背景:受损的福祉和心理健康问题对全世界的个人和社会构成重大威胁。单靠资源密集型心理治疗无法减轻这一负担。需要低成本,旨在预防疾病和促进福祉的循证干预措施。五个活动领域似乎与人群中的福祉促进有关:与他人联系,活跃,注意到,学习,慷慨/给予。提到的活动是“五种幸福方式”框架和基于网络的干预“五种幸福方式”的一部分。
目的:这项随机对照试验旨在测试5种方法A干预的效果,基于网络的,低成本,针对普通人群的福利促进措施。迄今为止,五种方式的福祉框架还没有在这个特定的格式测试。5waysA干预包括在10周内交付的2个网络研讨会和SMS文本消息提醒。
方法:2021年,来自挪威不同地区的969名研究参与者通过网页公开招募。然后将他们随机分配到干预组或2个等待名单对照组中的1个,即,主动或被动。自我报告生活满意度(生活满意度量表[SWLS]),蓬勃发展(蓬勃发展规模[FS]),积极的情绪,焦虑,和抑郁症状(霍普金斯症状清单-8[HSCL-8])在干预前进行评估,在干预后4周,干预后1-2周(超过10周)。使用线性混合(多水平)模型进行数据分析。
结果:10周后,453名参与者(171名在干预组和282名在等待名单对照组)对结果变量进行了评估,辍学率为53.2%(516/969)。结果显示,与对照组相比,干预组的SWLS增加明显(b=0.13,95%CI0.03-0.23;P=0.001),FS(b=0.19,95%CI0.08-0.30;P=.001),积极情绪(b=0.43,95%CI0.27-0.60;P<.001),这些因素结合在一起成为一个全球幸福感指标(b=0.28,CI0.16-0.39;P<.001)。福祉结果的效应大小(Cohend)范围为0.30至0.49。此外,观察到焦虑和抑郁症状显著减少(b=-0.17,95%CI-0.30至-0.04;P=.001),效应大小(Cohend)为-0.20.
结论:研究结果表明,基于网络的5waysA干预措施可以作为提高普通人群幸福感和心理健康的有效方法。这项研究为个人提供了,政策制定者,和当地利益攸关方一个容易获得和可能具有成本效益的福祉干预措施,可以很容易地实施。
背景:ClinicalTrials.govNCT04784871;https://clinicaltrials.gov/study/NCT04784871。
BACKGROUND: Compromised well-being and mental health problems pose a significant threat to individuals and societies worldwide. Resource-intensive psychological treatments alone cannot alleviate this burden. There is a need for low-cost, evidence-based interventions aimed at preventing illness and promoting well-being. Five activity domains appear to be linked with well-being promotion across populations: connecting with others, being active, taking notice, learning, and being generous/giving. The activities mentioned are part of the Five Ways to Wellbeing
framework and the web-based intervention Five Ways to Wellbeing for All (5waysA).
OBJECTIVE: This randomized controlled
trial aims to test the effects of the 5waysA intervention, a web-based, low-cost, well-being-promoting measure targeting the general population. To date, the Five Ways to Wellbeing
framework has not been tested in this specific format. The 5waysA intervention comprises 2 webinars and SMS text message reminders delivered over a 10-week period.
METHODS: In 2021, a total of 969
study participants from various regions across Norway were openly recruited through a web page. They were then randomly assigned to either an intervention group or 1 of 2 waiting list control groups, namely, active or passive. Self-reported life satisfaction (Satisfaction With Life Scale [SWLS]), flourishing (Flourishing Scale [FS]), positive emotions, anxiety, and depression symptoms (Hopkins Symptom Checklist-8 [HSCL-8]) were assessed before the intervention, at 4 weeks into the intervention, and 1-2 weeks after the intervention (over 10 weeks). Data analysis was conducted using linear mixed (multilevel) models.
RESULTS: After 10 weeks, 453 participants (171 in the intervention group and 282 in the waiting list control group) were assessed on outcome variables, with a dropout rate of 53.2% (516/969). Results revealed a significantly greater increase in the intervention group compared with the controls for SWLS (b=0.13, 95% CI 0.03-0.23; P=.001), FS (b=0.19, 95% CI 0.08-0.30; P=.001), positive emotions (b=0.43, 95% CI 0.27-0.60; P<.001), and these factors combined into a global well-being measure (b=0.28, CI 0.16-0.39; P<.001). Effect sizes (Cohen d) for the well-being outcomes ranged from 0.30 to 0.49. In addition, a significant decrease in anxiety and depressive symptoms was observed (b=-0.17, 95% CI -0.30 to -0.04; P=.001) with an effect size (Cohen d) of -0.20.
CONCLUSIONS: The findings suggest that the web-based 5waysA intervention could serve as an effective approach for enhancing well-being and mental health within the general population. This study offers individuals, policy makers, and local stakeholders an accessible and potentially cost-effective well-being intervention that could be easily implemented.
BACKGROUND: ClinicalTrials.gov NCT04784871; https://clinicaltrials.gov/
study/NCT04784871.