PDF(Pubmed)
Abstract：
BACKGROUND: Although adolescents report high levels of stress, they report engaging in few stress management techniques. Consequently, developing effective and targeted programs to help address this transdiagnostic risk factor in adolescence is particularly important. Most stress management programs for adolescents are delivered within schools, and the evidence for these programs is mixed, suggesting a need for alternative options for stress management among adolescents.
OBJECTIVE: The aim of the study is to test the short-term effects of a self-guided digital mental health intervention (DMHI) designed for adolescents on perceived stress and rumination (ie, brooding).
METHODS: This was a 12-week, 2-arm decentralized randomized controlled trial of adolescents aged 13 to 17 years who presented with elevated levels of perceived stress and brooding. Participants were randomly assigned to engage with a self-guided DMHI (Happify for Teens) or to a waitlist control. Participants assigned to the intervention group were given access to the program for 12 weeks. Happify for Teens consists of various evidence-based activities drawn from therapeutic modalities such as cognitive behavioral therapy, positive psychology, and mindfulness, which are then organized into several programs targeting specific areas of concern (eg, Stress Buster 101). Participants in the waitlist control received access to this product for 12 weeks upon completing the study. Participants in both groups completed measures of perceived stress, brooding, optimism, sleep disturbance, and loneliness at baseline, 4 weeks, 8 weeks, and 12 weeks. Changes in outcomes between the intervention and waitlist control groups were assessed using repeated-measures multilevel models.
RESULTS: Of the 303 participants included in data analyses, 132 were assigned to the intervention and 171 to the waitlist. There were significantly greater improvements in the intervention condition for perceived stress (intervention: B=-1.50; 95% CI -1.82 to -1.19; P<.001 and control: B=-0.09; 95% CI -0.44 to 0.26; P=.61), brooding (intervention: B=-0.84; 95% CI -1.00 to -0.68; P<.001 and control: B=-0.30; 95% CI -0.47 to -0.12; P=.001), and loneliness (intervention: B=-0.96; 95% CI -1.2 to -0.73; P<.001 and control: B=-0.38; 95% CI: -0.64 to -0.12; P=.005) over the 12-week study period. Changes in optimism and sleep disturbance were not significantly different across groups (Ps≥.096).
CONCLUSIONS: Happify for Teens was effective at reducing perceived stress, rumination, and loneliness among adolescents over 12 weeks when compared to a waitlist control group. Our data reveal the potential benefits of DMHIs for adolescents, which may present a more scalable, destigmatized, and cost-effective alternative to school-based programs.
BACKGROUND: ClinicalTrials.gov NCT04567888; https://clinicaltrials.gov/ct2/show/NCT04567888.
UNASSIGNED: RR2-10.2196/25545.
OBJECTIVE: The aim of the study is to test the short-term effects of a self-guided digital mental health intervention (DMHI) designed for adolescents on perceived stress and rumination (ie, brooding).
METHODS: This was a 12-week, 2-arm decentralized randomized controlled trial of adolescents aged 13 to 17 years who presented with elevated levels of perceived stress and brooding. Participants were randomly assigned to engage with a self-guided DMHI (Happify for Teens) or to a waitlist control. Participants assigned to the intervention group were given access to the program for 12 weeks. Happify for Teens consists of various evidence-based activities drawn from therapeutic modalities such as cognitive behavioral therapy, positive psychology, and mindfulness, which are then organized into several programs targeting specific areas of concern (eg, Stress Buster 101). Participants in the waitlist control received access to this product for 12 weeks upon completing the study. Participants in both groups completed measures of perceived stress, brooding, optimism, sleep disturbance, and loneliness at baseline, 4 weeks, 8 weeks, and 12 weeks. Changes in outcomes between the intervention and waitlist control groups were assessed using repeated-measures multilevel models.
RESULTS: Of the 303 participants included in data analyses, 132 were assigned to the intervention and 171 to the waitlist. There were significantly greater improvements in the intervention condition for perceived stress (intervention: B=-1.50; 95% CI -1.82 to -1.19; P<.001 and control: B=-0.09; 95% CI -0.44 to 0.26; P=.61), brooding (intervention: B=-0.84; 95% CI -1.00 to -0.68; P<.001 and control: B=-0.30; 95% CI -0.47 to -0.12; P=.001), and loneliness (intervention: B=-0.96; 95% CI -1.2 to -0.73; P<.001 and control: B=-0.38; 95% CI: -0.64 to -0.12; P=.005) over the 12-week study period. Changes in optimism and sleep disturbance were not significantly different across groups (Ps≥.096).
CONCLUSIONS: Happify for Teens was effective at reducing perceived stress, rumination, and loneliness among adolescents over 12 weeks when compared to a waitlist control group. Our data reveal the potential benefits of DMHIs for adolescents, which may present a more scalable, destigmatized, and cost-effective alternative to school-based programs.
BACKGROUND: ClinicalTrials.gov NCT04567888; https://clinicaltrials.gov/ct2/show/NCT04567888.
UNASSIGNED: RR2-10.2196/25545.
摘要：
背景：尽管青少年报告压力很大，他们报告说很少使用压力管理技术。因此,制定有效和有针对性的计划来帮助解决青春期的这一诊断风险因素尤为重要.大多数针对青少年的压力管理计划都是在学校内实施的，这些项目的证据好坏参半，这表明需要在青少年中进行压力管理的替代选择。
目的：研究的目的是测试为青少年设计的自我指导数字心理健康干预（DMHI）对感知压力和沉思的短期影响（即，沉思）。
方法：这是一个12周，2-arm分散式随机对照试验对13至17岁青少年的感知压力和沉思水平升高。参与者被随机分配使用自我指导的DMHI（青少年快乐）或等待列表控件。被分配到干预组的参与者被允许使用该计划12周。青少年的幸福包括从认知行为疗法等治疗方式中提取的各种基于证据的活动，积极心理学,和正念，然后将其组织成几个针对特定关注领域的项目(例如，应力克星101）。等待名单控制的参与者在完成研究后12周内获得了对该产品的访问。两组参与者都完成了感知压力的测量，沉思，乐观,睡眠障碍,基线时的孤独，4周,8周,和12周。使用重复测量多水平模型评估干预组和候补对照组之间的结果变化。
结果：在纳入数据分析的303名参与者中，132人被分配到干预中，171人被分配到等候名单中。感知压力的干预条件显着改善（干预：B=-1.50；95％CI-1.82至-1.19；P<.001，对照：B=-0.09；95％CI-0.44至0.26；P=.61），沉思（干预：B=-0.84；95％CI-1.00至-0.68；P<.001，对照：B=-0.30；95％CI-0.47至-0.12；P=.001），和孤独感（干预：B=-0.96;95％CI-1.2至-0.73;P<.001，对照：B=-0.38;95％CI：-0.64至-0.12;P=.005）。乐观和睡眠障碍的变化在各组之间没有显着差异（Ps≥0.096）。
结论：HappifyforTeens在减轻感知压力方面有效，沉思，与候补对照组相比，超过12周的青少年的孤独感。我们的数据揭示了DMHI对青少年的潜在益处，这可能会带来更具可扩展性的，被贬低，和具有成本效益的替代学校为基础的计划。
背景：ClinicalTrials.govNCT04567888;https://clinicaltrials.gov/ct2/show/NCT04567888。
■RR2-10.2196/25545。
目的：研究的目的是测试为青少年设计的自我指导数字心理健康干预（DMHI）对感知压力和沉思的短期影响（即，沉思）。
方法：这是一个12周，2-arm分散式随机对照试验对13至17岁青少年的感知压力和沉思水平升高。参与者被随机分配使用自我指导的DMHI（青少年快乐）或等待列表控件。被分配到干预组的参与者被允许使用该计划12周。青少年的幸福包括从认知行为疗法等治疗方式中提取的各种基于证据的活动，积极心理学,和正念，然后将其组织成几个针对特定关注领域的项目(例如，应力克星101）。等待名单控制的参与者在完成研究后12周内获得了对该产品的访问。两组参与者都完成了感知压力的测量，沉思，乐观,睡眠障碍,基线时的孤独，4周,8周,和12周。使用重复测量多水平模型评估干预组和候补对照组之间的结果变化。
结果：在纳入数据分析的303名参与者中，132人被分配到干预中，171人被分配到等候名单中。感知压力的干预条件显着改善（干预：B=-1.50；95％CI-1.82至-1.19；P<.001，对照：B=-0.09；95％CI-0.44至0.26；P=.61），沉思（干预：B=-0.84；95％CI-1.00至-0.68；P<.001，对照：B=-0.30；95％CI-0.47至-0.12；P=.001），和孤独感（干预：B=-0.96;95％CI-1.2至-0.73;P<.001，对照：B=-0.38;95％CI：-0.64至-0.12;P=.005）。乐观和睡眠障碍的变化在各组之间没有显着差异（Ps≥0.096）。
结论：HappifyforTeens在减轻感知压力方面有效，沉思，与候补对照组相比，超过12周的青少年的孤独感。我们的数据揭示了DMHI对青少年的潜在益处，这可能会带来更具可扩展性的，被贬低，和具有成本效益的替代学校为基础的计划。
背景：ClinicalTrials.govNCT04567888;https://clinicaltrials.gov/ct2/show/NCT04567888。
■RR2-10.2196/25545。
