivity continues to exhibit comparable strength after ICBT. This study represents the first examination of social anxiety network changes after patients with SAD completed a systematic ICBT. Changes in critical edges and nodes provide valuable insights for the design and efficacy assessment of ICBT interventions.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"34 ","pages":"Article 100691"},"PeriodicalIF":4.3,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221478292300091X/pdfft?md5=6fd4e06228303ac61b96c36648df0348&pid=1-s2.0-S221478292300091X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134653694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Design and development of a digital intervention for workplace stress and mental health (EMPOWER)","authors":"Christina M. van der Feltz-Cornelis ,&nbsp;Jessie Shepherd ,&nbsp;Jessie Gevaert ,&nbsp;Karen Van Aerden ,&nbsp;Christophe Vanroelen ,&nbsp;Oriol Borrega Cepa ,&nbsp;Laura González Recio ,&nbsp;Renaldo M. Bernard ,&nbsp;Ellen Vorstenbosch ,&nbsp;Paula Cristóbal-Narváez ,&nbsp;Mireia Felez-Nobrega ,&nbsp;Carlota de Miquel ,&nbsp;Dorota Merecz-Kot ,&nbsp;Kaja Staszewska ,&nbsp;Marjo Sinokki ,&nbsp;Päivi Naumanen ,&nbsp;Leona Hakkaart-van Roijen ,&nbsp;Frédérique van Krugten ,&nbsp;Marleen de Mul ,&nbsp;Josep Maria Haro ,&nbsp;Beatriz Olaya","doi":"10.1016/j.invent.2023.100689","DOIUrl":"10.1016/j.invent.2023.100689","url":null,"abstract":"<div><h3>Purpose</h3><p>We describe the design and development of the European Platform to Promote health and wellbeing in the workplace (EMPOWER) digital intervention that provides an integrative user programme meeting the needs of employees and employers in addressing work stress.</p></div><div><h3>Results</h3><p>A user-centred design process was followed from January 2020 until November 2021. A tailored algorithm was developed to provide support at the individual employee level and the company level. Each element of the digital intervention was developed in English and then translated in Spanish, English, Polish and Finnish. The digital intervention consists of a website and a mobile application (app) that provides algorithm-based personalised content after assessing a user's somatic and psychological symptoms, work functioning, and psychosocial risk factors for work stress. It has a public section and an employer portal that provides recommendations to reduce psychosocial risks in their company based upon clustered input from employees. Usability testing was conducted and showed high ease of use and completion of tasks by participants.</p></div><div><h3>Conclusion</h3><p>The EMPOWER digital intervention is a tailored multimodal intervention addressing wellbeing, work stress, mental and physical health problems, and work productivity. This will be used in a planned RCT in four countries to evaluate its effectiveness.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"34 ","pages":"Article 100689"},"PeriodicalIF":4.3,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782923000891/pdfft?md5=43934b6708c2f268b59515449dc907c4&pid=1-s2.0-S2214782923000891-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135454743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review and meta-analysis of Internet-based self-help interventions for mental health among adolescents and college students","authors":"Qing Wang ,&nbsp;Weixin Zhang ,&nbsp;Senbo An","doi":"10.1016/j.invent.2023.100690","DOIUrl":"https://doi.org/10.1016/j.invent.2023.100690","url":null,"abstract":"<div><h3>Purpose</h3><p>This meta-analysis aims to evaluate the impact of Internet-based self-help interventions on the mental health of adolescents and college students.</p></div><div><h3>Methods</h3><p>We conducted a systematic review of randomized controlled trials (RCTs) that investigated Internet-based self-help interventions aiming to mitigate mental health symptoms such as anxiety and depression, as well as managing high levels of stress, among adolescents and college students. Our search spanned databases including Web of Science, PubMed, Cochrane Library, and Embase, up until November 1st, 2022. It is essential to emphasize that our focus was the evaluation of symptoms (continuous outcomes), rather than the diagnosis of specific mental disorders. The meta-analysis was performed using the R version 4.3.1. The effect size measure was the standardized mean difference (SMD), and random-effects models were used to pool data from eligible RCTs. Subgroup analyses were carried out to examine variations in intervention effects based on factors such as sample type, intervention modality, guidance type, and intervention duration.</p></div><div><h3>Results</h3><p>The meta-analysis was based on 25 comparisons involving a total of 4480 participants. In comparison to the control group (<em>n</em> = 2125), participants receiving interventions (<em>n</em> = 2355) reported significant reductions in symptoms of anxiety, depression, and stress, along with a significant improvement in quality of life. Specifically, for depression, we observed moderate intervention effects (SMD = −0.42, 95 % CI: −0.56, −0.27), and a similar pattern was seen for quality of life (SMD = 0.36, 95%CI: 0.22, 0.49). Small intervention effects were found for anxiety (SMD = −0.35, 95 % CI [−0.48, −0.22]) and stress (SMD = −0.35, 95 % CI [−0.51, −0.20]). Given significant heterogeneity, subgroup analyses were conducted for anxiety and depression, considering factors such as sample type, intervention method, and intervention duration. Notably, college students experienced more significant benefits in both anxiety and depression alleviation compared to adolescents. Longer interventions (&gt;8 weeks) were particularly effective in reducing anxiety and depression. Additionally, third-wave cognitive-behavioral therapy (CBT) showed pronounced intervention effects in both outcome measures, while the presence of guidance did not notably influence results.</p></div><div><h3>Conclusion</h3><p>This meta-analysis underscores the positive impact of Internet-based self-help programs in alleviating the symptoms of psychological disorders among adolescents and college students. However, it is crucial to acknowledge that the available evidence exhibits inconsistencies and limitations. Therefore, further research utilizing rigorous methodologies is necessary to verify and broaden the findings of this meta-analysis.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"34 ","pages":"Article 100690"},"PeriodicalIF":4.3,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782923000908/pdfft?md5=75fec3ae483a7ded149b344541e7b0f6&pid=1-s2.0-S2214782923000908-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92019533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}