@文章{信息:doi/10.2196/38067，作者="Danieli, Morena和Ciulli, Tommaso和Mousavi, Seyed Mahed和Silvestri, Giorgia和Barbato, Simone和Di Natale, Lorenzo和Riccardi, Giuseppe"，标题="评估对话人工智能在老年人压力和焦虑治疗中的影响:随机控制试验"，期刊="JMIR Ment Health"，年="2022"，月="Sep"，日="23"，卷="9"，数="9"，页="e38067"，关键词="心理健康护理;对话式人工智能;移动健康;移动健康;背景:虽然心理健康应用程序越来越多地可供大量用户使用，但缺乏关于此类应用程序影响的对照试验。在帮助患有认知障碍的成年人时，人工智能(AI)授权代理已经进行了评估;然而，很少有应用程序适用于仍在积极工作的老年人。这些成年人通常由于工作场所的变化而有很高的压力，相关症状最终会影响他们的生活质量。目的:我们旨在评估TEO(治疗赋权机会)的贡献，这是一种具有会话AI的移动个人医疗保健代理。TEO通过与患者对话，回忆增加他们焦虑的事件细节，并提供治疗练习和建议，促进心理健康和福祉。 Methods: The study was based on a protocolized intervention for stress and anxiety management. Participants with stress symptoms and mild-to-moderate anxiety received an 8-week cognitive behavioral therapy (CBT) intervention delivered remotely. A group of participants also interacted with the agent TEO. The participants were active workers aged over 55 years. The experimental groups were as follows: group 1, traditional therapy; group 2, traditional therapy and mobile health (mHealth) agent; group 3, mHealth agent; and group 4, no treatment (assigned to a waiting list). Symptoms related to stress (anxiety, physical disease, and depression) were assessed prior to treatment (T1), at the end (T2), and 3 months after treatment (T3), using standardized psychological questionnaires. Moreover, the Patient Health Questionnaire-8 and General Anxiety Disorders-7 scales were administered before the intervention (T1), at mid-term (T2), at the end of the intervention (T3), and after 3 months (T4). At the end of the intervention, participants in groups 1, 2, and 3 filled in a satisfaction questionnaire. Results: Despite randomization, statistically significant differences between groups were present at T1. Group 4 showed lower levels of anxiety and depression compared with group 1, and lower levels of stress compared with group 2. Comparisons between groups at T2 and T3 did not show significant differences in outcomes. Analyses conducted within groups showed significant differences between times in group 2, with greater improvements in the levels of stress and scores related to overall well-being. A general worsening trend between T2 and T3 was detected in all groups, with a significant increase in stress levels in group 2. Group 2 reported higher levels of perceived usefulness and satisfaction. Conclusions: No statistically significant differences could be observed between participants who used the mHealth app alone or within the traditional CBT setting. However, the results indicated significant differences within the groups that received treatment and a stable tendency toward improvement, which was limited to individual perceptions of stress-related symptoms. Trial Registration: ClinicalTrials.gov NCT04809090; https://clinicaltrials.gov/ct2/show/NCT04809090 ", issn="2368-7959", doi="10.2196/38067", url="https://mental.www.mybigtv.com/2022/9/e38067", url="https://doi.org/10.2196/38067", url="http://www.ncbi.nlm.nih.gov/pubmed/36149730" }