在压力下医疗保健工作者家庭的正念应用干预的可行性和可接受性:试点微型随机试验
Sun-Kyung Lee1, Sydni A J Basha2, Qiyue Cai2
1T. Denny Sanford Harmony Institute, Arizona State University, Tempe, AZ 85287, USA.
移动正念干预对于医疗保健工作者家庭来说是可行的和可以接受的. 虽然直接减轻压力的效果有限,但研究结果指导了未来的适应性干预,突出了改善可穿戴技术的需求.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 基于正念的减轻压力
- 人与计算机的互动.
背景情况:
- 随着COVID-19大流行,医疗保健工作者及其家属面临着极度压力的环境.
- 移动健康 (mHealth) 干预在危机期间提供可访问的支持.
- 在移动健康中,可穿戴技术的整合带来了机遇和挑战.
研究的目的:
- 评估 apt.mind 的可行性,可接受性和可用性,apt.mind 是一个带有智能手表组件的移动应用程序,适用于医疗保健工作者的家庭.
- 探索移动正念干预对瞬间压力的初步结果.
- 为发展应激管理的即时适应性干预 (JITAI) 提供信息.
主要方法:
- 一个微随机试验 (MRT) 设计,每天随机选择102个医疗保健工作者家庭,持续30天.
- 干预组包括基于应用程序的音频正念,推送通知提示或没有干预.
- 评估了可行性 (注册,保留,参与),可接受性,可用性和瞬间压力.
主要成果:
- 很高的保留率 (100%) 和调查完成率 (80%) 表示可行性和可接受性.
- 参与者报告了中等到高的可用性,但智能手表数据质量受到技术问题的限制.
- 没有发现对瞬间压力的重大主要影响,尽管年龄减轻了音频练习的影响.
结论:
- 移动正念干预对于像医疗保健工作者家庭这样的高压力人群来说是可行的和可以接受的.
- 未来的JITAI开发需要增强可穿戴技术和精细的MRT策略,以获得更好的生理数据和减少评估负担.
- 该研究为优化数字心理健康工具在苛刻的环境中提供了有价值的见解.
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