在有焦虑症状的成年人中进行即时通讯、混合护理指导计划的结果:卡塔尔世界杯8强波胆分析实用主义回顾性队列研究%A Owusu,Jocelynn T %A Wang,Pam %A Wickham,Robert E %A Smith,Sarah F %A Lee,Jennifer L %A Chen,Connie %A Lungu,Anita %+ Lyra Health, 287 Lorton Avenue, Burlingame, CA, 94010, usa, 1877 505 7147, jowusu@lyrahealth.com %K基于文本的辅导%K焦虑%K混合护理%D 2023 %7 1.2.2023 %9原始论文%J JMIR表格Res %G英语%X背景:焦虑症是常见的，可以使人衰弱。此外，存在各种障碍，可能妨碍获得适当的护理。以循证干预措施为基础并通过同步(即实时)短信提供的辅导，可能会增加选择这种方式而不是其他服务(如面对面辅导和心理治疗)的人群获得精神卫生服务的范围。此外，在混合护理模式中提供实时消息指导有可能将指导的好处与基于证据的数字心理健康工具的好处结合起来。目的:这项现实世界的研究评估了与数字工具(即数字练习和活动)混合的实时消息教练的焦虑和满意度结果。方法:这是一项回顾性队列研究，121名在训练开始时有中度焦虑症状的成年人(广泛性焦虑障碍-7 [GAD-7]评分:范围8-14)。参与者接受了雇主提供的混合短信培训(BMC)计划，其中包括那些选择通过短信接受所有现场培训课程的人。使用GAD-7量表定期测量焦虑症状严重程度。使用生长曲线模型，评估了在BMC过程中GAD-7分数的变化，以及基于文本的指导课程对GAD-7分数的影响。 The proportion of participants that had a reliable improvement in anxiety symptom severity (GAD-7 score reduction of ≥4) or subclinical symptom severity (GAD-7 score of <8) at the end of care was also estimated. Participants also self-reported their likelihood of recommending their live messaging coach to someone with similar needs. Results: At baseline, the average GAD-7 score was 9.88 (SD 1.80). Anxiety symptom severity significantly decreased with each week in the BMC program (week: b=−1.04; P<.001), and the rate of decline in anxiety symptom severity decreased over time (week2: b=0.06; P<.001). Each live messaging coaching session was associated with significantly lower anxiety symptom severity during the week of the coaching session (b=−1.56; P<.001) and the week immediately following the session (b=−1.03; P<.001). Overall, 86% (104/121) of participants had subclinical symptom severity or a reliable reduction in anxiety symptom severity by the end of care. Further, 33.1% (40/121) of participants reported coaching satisfaction levels; of the 40 participants in this subset, 37 (92.5%) were likely or extremely likely to recommend their live messaging coach. Conclusions: BMC that provides coaching sessions via live messaging can be beneficial for adults with moderate symptoms of anxiety who qualify for and self-select this care modality. Large-scale studies with longer follow-ups are needed. %M 36724014 %R 10.2196/44138 %U https://formative.www.mybigtv.com/2023/1/e44138 %U https://doi.org/10.2196/44138 %U http://www.ncbi.nlm.nih.gov/pubmed/36724014