TY - JOUR AU - Muuraiskangas, Salla Tuulikki AU - Honka, Anita Marianne AU - Junno, Ulla-Maija AU - Nieminen, Hannu Olavi AU - Kaartinen, Jouni Kalevi PY - 2022 DA - 2022/7/13 TI -工作压力管理的技术辅助电话干预:试验随机对照试验JO - J Med Internet Res SP - e26569 VL - 24is - 7kw -健康行为改变干预KW -电话指导KW -技术辅助指导KW -远程指导KW -职业健康KW -心理健康KW -压力管理KW -可行性KW -随机对照试验AB -背景:将技术与人力参与相结合的压力管理干预措施有可能提高纯人力干预措施的成本效益，但很少有随机对照试验用于评估技术辅助的人力干预措施的成本效益。目的:本研究的目的是探讨与传统电话指导相比，在保持参与者的依从性和满意度的情况下，压力管理的技术辅助电话干预是否能够增加心理健康或减少教练的使用时间(作为干预成本的近似值)。方法:进行了一项为期9个月的两组随机对照试验，用于压力管理(4个月强化期和5个月维持期)。参与者通过一个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)。训练方法以习惯形成、动机性访谈和跨理论模型为基础。对于研究小组，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。结果:共有49名符合条件的受试者被随机分为研究组(n=24)和对照组(n=25)。 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 SN - 1438-8871 UR - //www.mybigtv.com/2022/7/e26569 UR - https://doi.org/10.2196/26569 UR - http://www.ncbi.nlm.nih.gov/pubmed/35830233 DO - 10.2196/26569 ID - info:doi/10.2196/26569 ER -