Bridging the adherence gap in internet interventions: A randomized controlled trial study protocol investigating context-specific self-efficacy

Ewelina Smoktunowicz , Jan Maciejewski , Magdalena Lesnierowska , Per Carlbring
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Abstract

Low adherence in self-guided internet interventions is linked to poorer outcomes. Although some predictors of adherence have been identified, few are modifiable for widespread application. One personal variable with the potential to increase adherence in internet interventions is context-specific self-efficacy. This protocol outlines a randomized controlled trial design, divided into two phases. In Phase 1 (students, N = 216), participants will complete a self-efficacy-enhancing exercise, which will be compared to a waitlist control group to test its effectiveness in increasing internet intervention adherence self-efficacy. Phase 2 will be the main two-arm trial, where all participants (medical students, N = 952) will undergo an internet intervention called Med-Stress Student. In the experimental group, the program will be preceded by the self-efficacy-enhancing exercise developed in Phase 1. We anticipate that participants in the experimental group will show higher adherence (primary outcome) to the intervention and greater improvement in intervention outcomes (secondary outcomes i.e., lower stress and higher work engagement) at posttest, as well as at six-month and one-year follow-ups. If effective, enhancing context-specific self-efficacy could be recommended before any internet intervention as a relatively simple way to boost participants' adherence.

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缩小互联网干预中的坚持差距:调查特定环境自我效能的随机对照试验研究方案
在自我指导的互联网干预中,坚持率低与较差的结果有关。虽然已经发现了一些影响坚持率的预测因素,但很少有预测因素是可以修改以广泛应用的。一个有可能提高互联网干预坚持率的个人变量是特定情境下的自我效能感。本方案采用随机对照试验设计,分为两个阶段。在第一阶段(学生,N = 216),参与者将完成一项自我效能提升练习,并将其与候补对照组进行比较,以检验其在提高坚持互联网干预的自我效能方面的有效性。第二阶段是主要的双臂试验,所有参与者(医学生,N = 952)都将接受名为 "医学压力学生 "的互联网干预。在实验组中,该程序之前将进行第一阶段开发的自我效能提升练习。我们预计,实验组的参与者将在测试后以及六个月和一年的随访中表现出更高的干预坚持度(主要结果)和更大的干预结果改善(次要结果,即更低的压力和更高的工作参与度)。如果有效,可以建议在进行任何互联网干预之前,先增强特定情境下的自我效能感,这是提高参与者坚持率的一种相对简单的方法。
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来源期刊
CiteScore
6.50
自引率
9.30%
发文量
94
审稿时长
6 weeks
期刊介绍: Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions
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