Effectiveness and uptake of a transdiagnostic emotion regulation mobile intervention among university students: Protocol for a randomized controlled trial

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2024-05-15 DOI:10.1016/j.invent.2024.100750

Tajda Laure, Marilisa Boffo, Rutger C.M.E. Engels, Danielle Remmerswaal

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Abstract

Background

Going to university is a major life event, which can be stressful and negatively affect mental health. However, it also presents an opportunity to establish a foundation for positive life trajectories. To support university students, a mobile transdiagnostic emotion regulation (ER) intervention has been developed, offering both broad-based (universal) and targeted (indicated) preventative support. ER, a transdiagnostic factor underlying various mental health problems, is a critical intervention target in students, a demographic particularly susceptible to mental health issues. Cultivating ER can help manage immediate stressors and foster long-term wellbeing. This paper describes the study protocol for a Randomized Controlled Trial (RCT) evaluating the effectiveness and uptake of such mobile transdiagnostic ER intervention.

Method

The superiority parallel-group RCT involves 250 participants randomized to either the intervention condition (i.e., full access to the mobile intervention, (n = 125) or to a waitlist control condition (n = 125). Primary outcomes include ER skills and stress symptoms. Secondary outcomes include mental health parameters (anxiety, depression, resilience) and intervention uptake (i.e., objective engagement, subjective engagement, ER skills application in real life). Outcomes are assessed at baseline, week 3, 8 and 12, with continuous log-data collection for user engagement.

Discussion

This study evaluates the effectiveness and uptake of a transdiagnostic ER mobile intervention for the student population addressing their ER developmental needs. If successful, the results will validate our approach to intervention development and whether focusing on learning transfer (i.e., application of the learnt skills in real-life) and personalization using a recommendation system, can boost the real-world application of skills and intervention impact.

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在大学生中开展跨诊断情绪调节移动干预的有效性和接受度：随机对照试验方案

背景上大学是人生中的一件大事，可能会给人带来压力，并对心理健康产生负面影响。然而，这也为建立积极的人生轨迹奠定了基础。为了给大学生提供支持，我们开发了一种移动式跨诊断情绪调节（ER）干预措施，提供广泛的（普遍的）和有针对性的（指定的）预防性支持。情绪调节是导致各种心理健康问题的一个跨诊断因素，是对学生这一特别容易出现心理健康问题的人群进行干预的关键目标。培养应急能力有助于应对眼前的压力，并促进长期的身心健康。本文介绍了一项随机对照试验（RCT）的研究方案，该试验评估了这种移动跨诊断 ER 干预的有效性和接受度。方法这项优越性平行组 RCT 共有 250 名参与者，他们被随机分配到干预条件下（即完全使用移动干预，n = 125）或等待名单对照条件下（n = 125）。主要结果包括急诊室技能和压力症状。次要结果包括心理健康参数（焦虑、抑郁、复原力）和干预吸收（即客观参与、主观参与、急诊室技能在现实生活中的应用）。结果在基线、第3周、第8周和第12周进行评估，并对用户参与情况进行连续的日志数据收集。如果成功，研究结果将验证我们的干预开发方法，以及关注学习迁移（即在现实生活中应用所学技能）和使用推荐系统的个性化是否能够提高技能在现实世界中的应用和干预效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

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