使用人类支持在移动技术交付的干预中提高参与度,实践整合和技能学习:与抑郁的大学生进行随机对照试验
Colleen S Conley1, Brynn M DeLorenzo1,2, Carol H Gonzales1,3
1Psychology Department, Loyola University Chicago, Chicago, IL, United States.
JMIR formative research
|August 25, 2025
概括
面对面的指导显著改善了患有抑郁症的大学生与正念应用程序 (mTDI) 的接触. 这种增强增加了应用程序的使用,技能整合和学习,解决了心理健康服务的差距.
科学领域:
- 心理学
- 数字健康
- 心理健康干预措施
背景情况:
- 大学生面临高抑郁率和有限的心理健康服务.
- 移动技术提供的干预 (mTDI) 提供了可扩展的解决方案,但用户参与度很低.
- 像Headspace这样的正念应用显示出希望, 但需要提高用户吸收和持续使用的策略.
研究的目的:
- 评估两个人力支持增强对抑郁症学生的mTDI参与,实践整合和技能学习的影响.
- 调查面对面指导和同行支持责任小组对mTDI使用的影响.
- 评估自我报告和客观捕获的参与度.
主要方法:
- 一个随机对照试验, 123名大学生被诊断患有抑郁症.
- 参与者可以使用Headspace正念应用程序.
- 干预包括一次性面对面的指导和/或安置在同行支持的问责组.
- 应用程序使用数据被客观地捕获,参与者在1,2,3个月完成了自我报告评估.
主要成果:
- 与没有增强相比,参加面对面的指导显著增加了mTDI参与度 (冥想的分钟,完成的会议).
- 导向组表现出更多的实践融合 (日常正念,未来使用的可能性) 和技能学习 (意识到思想/感受).
- 相互支持的问责小组没有产生超出指导范围的额外显著利益.
结论:
- 面对面的初步指导是有效的促进mTDI参与,技能融入日常生活,和学习的大学生.
- 需要进一步的研究来确定推动这些改进的具体组成部分.
- 优化支持性问责策略可以进一步提高参与和干预的好处.
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