数字心理健康应用程序“基金会”在COVID-19期间改善心理健康的功效卡塔尔世界杯8强波胆分析:原理证明随机对照试验%A Catuara-Solarz,Silvina %A Skorulski,Bartlomiej %A Estella-Aguerri,Iñaki %A Avella-Garcia,Claudia Bibiana %A Shepherd,Sarah %A Stott,Emily %A Hemmings,Nicola R %A Ruiz de Villa,Aleix %A Schulze,Laura %A Dix,Sophie %+ Koa Health, Carrer de la Ciutat de Granada 121, Barcelona, 08018, Spain, 44 7702 500882，sophie.dix@koahealth.com %K心理健康%K数字健康%K认知行为疗法%K积极心理学%K失眠%K COVID-19 %K心理健康%K移动应用程序%K焦虑%K健康应用程序%D背景:在需求不断增加的长期趋势下，COVID-19大流行导致全球常见精神障碍上升。现在比以往任何时候都迫切需要可扩展的、以证据为基础的干预措施来支持精神健康。目的:这项原理验证研究的目的是在英国第一波COVID-19大流行期间进行的一项随机对照试验中，评估一款基于移动应用程序对自我报告焦虑和压力症状的成年人的疗效。方法:将患有轻度至重度焦虑和中度至高度感知压力的成年人随机分为干预组和对照组。在为期四周的研究期间，干预组的参与者可以使用foundation应用程序。所有参与者都被要求在基线和第2周和第4周自我报告一系列有效的心理健康测量(10项康纳-戴维森弹性量表[CD-RISC-10]， 7项广泛性焦虑障碍量表[GAD-7]，国家统计局四项主观幸福感问题[ONS-4]，世界卫生组织-5幸福感指数[WHO-5])和睡眠(最小失眠量表[MISS])。自我报告的感知压力测量(10项感知压力评分[PSS-10])每周获得。结果:共有136名参与者完成了研究并被纳入最终分析。 The intervention group (n=62) showed significant improvements compared to the control group (n=74) on measures of anxiety, with a mean GAD-7 score change from baseline of –1.35 (SD 4.43) and –0.23 (SD 3.24), respectively (t134=1.71, P=.04); resilience, with a mean change in CD-RISC score of 1.79 (SD 4.08) and –0.31 (SD 3.16), respectively (t134=–3.37, P<.001); sleep, with a mean MISS score change of –1.16 (SD 2.67) and –0.26 (SD 2.29), respectively (t134=2.13, P=.01); and mental well-being, with a mean WHO-5 score change of 1.53 (SD 5.30) and –0.23 (SD 4.20), respectively (t134=–2.16, P=.02), within 2 weeks of using Foundations, with further improvements emerging at week 4. Perceived stress was also reduced within the intervention group, although the difference did not reach statistical significance relative to the control group, with a PSS score change from baseline to week 2 of –2.94 (SD 6.84) and –2.05 (SD 5.34), respectively (t134= 0.84, P=.20). Conclusions: This study provides a proof of principle that the digital mental health app Foundations can improve measures of mental well-being, anxiety, resilience, and sleep within 2 weeks of use, with greater effects after 4 weeks. Foundations therefore offers potential as a scalable, cost-effective, and accessible solution to enhance mental well-being, even during times of crisis such as the COVID-19 pandemic. Trial Registration: OSF Registries osf.io/f6djb; https://osf.io/vm3xq %M 34978535 %R 10.2196/30976 %U https://mhealth.www.mybigtv.com/2022/7/e30976 %U https://doi.org/10.2196/30976 %U http://www.ncbi.nlm.nih.gov/pubmed/34978535