TY - JOUR AU - Stecher, Chad AU - Sullivan, Mariah AU - Huberty, Jennifer PY - 2021 DA - 2021/12/22 TI -使用个性化锚定建立常规冥想练习与移动应用程序:随机对照试验JO - JMIR Mhealth Uhealth SP - e32794 VL - 9is - 12kw -正念KW -冥想KW -移动冥想应用KW -行为坚持KW -习惯形成KW -随机对照试验KW -心理健康KW -身体健康KW -应用参与KW -常规AB -背景:通过移动冥想应用程序持续、长期地进行正念冥想，可以获得身心健康益处，但总体而言，很少有移动健康应用程序用户持续参与到获得相应健康益处所需的水平。将冥想与手机应用程序固定或配对到现有的日常生活中，可以建立一种无意识的冥想习惯，这可能会提高冥想的持久性。目的:本研究的目的是测试使用个性化锚点或固定锚点在手机应用程序Calm中建立持久的冥想应用程序程序。方法:我们进行了一项随机对照试验，并将参与者随机分配到3个研究组中的一个:(1)个性化锚(PA)组，(2)固定锚(FA)组，或(3)不使用锚策略的对照组。在为期8周的干预期内，所有参与者都收到了应用程序发送的提醒信息，要求他们每天使用Calm应用程序冥想至少10分钟，并在另外8周的随访期内继续收集应用程序使用数据，以衡量冥想的持久性。基线、第8周和第16周进行调查，以评估人口统计学、社会经济地位和自我报告的习惯强度的变化。结果:3个研究组共101名参与者被纳入最终分析:(1)PA (n=56)， (2) FA (n=49)，(3)对照组(n=62)。参与者主要是白人(83/101,82.2%)、女性(77/101,76.2%)和受过大学教育(即学士或研究生学位; 82/101, 81.2%). The FA group had a significantly higher average odds of daily meditation during the intervention (1.14 odds ratio [OR]; 95% CI 1.02-1.33; P=.04), and all participants experienced a linear decline in their odds of daily meditation during the 8-week intervention (0.96 OR; 95% CI 0.95-0.96; P<.001). Importantly, the FA group showed a significantly smaller decline in the linear trend of their odds of daily meditation during the 8-week follow-up (their daily trend increased by 1.04 OR from their trend during the intervention; 95% CI 1.01-1.06; P=.03). Additionally, those who more frequently adhered to their anchoring strategy during the intervention typically used anchors that occurred in the morning and showed a significantly smaller decline in their odds of daily meditation during the 8-week follow-up period (1.13 OR; 95% CI 1.02-1.35; P=.007). Conclusions: The FA group had more persistent meditation with the app, but participants in the FA or PA groups who more frequently adhered to their anchoring strategy during the intervention had the most persistent meditation routines, and almost all of these high anchorers used morning anchors. These findings suggest that the anchoring strategy can create persistent meditation routines with a mobile app. However, future studies should combine anchoring with additional intervention tools (eg, incentives) to help more participants successfully establish an anchored meditation routine. Trial Registration: ClinicalTrials.gov NCT04378530; https://clinicaltrials.gov/ct2/show/NCT04378530 SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2021/12/e32794 UR - https://doi.org/10.2196/32794 UR - http://www.ncbi.nlm.nih.gov/pubmed/34941558 DO - 10.2196/32794 ID - info:doi/10.2196/32794 ER -