期刊文章%@ 2368-7959 %I JMIR Publicatio卡塔尔世界杯8强波胆分析ns %V 9 %N 9 %P评估会话式人工智能在老年人压力和焦虑治疗中的影响:随机对照试验%A Danieli,Morena %A Ciulli,Tommaso %A Mousavi,Seyed Mahed %A Silvestri,Giorgia %A Barbato,Simone %A Di Natale,Lorenzo %A Riccardi,Giuseppe %+信号与交互系统实验室，Dipartimento Di Ingegneria e science dell'Informazione, Università degli Studi Di Trento, via Sommarive 9, Povo Di Trento - Trento, 38123，意大利，39 5381237 ext 686，morena.danieli@unitn.it %K精神健康护理%K对话式人工智能%K移动健康%K个人健康护理代理%D 2022 %7 23.9.2022 %9原始论文%J JMIR Ment health %G英文%X背景:虽然精神健康应用程序越来越多地可供大量用户使用，但缺乏关于这类应用程序影响的对照试验。人工智能(AI)授权代理在帮助有认知障碍的成年人时已进行了评估;然而，很少有应用程序适用于仍在积极工作的老年人。这些成年人通常因工作场所的变化而压力很大，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 (Therapy Empowerment Opportunity，治疗赋权机会)的贡献，这是一种具有对话式人工智能的移动个人健康护理代理。TEO通过与患者对话，让患者回忆增加他们焦虑的事件细节，并提供治疗性练习和建议，促进心理健康和福祉。方法:研究基于压力和焦虑管理的规范化干预。有压力症状和轻度到中度焦虑的参与者接受了为期8周的远程认知行为疗法(CBT)干预。 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 %M 36149730 %R 10.2196/38067 %U https://mental.www.mybigtv.com/2022/9/e38067 %U https://doi.org/10.2196/38067 %U http://www.ncbi.nlm.nih.gov/pubmed/36149730