Internet Interventions-The Application of Information Technology in Mental and Behavioural Health最新文献

Not just spontaneous remission: Time-dependent and independent effects in pre-intervention symptom reduction 不只是自发缓解：干预前症状减轻的时间依赖和独立效应

IF 4.1 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

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

Pub Date : 2026-06-01 Epub Date: 2026-02-27 DOI: 10.1016/j.invent.2026.100926

Vilgot Huhn , Nils Hentati Isacsson , Marie Bendix , Martin Kraepelien , Hanna Sahlin , Viktor Kaldo , Erik Forsell

Psychological symptoms tend to change over time, even in the absence of clinical intervention. For example, self-ratings are often higher at screening compared to start of treatment. A plausible hypothesis is that this is due to patients' self-referring when their gradually fluctuating symptoms are worse than usual. That hypothesis predicts that patients that wait longer will have had longer time to return to their average symptom level. On the other hand, other processes related to measurement reactivity, contact with a clinician, or regression towards the mean, do not predict a time-dependent relationship.

Our aim was to estimate the extent of this hypothesized symptom reduction in depression, social anxiety disorder, panic disorder, health anxiety and insomnia (both total reduction and the relationship with time). The sample included adults (N = 8744) from an outpatient psychiatric clinic providing ICBT in Swedish routine care. Time-dependent effects were estimated with linear regression for both primary symptoms and secondary depressive symptoms. A simulation of symptom fluctuations was built to estimate power and further contextualize the effects.

Patients improved on average from screening to the start of the intervention, but this varied substantially depending on diagnosis and questionnaire used. The waiting time weakly predicted the degree of improvement both for primary depressive symptoms and comorbid depressive symptoms. The estimate for primary depressive symptoms was sensitive to modeling choices, shrinking towards zero when modeled with fat-tailed residuals. The preponderance of “immediate” reductions in symptoms have implications for reporting standards of pre-treatment-measurements, especially in single-group intervention studies.

即使在没有临床干预的情况下，心理症状也会随着时间的推移而改变。例如，与治疗开始时相比，筛查时的自我评分通常更高。一个合理的假设是，这是由于患者在症状逐渐波动时比平时更严重时的自我提及。这一假设预测，等待时间越长，患者恢复到平均症状水平的时间就越长。另一方面，与测量反应性、与临床医生接触或向平均值回归相关的其他过程不能预测时间依赖关系。我们的目的是估计抑郁、社交焦虑障碍、恐慌障碍、健康焦虑和失眠的这种假设症状减轻的程度（总体减轻和与时间的关系）。样本包括来自瑞典常规护理中提供ICBT的门诊精神病诊所的成年人（N = 8744）。用线性回归估计原发性和继发性抑郁症状的时间依赖性效应。建立了症状波动的模拟来估计功率和进一步的背景效应。从筛查到干预开始，患者的平均改善程度有所提高，但这在很大程度上取决于所使用的诊断和问卷。等待时间对原发性抑郁症状和共病抑郁症状的改善程度预测微弱。原发性抑郁症状的估计值对模型的选择很敏感，当用肥尾残差建模时，估计值向零缩小。症状“立即”减轻的优势对治疗前测量的报告标准有影响，特别是在单组干预研究中。

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引用次数: 0

MyADHD: A therapist-guided internet-delivered intervention for adult ADHD — Results from a single-armed open clinical trial in routine care MyADHD：一种治疗师引导的成人ADHD网络干预——来自常规护理的单臂开放临床试验的结果

IF 4.1 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

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

Pub Date : 2026-06-01 Epub Date: 2026-03-02 DOI: 10.1016/j.invent.2026.100922

Aleksander Heltne , Robin Maria Francisca Kenter , Robin Gulseth , Tine Nordgreen

Background

Adults seeking treatment for the syndrome of ADHD often face barriers to accessing evidence-based care. Digital interventions may help address these challenges, but their effectiveness in routine clinical settings remains underexplored.

Objective

This study evaluated pre–post change in ADHD symptoms and quality of life following a therapist-guided internet-delivered intervention for adults with ADHD in routine care. A secondary aim was to examine demographic, contextual, and clinical predictors of treatment response.

Methods

In an open, single-arm trial, 228 adults with ADHD received a 7–10 week therapist-guided intervention. ADHD symptoms (Adult ADHD Self-Report Scale; ASRS) and quality of life (Adult ADHD Quality of Life questionnaire; AAQoL) were assessed at baseline, mid-treatment, and post-treatment. Random intercept, fixed slope linear mixed models were estimated to examine change over time and impact of potential predictors.

Results

Participants showed moderate improvements in ADHD symptoms (d = −0.47) and quality of life (d = 0.45). Inattention and productivity domains improved most. Reliable change was observed in 23.9% of completers for ADHD symptoms and 31.0% for quality of life. No demographic, contextual, or clinical variables significantly predicted treatment response.

Conclusions

In this open, single-arm study conducted in routine clinical care, therapist-guided internet-delivered treatment was associated with moderate improvements in ADHD symptoms and quality of life among adults with ADHD. Findings were comparable across baseline levels of comorbidity, treatment expectation and route to care. Given the absence of a control group, findings should be interpreted cautiously, and causal inferences cannot be drawn. Replication in adequately powered randomized controlled trials is needed to determine the intervention's efficacy and to clarify for whom and under what conditions it is most effective.

背景：寻求ADHD综合征治疗的成年人常常面临获得循证治疗的障碍。数字干预可能有助于解决这些挑战，但其在常规临床环境中的有效性仍未得到充分探索。目的：本研究评估在常规护理中对成人ADHD患者进行治疗师指导的网络干预后，ADHD症状和生活质量的前后变化。第二个目的是检查治疗反应的人口学、环境和临床预测因素。方法在一项开放的单臂试验中，228名ADHD成人患者接受了为期7-10周的治疗师指导干预。在基线、治疗中和治疗后分别评估ADHD症状（成人ADHD自我报告量表；ASRS）和生活质量（成人ADHD生活质量问卷；AAQoL）。估计随机截距，固定斜率线性混合模型，以检查随时间的变化和潜在预测因子的影响。结果受试者ADHD症状（d = - 0.47）和生活质量（d = 0.45）均有中度改善。注意力不集中和效率提高最多。在23.9%的ADHD症状完成者和31.0%的生活质量完成者中观察到可靠的变化。没有人口统计学、背景或临床变量显著预测治疗反应。结论：在这项在常规临床护理中进行的开放单臂研究中，治疗师指导的网络传递治疗与ADHD成人患者的ADHD症状和生活质量的中度改善相关。研究结果在合并症、治疗预期和护理途径的基线水平上具有可比性。由于没有对照组，研究结果应谨慎解释，不能得出因果推论。需要在足够有力的随机对照试验中进行重复试验，以确定干预措施的有效性，并阐明对谁以及在什么条件下干预措施最有效。

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引用次数: 0

Exploring online and in-person mental healthcare access and app use in a cohort of people living with disability: results from the 2019 and 2020 California Health Interview Survey 在一群残疾人中探索在线和面对面的精神卫生保健获取和应用程序使用：2019年和2020年加州健康访谈调查的结果

IF 4.1 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

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

Pub Date : 2026-06-01 Epub Date: 2026-03-07 DOI: 10.1016/j.invent.2026.100931

William Bevens , Jeongmi Kim , Biblia Cha , Nicole A. Stadnick , Elizabeth Eikey , Margaret Schneider , Stephen M. Schueller , Dana B. Mukamel , Dara H. Sorkin

Background

Disability is an increasingly prevalent issue in the United States, which affects over 67 million people. Poor mental health in individuals with disabilities is common; however, access to traditional modes of mental healthcare remains a challenge.

Objectives

This study aims to compare use of traditional and online mental healthcare services between people with and without disabilities.

Methods

This study used a cross-sectional sample of adults aged 18 years and older (n = 44,096) from the 2019–2020 California Health Interview Survey. Mental healthcare access in-person and online, or use of digital technologies for mental healthcare were compared between several disability groups to individuals without disabilities.

Results

15.3% of those in this sample reported being in one of the five reported disability groups: cognition, independent-living, seeing/hearing, self-care or multiple. Individuals with disabilities were 2.80 times more likely to access mental healthcare in-person compared to those without disabilities. Several disability groups had increased odds of accessing mental healthcare online, using online technologies for referrals to mental health professionals and connecting to others with a similar condition online.

Conclusions

People with disabilities readily access mental healthcare, in-person and online, and use technologies for broader mental healthcare needs. This study highlights the importance of centering accessibility within health technologies.

在美国，残疾是一个日益普遍的问题，影响着6700多万人。残疾人的精神健康状况不佳很常见；然而，获得传统的精神保健模式仍然是一个挑战。目的本研究旨在比较残疾人和非残疾人使用传统和在线精神卫生保健服务的情况。方法本研究采用2019-2020年加州健康访谈调查中18岁及以上成年人的横断面样本（n = 44,096）。结果：15.3%的残疾人报告属于认知、独立生活、视觉/听觉、自我护理或多重残疾五种报告残疾群体之一。残疾人亲自获得精神保健的可能性是正常人的2.80倍。一些残疾人群体获得在线心理保健服务的几率增加了，他们利用在线技术转介给心理健康专家，并在网上与其他有类似情况的人联系。结论残疾人容易获得面对面和在线的精神卫生保健，并利用技术满足更广泛的精神卫生保健需求。这项研究强调了将可及性置于卫生技术中心的重要性。

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引用次数: 0

Adaptive actions and treatment outcomes in transdiagnostic internet-delivered cognitive behaviour therapy for chronic health conditions 跨诊断互联网认知行为治疗慢性疾病的适应性行为和治疗效果

IF 4.1 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

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

Pub Date : 2026-06-01 Epub Date: 2026-03-09 DOI: 10.1016/j.invent.2026.100930

Heather D. Hadjistavropoulos , Vanessa Peynenburg , Aaron E. Philipp-Muller , Auguste Nomeikaite , Nickolai Titov , Blake F. Dear , Lauren Staples

Transdiagnostic internet-delivered cognitive behavioural therapy (ICBT) has demonstrated effectiveness for improving a range of outcomes for individuals living with diverse chronic health conditions. However, the behavioural processes that contribute to these outcomes remain unclear. This study examined whether participation in a 5-lesson transdiagnostic ICBT program for chronic health conditions was associated with changes in adaptive actions (i.e., Healthy Thinking, Meaningful Activities, Goals and Plans, Healthy Habits, and Social Connections) and whether these changes were maintained at follow-up. We also explored whether changes in adaptive actions were associated with changes on measures of depression, anxiety, pain intensity, and pain interference. Adults (N = 121) received a transdiagnostic ICBT program for chronic health conditions in a routine online care setting. Adaptive actions were assessed with the Things You Do Questionnaire–15 Item (TYDQ–15). GEE analyses indicated that the TYDQ–15 total and domain scores improved significantly from pre- to post-treatment and were maintained at follow-up. Effect sizes were small to moderate. Hierarchical linear regression models indicated a significant association between adaptive behaviours and clinical outcomes on the PHQ-9, GAD-7, and BPI-Interference. The findings highlight the potential value of encouraging adaptive actions early in treatment and underscore the need for further research to identify actions that may contribute to improvements in depression, anxiety, and related outcomes.

互联网提供的跨诊断认知行为疗法（ICBT）在改善各种慢性疾病患者的一系列结果方面已被证明是有效的。然而，导致这些结果的行为过程仍不清楚。本研究调查了参与5课慢性健康状况的ICBT跨诊断项目是否与适应性行为（即健康思维、有意义的活动、目标和计划、健康习惯和社会关系）的变化有关，以及这些变化是否在随访中保持不变。我们还探讨了适应性行为的变化是否与抑郁、焦虑、疼痛强度和疼痛干扰的测量变化有关。成人（N = 121）在常规在线护理环境中接受慢性健康状况的ICBT项目。采用“你所做的事情”问卷第15项（TYDQ-15）对适应性行为进行评估。GEE分析表明，TYDQ-15总分和结构域评分从治疗前到治疗后显著提高，并在随访中保持不变。效应量从小到中等。层次线性回归模型显示，适应行为与临床结果在PHQ-9、GAD-7和bpi -干扰之间存在显著关联。研究结果强调了在治疗早期鼓励适应性行动的潜在价值，并强调了进一步研究的必要性，以确定可能有助于改善抑郁、焦虑和相关结果的行动。

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引用次数: 0

Real-world data on uptake and use of digital mental health interventions among waitlisted patients with various mental disorders 关于各种精神障碍候诊患者接受和使用数字精神卫生干预措施的真实世界数据。

IF 4.1 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

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

Pub Date : 2026-06-01 Epub Date: 2026-02-13 DOI: 10.1016/j.invent.2026.100915

Marie Neubert , Esra Sünkel , Jari Planert , Anne Hildebrand , Tim Klucken

Background

Digital mental health interventions (DMHI) have the potential to provide patients awaiting outpatient psychotherapy with a valuable and immediate treatment option to bridge long waiting periods. However, randomized controlled trials concerning these interventions are marred by high attrition rates and low adherence, and research on the implementation of these interventions in real-world settings is scarce. The present study aims to provide real-world data on the uptake and use of prescribed DMHI, as well as the effect of DMHI use on psychological well-being.

Method

150 patients with various mental disorders awaiting face-to-face psychotherapy were included in this preregistered study. All patients received a prescription for a diagnosis-specific DMHI to bridge the waiting period. Structured telephone interviews were conducted to assess uptake of the prescription, use of the DMHI, and psychological well-being four and 12 weeks after inclusion.

Results

56% of the patients reported an uptake of the DMHI prescription. The percentage of patients who actually used the DMHI was lower than for uptake (29%). Patients who expressed interest in the use of DMHI, higher treatment expectations, and lower psychological well-being were more likely to use the DMHI. A linear mixed model indicated a significant improvement in psychological well-being among DMHI users.

Conclusion

The findings of the present study underscore that the implementation of DMHI in real-world settings is hindered by low uptake rates and even lower utilization. To improve DMHI use, it is essential to incorporate potential mediating factors, such as treatment expectations, into future research.

背景：数字心理健康干预（DMHI）有可能为等待门诊心理治疗的患者提供有价值的即时治疗选择，以缩短漫长的等待期。然而，关于这些干预措施的随机对照试验受到高损耗率和低依从性的影响，并且在现实环境中实施这些干预措施的研究很少。本研究旨在提供实际数据的摄取和使用处方DMHI，以及DMHI使用对心理健康的影响。方法：将150例等待面对面心理治疗的各类精神障碍患者纳入预登记研究。所有患者都收到了诊断特异性DMHI的处方，以缩短等待期。采用结构化电话访谈来评估处方的接受情况、DMHI的使用情况以及纳入后4周和12周的心理健康状况。结果：56%的患者报告服用了DMHI处方。实际使用DMHI的患者比例低于接受DMHI的患者（29%）。对使用DMHI感兴趣、对治疗期望较高、心理健康状况较差的患者更有可能使用DMHI。线性混合模型显示DMHI使用者的心理健康有显著改善。结论：本研究的发现强调了DMHI在现实环境中的实施受到低吸收率和更低利用率的阻碍。为了改善DMHI的使用，有必要将潜在的中介因素，如治疗预期，纳入未来的研究。

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引用次数: 0

A practical step-by-step approach for patient and public involvement in eHealth intervention research: Lessons learned from three case projects 病人和公众参与电子卫生干预研究的一种循序渐进的实际方法：从三个案例项目中获得的经验教训

IF 4.1 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

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

Pub Date : 2026-03-01 Epub Date: 2025-12-03 DOI: 10.1016/j.invent.2025.100896

Milon H.M. van Vliet , Roxy A. van Eersel , Charlotte C. Poot , Jasper S. Faber , Jiska J. Aardoom , Eline Meijer , Anke Versluis

Background

The importance of patient and public involvement (PPI) in research is increasingly acknowledged. PPI is a collaborative approach in which research is conducted with or by end-users. It can enhance research quality and benefit the involved end-users. However, involving end-users in the non-linear and often interdisciplinary process of eHealth development can be challenging. While many resources on PPI exist, a functional and practical overview tailored to eHealth research is lacking. This paper presents a step-by-step approach to support PPI implementation in eHealth intervention research.

Methods

Three (ongoing) eHealth projects, each targeting a different population and applying different forms of PPI, informed the approach development. It was iteratively refined based on insights gained from these projects and feedback from other researchers and end-users involved in one of the projects.

Results

A six-step approach was developed, each step accompanied by reflective questions to support preparation and evaluation. The steps are: (1) Where in the eHealth evaluation cycle is your research project positioned?; (2) Why do you want to use PPI?; (3) Who is your target population?; (4) How are you going to achieve your aims?; (5) What considerations and conditions need to be taken into account to facilitate PPI?; (6) How did the PPI process unfold? Each step includes recommendations, lessons learned, case examples, and relevant resources (e.g., literature, websites).

Conclusion

The approach integrates literature with practical, field-based insights. We hope that the approach inspires and supports researchers in implementing meaningful PPI in research.

患者和公众参与（PPI）在研究中的重要性日益得到承认。PPI是一种与最终用户或由最终用户进行研究的合作方法。它可以提高研究质量，并使相关的最终用户受益。然而，让终端用户参与电子卫生发展的非线性和经常是跨学科的过程可能具有挑战性。虽然存在许多关于PPI的资源，但缺乏针对电子健康研究的功能和实用概述。本文提出了一个循序渐进的方法来支持电子卫生干预研究中的PPI实施。方法三个（正在进行的）电子健康项目，每个项目针对不同的人群，应用不同形式的PPI，为方法开发提供信息。它是基于从这些项目中获得的见解以及从参与其中一个项目的其他研究人员和最终用户那里获得的反馈而迭代地改进的。结果制定了六步法，每一步都附有反思性问题，以支持准备和评估。步骤如下：(1)您的研究项目在电子健康评估周期中的位置？(2)您为什么要使用PPI？(3)你的目标人群是谁？你打算如何实现你的目标？(5)实施PPI需要考虑哪些因素和条件？(6) PPI过程是如何展开的？每一步都包括建议、经验教训、案例和相关资源（如文献、网站）。该方法将文献与实际的、基于实地的见解相结合。我们希望这种方法能够激励和支持研究人员在研究中实施有意义的PPI。

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引用次数: 0

Participants' experiences with and perceptions of a digital health intervention to reduce sugar-sweetened beverage intake: A mixed methods summative evaluation of iSIPsmarter” 参与者对减少含糖饮料摄入的数字健康干预的体验和看法：对iSIPsmarter的混合方法总结性评估

IF 4.1 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

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

Pub Date : 2026-03-01 Epub Date: 2026-02-18 DOI: 10.1016/j.invent.2026.100921

Kathleen J. Porter , Donna-Jean P. Brock , Annie L. Reid , Theresa Markwalter , Caroline Jones , Lee M. Ritterband , Jamie M. Zoellner

iSIPsmarter is a promising digital health intervention targeting sugar-sweetened beverage (SSB) intake among Appalachian adults. This summative evaluation describes participants' post-program perceptions of barriers to adherence and iSIPsmarter's utility and perceived impact. An electronic survey was administered that included established measures and open-ended questions. Four focus groups were held. Measures assessed adherence barriers and perceptions of iSIPsmarter's utility and impact. Using a convergent mixed methods approach, quantitative data were summarized descriptively and qualitative data were content coded. Data sources triangulated by indicator. 91% (116/127) of participants completed the survey, with a subset (n = 28) participating in focus groups. Participants were ∼ 45 years old and primarily female and non-Hispanic White; ∼50% made <$55,000 per year. 5/29 adherence barriers were rated as a little or major problem by >20% of participants, all of which reflected personal (e.g., competing priorities) and program-related (e.g., time required) factors. Personal and program-related factors were also key adherence barriers identified in qualitative sources. Overall, participants were positive about iSIPsmarter's utility, with <25% replying negatively to any survey item. Qualitative sources identified 7 positive (e.g., supporting accountability) and 6 negative (e.g., user interface not optimized for smartphones) attributes of iSIPsmarter. Across quantitative and qualitative sources, participants consistently identified positive impacts related to SSB and, to a lesser degree, weight. iSIPsmarter was generally well-received by participants who completed summative evaluation activities. Findings highlight six considerations for improving experiences with and perceptions of digital health interventions, including within underserved rural regions like Appalachia, and suggest specific refinements for enhancing iSIPsmarter.

iSIPsmarter是一项有前途的数字健康干预措施，针对阿巴拉契亚成年人的含糖饮料（SSB）摄入量。这个总结性评估描述了参与者在项目结束后对依从性障碍和iSIPsmarter的效用和感知影响的看法。进行了一项电子调查，其中包括既定措施和开放式问题。举行了四个焦点小组讨论。测量评估了遵守障碍和对iSIPsmarter效用和影响的看法。采用收敛混合方法对定量数据进行描述性总结，对定性数据进行内容编码。数据源按指标三角划分。91%（116/127）的参与者完成了调查，其中一个子集（n = 28）参加了焦点小组。参与者年龄约45岁，主要为女性和非西班牙裔白人；50%的人每年赚55,000美元。5/29依从性障碍被20%的参与者评为小问题或主要问题，所有这些都反映了个人（例如，竞争优先级）和项目相关（例如，所需时间）因素。在定性来源中，个人和项目相关因素也是关键的坚持障碍。总体而言，参与者对iSIPsmarter的实用性持积极态度，25%的人对任何调查项目都持否定态度。定性来源确定了iSIPsmarter的7个积极属性（例如，支持问责制）和6个消极属性（例如，用户界面未针对智能手机进行优化）。在定量和定性来源中，参与者一致确定了与SSB相关的积极影响，以及在较小程度上与体重相关的积极影响。iSIPsmarter在完成总结性评估活动的参与者中普遍受到好评。调查结果强调了改善数字卫生干预措施的体验和认知的六个考虑因素，包括在阿巴拉契亚等服务不足的农村地区，并提出了加强iSIPsmarter的具体改进建议。

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引用次数: 0

Optimizing prompt frequency in a brief online emotion regulation training for community adults: A three-arm randomized controlled trial 优化社区成人简短在线情绪调节训练提示频率：一项三组随机对照试验

IF 4.1 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

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

Pub Date : 2026-03-01 Epub Date: 2026-01-08 DOI: 10.1016/j.invent.2026.100903

Wan-Lan Chen

Background

Online emotion regulation interventions show promise for addressing mental health concerns, yet optimal delivery parameters remain unclear. This study aimed to (1) evaluate the efficacy of a brief online emotion regulation (ER) intervention against a robust active control, and (2) investigate the impact of practice prompt frequency on clinical outcomes.

Methods

In this three-arm randomized controlled trial, community adults (N = 194) were randomly allocated to: emotion regulation training with three daily prompts (ER-TD), emotion regulation training with one daily prompt (ER-OD), or stress psychoeducation control (SPC). The 5-week intervention delivered evidence-based emotion regulation skills (awareness, acceptance, self-compassion, mindfulness, cognitive reappraisal) or educational content about stress. Assessments occurred at baseline, weeks 2 and 4, post-intervention, and 3-month follow-up. Primary outcomes were depression (CESD) and perceived stress (PSS-10); secondary outcome was emotion regulation difficulties (DERS-18).

Results: Participants in both ER conditions (ER-TD and ER-OD) demonstrated significantly greater improvements in depression, perceived stress, and emotion regulation difficulties compared to the SPC group at the end of training. Direct comparisons revealed no significant differences between the ER-TD and ER-OD groups on any outcome at the end of the intervention. However, at the 3-month follow-up, improvements in overall emotion regulation skills were sustained only in the ER-TD group.

Conclusions

Brief online emotion regulation training effectively reduces depression and stress compared to a robust active control. While single daily prompts were sufficient for initial skill acquisition—suggesting a minimal effective dose for engagement—higher frequency supported superior long-term maintenance. These findings point toward adaptive implementation strategies: starting with lower-frequency prompts to reduce burden, then increasing frequency for skill maintenance.

在线情绪调节干预显示出解决心理健康问题的希望，但最佳交付参数仍不清楚。本研究旨在(1)评估简短的在线情绪调节（ER）干预对强大主动控制的效果，以及(2)调查实践提示频率对临床结果的影响。方法采用三组随机对照试验，将194名社区成年人随机分为三组：每日三提示情绪调节训练组（ER-TD）、每日一提示情绪调节训练组（ER-OD）和压力心理教育控制组（SPC）。为期5周的干预提供了基于证据的情绪调节技能（意识、接受、自我同情、正念、认知重新评估）或有关压力的教育内容。评估发生在基线、干预后第2周和第4周以及3个月的随访。主要结局为抑郁（CESD）和感知压力（PSS-10）；次要终点为情绪调节困难（DERS-18）。结果：与SPC组相比，两种ER条件（ER- td和ER- od）的参与者在训练结束时表现出明显更大的抑郁、感知压力和情绪调节困难的改善。直接比较显示，在干预结束时，ER-TD组和ER-OD组在任何结果上都没有显著差异。然而，在3个月的随访中，整体情绪调节技能的改善仅在ER-TD组中持续。结论简短的网络情绪调节训练与稳健的主动控制相比，能有效地减轻抑郁和压力。虽然每天一次的提示对于最初的技能获得是足够的，这表明参与的最小有效剂量，但更高的频率支持更好的长期维护。这些发现指向了适应性实施策略：从较低频率的提示开始，以减轻负担，然后增加技能维护的频率。

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引用次数: 0

Uptake and engagement with digital mental health in the workplace: A mixed-methods analysis of the EMPOWER trial 工作场所数字心理健康的吸收和参与：EMPOWER试验的混合方法分析

IF 4.1 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

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

Pub Date : 2026-03-01 Epub Date: 2026-01-20 DOI: 10.1016/j.invent.2026.100911

Stijn B. Peeters , Marleen de Mul , Frederick W. Thielen , Marjo Sinokki , Kaja Staszewska , Luis Salvador-Carulla , Sue Lukersmith , Beatriz Olaya , Leona Hakkaart-van Roijen

This study examined contextual factors influencing the uptake and use of the EMPOWER digital mental health platform, implemented in small and medium-sized enterprises and public agencies in Spain, Poland, Finland, and the United Kingdom. The platform was developed within an EU-funded project to promote workplace mental health and evaluated in a randomised controlled trial assessing its effectiveness and cost-effectiveness. A mixed-methods design was applied combining logistic regression analyses of baseline employee data with qualitative semi-structured interviews exploring barriers and facilitators to engagement. Results indicated that successful uptake was supported by strong employer involvement, a positive workplace culture, clear communication of benefits and data privacy, tailoring of content to employee needs, and available technical support. Barriers included insufficient communication, limited organisational support, lack of allocated time for use, unclear instructions, and concerns about anonymity. Employers often expressed reluctance to take responsibility for facilitating implementation, reflecting low organisational readiness. While the platform itself was generally regarded as user-friendly, its integration into daily workplace practices was inconsistent, with many employees using it outside of working hours. In conclusion, effective and sustainable implementation of digital workplace mental health interventions requires more active stakeholder engagement, clearer and sustained communication strategies, and alignment with organisational policies and structures. Addressing these contextual factors is essential for maximising uptake and ensuring that digital health platforms such as EMPOWER achiever their intended impact in supporting mental health at work.

本研究考察了影响西班牙、波兰、芬兰和英国的中小型企业和公共机构采用和使用EMPOWER数字心理健康平台的背景因素。该平台是在欧盟资助的一个促进工作场所心理健康的项目中开发的，并在一项评估其有效性和成本效益的随机对照试验中进行了评估。采用混合方法设计，将基线员工数据的逻辑回归分析与探索敬业度障碍和促进因素的定性半结构化访谈相结合。结果表明，支持成功采用的因素包括雇主的积极参与、积极的工作场所文化、对福利和数据隐私的清晰沟通、根据员工需求定制内容以及可用的技术支持。障碍包括沟通不足、组织支持有限、缺乏分配的使用时间、指示不明确以及对匿名性的担忧。雇主通常表示不愿承担促进实施的责任，这反映出组织的准备程度较低。虽然该平台本身被普遍认为是用户友好的，但它与日常工作实践的结合并不一致，许多员工在工作时间之外使用它。总之，有效和可持续地实施数字化工作场所心理健康干预措施需要利益攸关方更积极地参与，更清晰和持续的沟通战略，并与组织政策和结构保持一致。解决这些背景因素对于最大限度地吸收和确保EMPOWER等数字健康平台在支持工作场所精神卫生方面发挥其预期影响至关重要。

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引用次数: 0

Feasibility and preliminary effects of an individually customizable ecological momentary stress management intervention: A mixed methods pilot study 个体可定制的生态瞬时压力管理干预的可行性和初步效果：一项混合方法的试点研究

IF 4.1 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

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

Pub Date : 2026-03-01 Epub Date: 2026-01-13 DOI: 10.1016/j.invent.2025.100901

Hannah Tschenett , Aljoscha Dreisörner , Katrin Schäfer , Ricarda Mewes , Urs M. Nater

While many interventions are known to reduce stress, evidence-based stress management interventions that can be applied during stressful events in everyday life are lacking. This pilot study investigated an ecological momentary intervention for everyday stress management, comprising eight modules (e.g., relaxation, music listening), in terms of its feasibility, its immediate effects following stressful events, and its pre- to post-intervention effects. Over 45 days, undergraduate psychology students (N = 27, 21.6 ± 1.9 years, 74 % female) completed momentary assessments four times daily and whenever they experienced stress. During the 35-day intervention period (days 6–40), participants were intra-individually randomized to either use the intervention (5–20 min intervention use) or not use the intervention (continuing with usual activities) after indicating a stressful event. Additionally, they used the intervention as needed in their daily lives. The feasibility of the intervention was indicated by no drop-outs, high usage rates and positive reports in the acceptability questionnaire and semi-structured group interviews, while lower compliance with momentary assessments indicates reduced feasibility of the study design. After using the intervention in response to stressful events, participants reported significantly decreased stress and negative affect. Moreover, participants showed improvements in stress, mindfulness, and self-compassion post-intervention. Our pilot findings suggest that the intervention is feasible and indicate reductions in event-related and daily stress in everyday life.

虽然已知有许多干预措施可以减轻压力，但缺乏可用于日常生活中压力事件的循证压力管理干预措施。本初步研究调查了日常压力管理的生态瞬时干预，包括八个模块（例如，放松，听音乐），其可行性，压力事件后的即时效果，以及干预前后的效果。在45天的时间里，心理学本科学生（N = 27, 21.6±1.9岁，74%为女性）每天完成4次瞬时评估，每当他们感到压力时。在35天的干预期间（第6-40天），参与者被随机分组，在表明压力事件后使用干预（使用5-20分钟干预）或不使用干预（继续正常活动）。此外，他们在日常生活中根据需要使用干预措施。在可接受性问卷和半结构化小组访谈中，无退出、高使用率和积极报告表明干预措施的可行性，而对瞬时评估的依从性较低表明研究设计的可行性降低。在对压力事件进行干预后，参与者报告压力和负面影响显著减少。此外，干预后，参与者在压力、专注力和自我同情方面都有所改善。我们的试验结果表明，干预是可行的，并表明在日常生活中减少与事件相关的日常压力。

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引用次数: 0