%0期刊文章%@ 1438- 8871% I JMIR出版物%V 24卡塔尔世界杯8强波胆分析% N 7% P e26569% T工作压力管理技术辅助电话干预:随机对照试验%A Muuraiskangas,Salla Tuulikki %A Honka,Anita Marianne %A Junno,Ulla-Maija %A Nieminen,Hannu Olavi %A Kaartinen,Jouni Kalevi %+ Smart Health,芬兰VTT技术研究中心有限公司,Kaitoväylä 1,奥卢,90590,芬兰,358 408350169,salla.muuraiskangas@gmail.com %K健康行为改变干预%K电话辅导%K技术辅助辅导%K远程辅导%K职业健康%K心理健康%K压力管理%K可行性%K随机对照试验%D 2022 %7 13.7.2022 %9原始论文%J J医学互联网Res %G英语%X背景:将技术与人类参与相结合的压力管理干预措施有可能提高仅由人类提供的干预措施的成本效益,但目前很少有随机对照试验来评估技术辅助的人类干预措施的成本效益。目的:本研究的目的是调查与传统电话指导相比,技术辅助的压力管理电话干预是否可用于增加心理健康或减少教练使用时间(作为干预成本的近近值),同时保持参与者的依从性和满意度。方法:进行了一项为期9个月的2组随机对照试验,用于压力管理(4个月强化期和5个月维持期)。参与者通过地区职业卫生保健提供者在网上招募,并平均随机分为研究组(技术辅助电话干预)和对照组(传统电话干预)。该指导方法基于习惯形成、动机性访谈和跨理论模型。对于研究小组来说,技术支持教练和参与者确定行为改变目标,设定初始教练计划,监控进展和沟通。试验结果是干预的可行性,主要通过自我评估的心理健康(workoptimal指数)和自我报告的教练使用时间来衡量,其次是参与者的依从性和满意度。 Results: A total of 49 eligible participants were randomized to the research (n=24) and control (n=25) groups. Most participants were middle-aged (mean 46.26, SD 9.74 years) and female (47/49, 96%). Mental well-being improved significantly in both groups (WorkOptimum from “at risk” to “good” Â>0.85; P<.001), and no between-group differences were observed in the end (Â=0.56, 95% CI 0.37-0.74; P=.56). The total time use of coaches did not differ significantly between the groups (366.0 vs 343.0 minutes, Â=0.60, 95% CI 0.33-0.85; P=.48). Regarding adherence, the dropout rate was 13% (3/24) and 24% (6/25), and the mean adherence rate to coaching calls was 92% and 86% for the research and control groups, respectively; the frequency of performing coaching tasks was similar for both groups after both phases; and the diligence in performing the tasks during the intensive phase was better for the research group (5.0 vs 4.0, Â=0.58, 95% CI 0.51-0.65; P=.03), but no difference was observed during the maintenance phase. Satisfaction was higher in the research group during the intensive phase (5.0 vs 4.0, Â=0.66, 95% CI 0.58-0.73; P<.001) but not during the maintenance phase. Conclusions: The technology-assisted telephone intervention is feasible with some modifications, as it had similar preliminary effectiveness as the traditional telephone intervention, and the participants had better satisfaction with and similar or better adherence to the intervention, but it did not reduce the time use of coaches. The technology should be improved to provide more digested information for action planning and templates for messaging. Trial Registration: ClinicalTrials.gov NCT02445950; https://www.clinicaltrials.gov/ct2/show/study/NCT02445950 %M 35830233 %R 10.2196/26569 %U //www.mybigtv.com/2022/7/e26569 %U https://doi.org/10.2196/26569 %U http://www.ncbi.nlm.nih.gov/pubmed/35830233
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