学習の最適化によるエンハンスメント:医学生を対象としたデジタルCBTベース介入のランダム化パイロットスタディ
Justin S Sanchez1, Demetrius Perry2, Anna Kinghorn2
1Washington University School of Medicine, St. Louis, MO, USA. j.s.sanchez@wustl.edu.
まとめ
デジタル認知行動療法(CBT)介入は、医学生のウェルビーイングを向上させ、燃え尽き症候群と不安を軽減しました。実現可能性は実証されましたが、高い中退率は時間的制約などの実施上の課題を浮き彫りにしました。
科学分野:
- デジタルヘルス介入; 医学教育; メンタルウェルビーイング
背景:
- 医学生はかなりのストレスと燃え尽き症候群に直面しています。デジタル介入は、学生のウェルビーイングのためのスケーラブルなソリューションを提供します。
研究 の 目的:
- 医学生のウェルビーイングのためのデジタル認知行動療法(CBT)介入を評価すること。エンハンスメント、燃え尽き症候群、および実現可能性、受容性への影響を評価すること。
主な方法:
- デジタルCBT(OptimalWork)とポッドキャストコントロールを比較する16週間のランダム化比較試験。リモート、自己ペースの介入(1日あたり10〜15分、4週間週5日)。実現可能性、受容性、エンハンスメント、燃え尽き症候群を評価しました。フィードバックの質的分析。
主要な成果:
- デジタルCBTは仕事へのエンゲージメントを向上させ、燃え尽き症候群、不安、ストレスを軽減し、エンハンスメントを増加させました。16週目までに高い中退率(56%)は、仕事へのエンゲージメントの低下とストレスの増加に関連していました。完了者は介入が実行可能で役立つと感じましたが、中退者は時間的制約を挙げました。
結論:
- デジタルCBT介入は、医学生のウェルビーイングを向上させるために実行可能です。実施には、エンゲージメントを向上させるための時間的制約や習慣形成などの障壁に対処する必要があります。
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