基于认知行为治疗的实践的及时交付:单个案例实验设计与随机多个基线
Takeyuki Oba1, Keisuke Takano1, Daichi Sugawara2
1Human Informatics and Interaction Research Institute, National Institute of Advanced Industrial Science and Technology, 1-1-1 Higashi, Tsukuba, 305-8566, Japan, 81 50-3522-4500.
JMIR formative research
|July 24, 2025
概括
这项研究表明,通过智能手机提供的即时适应干预 (JITAI) 可以有效地减少日常压力和抑郁的反. 基于认知行为疗法 (CBT) 的移动干预对参与者来说是可行的和有帮助的,证明了心理健康护理的潜力.
科学领域:
- 数字健康数字健康
- 心理健康技术 心理健康技术
- 行为科学 行为科学
背景情况:
- 准时适应性干预 (JITAI) 通过自动,远程交付提供可扩展和精确的心理健康支持.
- 智能手机应用程序可以评估用户的心理状态,并提示及时的行为参与.
- JITAI对精确健康有希望,但经验证据仍然有限.
研究的目的:
- 实施和评估基于智能手机的JITAI,用于使用认知行为疗法 (CBT) 进行日常压力管理.
- 通过单个案例实验设计,评估JITAI的可行性和有效性.
主要方法:
- 招募了8名日本成年人参加一项为期28天的AB阶段设计和多个随机基线的研究.
- 参与者通过智能手机每天报告三次压力水平.
- 根据干预阶段报告的压力水平,提供了基于CBT的干预,包括6项练习.
主要成果:
- 大约70%的参与者认为干预措施是有用的.
- 干预后观察到报告的压力水平的统计学显著下降 (P=.005).
- 检测到暂时压力 (科恩dZ=0.58) 和抑郁性反 (科恩dZ=1.17) 的显著急性减少.
结论:
- 移动JITAI干预是可行的,并且有效地减少了研究样本中的压力和反.
- 限制包括一个小的非临床样本,可能会限制概括性.
- 需要进一步的研究来巩固关于移动心理健康干预措施的技术,技术和临床方面的结论.
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