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Association of Digital Engagement With Relaxation Tools and Stress Level Reduction: Retrospective Cohort Study
Inbar Breuer-Asher1, Marilyn D Ritholz2, David L Horwitz3
1DarioHealth, Caesarea, Israel.
JMIR Formative Research
|March 19, 2024
Summary
Digital app use significantly reduced stress symptoms over 10 weeks. Breathing exercises were key, moderating stress reduction and improving productivity, unlike video sessions alone.
Area of Science:
- Digital health interventions
- Behavioral health
- Mental wellness technology
Background:
- Stress is a prevalent global issue impacting mental and physical health.
- Digital therapeutic solutions show promise for stress management.
- Limited understanding exists regarding the impact of specific digital app components on stress levels.
Purpose of the Study:
- To investigate how relaxation tools within a digital app influence stress levels over time.
- To test the hypothesis that breathing exercises and CBT-based video sessions reduce stress.
- To examine the impact on perceived burden and productivity.
Main Methods:
- Retrospective analysis of 490 users of a behavioral health app.
- Tracking stress levels over 10 weeks using piecewise mixed-effects models.
- Simple slope analysis to assess moderation by breathing exercises and video sessions.
Main Results:
- Significant decrease in stress symptoms from weeks 1-6, maintained through week 10.
- Breathing exercises significantly moderated stress reduction (P=.03).
- Both breathing exercises and video sessions reduced perceived burden and lack of productivity.
Conclusions:
- Digital app engagement, particularly breathing exercises, is associated with reduced stress.
- Findings support personalization of digital interventions for mental health.
- Further research can enhance understanding of digital tool efficacy for diverse users.
Keywords:
CBTanxietybehavioral healthbreathing exercisescognitive behavioral therapydigital healthmental healthperceived stressrelaxationstress reductionvideo sessionsMore Related Videos
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