在线心理教育和放松训练计划（OnPR）对 COVID-19 患者心理健康问题的疗效：随机对照试验

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2024-01-05 DOI:10.1016/j.invent.2023.100705

Chotiman Chinvararak , Pantri Kirdchok , Chayut Wonglertwisawakorn , Pachara Pumjun , Nitchawan Kerdcharoen

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引用次数: 0

摘要

目的先前的研究发现，COVID-19 患者的焦虑、抑郁、压力和失眠发生率相对较高。本研究旨在探讨 OnPR 对无症状或症状轻微的 COVID-19 患者心理健康结果的疗效。本研究的泰国临床试验注册识别码为 TCTR20220729003。我们采用了由计算机程序生成的 4 个随机分组。干预组（38 人）接受 OnPR 程序，对照组（36 人）接受常规护理。OnPR是一种在线心理干预，包括心理教育、睡眠卫生教育和放松技巧。OnPR由经过标准协议培训的合格治疗师提供。主要结果是抑郁、焦虑和压力，由抑郁焦虑和压力量表-21（DASS-21）测定。睡眠质量通过匹兹堡睡眠质量指数（PSQI）进行测量。采用配对 t 检验或 Wilcoxon 符号秩检验对干预前和干预后 1、4 和 12 周的结果进行组间比较。此外，还采用了线性混合模型来证明 OnPR 随时间推移的效果变化。结果在 74 名泰国参与者中，89.2% 为女性，11.8% 为男性。平均年龄为 31 岁。除了 DASS-21 中的抑郁和压力评分外，干预组和对照组参与者的基线特征在统计学上无显著差异。OnPR明显改善了抑郁、焦虑、压力和睡眠质量。在 7 天的随访中，干预组与对照组在抑郁、焦虑和压力方面的 DASS-21 评分的平均差异分别为-4.69、-3.29 和-5.50。在 4 周和 12 周的随访中，差异仍然显著。结论OnPR改善了心理健康结果，对抑郁、焦虑和压力的影响至少持续了12周的随访期。此外，干预后还能提高睡眠质量。

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Efficacy of online psychoeducation and relaxation training program (OnPR) on mental health problems in COVID-19 patients: A randomized controlled trial

Purpose

Prior studies found that the prevalence of anxiety, depression, stress and insomnia were relatively high in COVID-19 patients. This study aimed to explore the efficacy of OnPR on mental health outcomes in patients with asymptomatic or mildly symptomatic COVID-19.

Patients and methods

We employed a randomized controlled trial following the CONSORT guidelines. The Thai Clinical Trials Registry identification number of this study is TCTR20220729003. We used a block of 4 randomizations generated by a computer program. The intervention group (n = 38) received the OnPR program, and the control group (n = 36) received care as usual. OnPR was an online psychological intervention comprising psychoeducation, sleep hygiene education and relaxation techniques. OnPR was provided by qualified therapists trained with a standard protocol. The primary outcomes were depression, anxiety, and stress, which were determined by the Depression Anxiety and Stress Scale-21 (DASS-21). Sleep quality was measured by the Pittsburgh Sleep Quality Index (PSQI). Outcomes were compared between groups at pre-intervention and post-intervention at 1, 4, and 12 weeks using paired t-test or Wilcoxon signed-rank test. In addition, a linear mixed model was employed to demonstrate the effect changes of OnPR over time. All analyses were two-tailed, with a significance level of 0.05.

Results

Of 74 Thai participants, 89.2 % were female, and 11.8 % were male. The average age was 31 years. Participants' baseline characteristics were not statistically significant between the intervention and control groups except for depression and stress scores from DASS-21. OnPR resulted in significantly better improvement in depression, anxiety, stress, and sleep quality. The mean differences between groups of DASS-21 scores in depression, anxiety and stress at 7-day follow-up were −4.69, −3.29, and −5.50 respectively. The differences continue to be significant at 4-week and 12-week follow-ups. The mean difference between groups of PSQI at 7-day follow-up is −0.91.

Conclusion

OnPR improved mental health outcomes, and the effect on depression, anxiety and stress lasted for at least a 12-week follow-up period. In addition, it could enhance sleep quality after the intervention.

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions