一种基于过程的、移动传输的个性化CBT治疗焦虑症的疗效：一项随机对照试验的研究方案

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 : 2025-01-25 DOI:10.1016/j.invent.2025.100805

Lizu Lai , Ying Li , Ziyi Zhao , Zhihong Ren

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引用次数: 0

摘要

基于互联网的认知行为疗法（ICBT）在治疗焦虑症方面是有效的，但在治疗反应和减少辍学率方面仍有改进的空间。本研究提出了一种个性化、模块化的ICBT干预方法，利用扩展的进化元模型提供一种动态和自适应的治疗方法，旨在提高可用性和疗效。方法本试验分两个阶段进行。第一阶段涉及182名参与者，他们将接受为期30天的生态瞬时评估，记录功能过程和焦虑水平，每天三次。收集的数据将有助于通过群体迭代多模型估计确定每个参与者焦虑的关键功能预测因子。在第二阶段，完成第一阶段的参与者将被随机分为三组：个性化CBT，标准CBT和等待名单。结果测量将包括简短的症状清单、焦虑的具体测量、可用性指标和辍学率。评估将在基线、治疗后立即以及1个月和3个月随访时进行。将使用线性混合模型来分析数据并确定干预的有效性。本研究的预期结果包括在焦虑症的个性化CBT方面取得进展，对其潜在益处和解决该领域现有挑战提供有价值的见解。

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Efficacy of a process-based, Mobile-delivered personalized CBT for anxiety disorders: Study protocol for a randomized controlled trial

Background

Internet-based Cognitive Behavioral Therapy (ICBT) is effective in treating anxiety disorders, yet there is room for improvement in treatment response and reduction in dropout rates. This study proposes a personalized, modular ICBT intervention that leverages the extended evolutionary meta-model to provide a dynamic and adaptive treatment approach, aiming to enhance usability and efficacy.

Methods

The trial will be conducted in two phases. Phase I involves 182 participants who will undergo a 30-day ecological momentary assessment to record functional processes and anxiety levels three times a day. The data collected will help in identifying key functional predictors of anxiety for each participant through group iterative multiple model estimation. In Phase II, participants who complete Phase I will be randomized into three groups: personalized CBT, standard CBT, and a waiting list. Outcome measures will include Brief Symptom Inventory, specific measures of anxiety, usability metrics, and dropout rates. Assessments will be conducted at baseline, immediately post-treatment, and at 1- and 3-month follow-ups. A linear mixed model will be utilized to analyze the data and determine the intervention's efficacy.

Discussion

Anticipated outcomes from this study include advancements in personalized CBT for anxiety disorders, contributing valuable insights into their potential benefits and addressing existing challenges in the field.

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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