TY - JOUR AU - Catuara-Solarz, Silvina AU - Skorulski, Bartlomiej AU - Estella-Aguerri, Iñaki AU - Avella-Garcia, Claudia Bibiana AU - Shepherd, Sarah AU - Stott, Emily AU - Hemmings, Nicola R AU - Ruiz de Villa, Aleix AU - Schulze, Laura AU - Dix, Sophie PY - 2022 DA - 2022/7/1 TI -“基础”的功效，一款数字心理健康应用程序，在COVID-19期间改善心理健康:概念验证随机对照试验乔- Uhealth Mhealth JMIR SP - e30976六世- 10 - 7 KW -心理健康KW -数字医疗KW -认知行为疗法KW -积极心理学KW -失眠KW - COVID-19 KW -心理健康KW -移动应用KW -焦虑KW -健康应用AB -背景:对需求增长的长期趋势,COVID-19大流行导致全球常见的精神障碍。现在比以往任何时候都迫切需要可扩展的、基于证据的干预措施来支持心理健康。目的:这项原理证明研究的目的是在英国COVID-19大流行第一波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:有轻度至重度焦虑和中度至高度感知压力的成年人被随机分到干预组或对照组。在为期4周的研究期间，干预组的参与者可以使用基金会应用程序。所有参与者都被要求在基线和第2周和第4周自我报告一系列经过验证的心理健康测量(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(最低失眠量表[MISS])。每周进行自我报告的感知压力测量(10项感知压力评分[PSS-10])。结果:共有136名参与者完成了研究，并被纳入最终分析。与对照组(n=74)相比，干预组(n=62)在焦虑测量方面有显著改善，平均GAD-7评分从基线分别变化为-1.35 (SD 4.43)和-0.23 (SD 3.24) (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 SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2022/7/e30976 UR - https://doi.org/10.2196/30976 UR - http://www.ncbi.nlm.nih.gov/pubmed/34978535 DO - 10.2196/30976 ID - info:doi/10.2196/30976 ER -