TY - JOUR AU - Batink, Tim AU - Bakker, Jindra AU - Vaessen, Thomas AU - Kasanova, Zuzana AU - Collip, Dina AU - van Os, Jim AU - wicers, Marieke AU - Germeys, Inez AU - Peeters, franck PY - 2016 DA - 2016/09/15 TI -日常生活中的接受和承诺治疗:移动健康干预的可行性研究移动健康-行为改变-日常生活干预-接受和承诺治疗-经验抽样-背景:随着移动健康的发展，在患者的自然环境中进行治疗成为可能。移动技术有助于弥合治疗师办公室和“现实世界”之间的差距。ACT日常生活训练(ACT- dl)是一种辅助干预，旨在帮助患者在日常生活中练习接受和承诺治疗。ACT- dl主要由两个部分组成:使用经验抽样的日常监测和日常生活中的ACT训练。目的:评估ACT-DL在普通门诊人群中的可接受性和可行性。第二个目标是对ACT-DL的有效性进行初步审查。方法:采用观察性比较研究。实验组由49名自愿接受ACT-DL治疗的患者组成，对照组由112名不自愿接受ACT-DL治疗的患者组成。作为住院治疗计划的一部分，两组都接受了为期6周的ACT培训。 Participants went home to continue their treatment on an outpatient basis, during which time the experimental group received the 4-week add-on ACT-DL. Acceptability and feasibility of the ACT-DL was assessed weekly by telephone survey. Effectiveness of the ACT-DL was evaluated with several self-report questionnaires ( Flexibility Index Test (FIT-60): psychological flexibility, Brief Symptom Inventory: symptoms, Utrechtse Coping List: coping, and Quality of life visual analog scale (QoL-VAS): quality of life). Results: More than three-quarters of the participants (76%) completed the full 4-week training. User evaluations showed that ACT-DL stimulated the use of ACT in daily life: participants practiced over an hour a week (mean 78.8 minutes, standard deviation 54.4), doing 10.4 exercises (standard deviation 6.0) on average. Both ACT exercises and metaphors were experienced as useful components of the training (rated 5 out of 7). Repeated measures ANCOVA did not show significant effects of the ACT-DL on psychological flexibility (P=.88), symptoms (P=.39), avoidant coping (P=.28), or quality of life (P=.15). Conclusions: This is the first study that uses experience sampling to foster awareness in daily life in combination with acceptance and commitment therapy to foster skill building. Adherence to the ACT-DL was high for an intensive mHealth intervention. ACT-DL appears to be an acceptable and feasible mHealth intervention, suitable for a broad range of mental health problems. However, short-term effectiveness could not be demonstrated. Additional clinical trials are needed to examine both short-term and long-term effects. SN - 2291-5222 UR - http://mhealth.www.mybigtv.com/2016/3/e103/ UR - https://doi.org/10.2196/mhealth.5437 UR - http://www.ncbi.nlm.nih.gov/pubmed/27634747 DO - 10.2196/mhealth.5437 ID - info:doi/10.2196/mhealth.5437 ER -