Efficacy and mechanisms of mobile application-delivered Acceptance and Commitment Therapy for posttraumatic stress disorder in China: Study protocol for a randomized controlled trial

Zhao, Ziyi; Zhao, Chunxiao; Ren, Zhihong; Shi, Congrong; Lai, Lizu

doi:10.1016/j.invent.2022.100585

Cited by 3 publications

(3 citation statements)

References 89 publications

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“…12 The six core components of ACT work together to help adolescents accept their distressed thoughts and emotions without escaping and turn to individual conscious consideration by positively changing perspectives until they adhere to their chosen values. 31 Thus, over the trial of 8weeks, participants in our study could experience realistic levels of stress that occurred in their daily lives without escaping it. The app helped them learn to adjust their thoughts by examining and considering various aspects of unsatisfactory situations more thoroughly and positively.…”

Section: Discussionmentioning

confidence: 99%

“…These findings demonstrate the efficacy of the core principles of the ACT therapy approach, 9 and consistent with previous research. 31 For example, a systematic literature review and meta-analysis that analyzed ACT-based intervention programs for stress reduction in children and adolescents found that these effectively reduced perceived stress among adolescents. 12 The six core components of ACT work together to help adolescents accept their distressed thoughts and emotions without escaping and turn to individual conscious consideration by positively changing perspectives until they adhere to their chosen values.…”

Section: Discussionmentioning

confidence: 99%

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Promoting Positive Thinking and Reducing Perceived Stress Using the Be Aware of Stress Smartphone Application among At-risk Adolescents: A Quasi-experimental Study.

Hengudomsub,

Sudjai,

Kangwanphanit

et al. 2024

PRIJNR

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It is estimated that globally, millions of adolescents experience mental health problems, especially anxiety and depression. Adolescents with high perceptions of stress often encounter mental issues, have negative thoughts or are dissatisfied with daily life events. This study employed a quasi-experimental design with two groups and repeated measures to test an innovative nursing intervention, the Be Aware of Stress Smartphone Application. This application aims to increase positive thinking and reduce perceived stress among at-risk adolescents aged 13 to 16, and we sought to determine their satisfaction with its usability. The study was conducted with 44 junior high school students from an opportunity expansion high school in Eastern Thailand, who were randomly assigned to experimental and comparison groups (22 each). Data were collected between December 2023 and February 2024 using the General Information Questionnaire, Positive Thinking Test, Perceived Stress Questionnaire, and Satisfaction of Application Usability scale. The outcomes were measured at baseline, after completing the program at week 4, and at week 8 after using the application. The chi-square test and repeated measures analysis of variance were used to analyze the data. The results of this study have important implications for future research. They indicate a significant improvement in positive thinking and a reduction in perceived stress within the experimental group, compared to the comparison group, at weeks 4 and 8. Moreover, the experimental group reported high satisfaction with the application’s usability. These findings suggest that the Be Aware of Stress application is beneficial for community nurses and others to prevent adolescent stress. The study also highlights the need for future research to enhance the application’s functionality and compatibility with various phone operating systems to ensure widespread and effective use.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Promoting Positive Thinking and Reducing Perceived Stress Using the Be Aware of Stress Smartphone Application among At-risk Adolescents: A Quasi-experimental Study.

Hengudomsub,

Sudjai,

Kangwanphanit

et al. 2024

PRIJNR

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“…If recognized, many psychological and physical complaints of PICS can be treated. For instance, various treatments can be performed by a psychologist for anxiety, depression, and PTSD, such as cognitive behavioral therapy, eye movement desensitization and reprocessing (EMDR), narrative exposure therapy, eclectic psychotherapy, supportive counseling, and acceptance and commitment therapy (ACT) [ 59 , 60 ]. Pain can be caused by SAH-related brain injury itself or due to problems in extremities or muscles or nerves.…”

Section: Discussionmentioning

confidence: 99%

Post-Intensive Care Syndrome in Patients Suffering From Acute Subarachnoid Hemorrhage: Results From an Outpatient Post-ICU Aftercare Clinic

Ramnarain¹,

Oudsten²,

Oldenbeuving³

et al. 2023

Cureus

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IntroductionSurvivors of an acute subarachnoid hemorrhage (aSAH) may suffer from a long-term neurological disability, cognitive impairment, anxiety, and depression, which can also be related to post-intensive care syndrome (PICS). The aim of this study was to examine the prevalence of PICS symptoms in post-intensive care (ICU) aftercare aSAH patients. MethodsWe conducted an observational cohort study in aSAH patients from a post-ICU aftercare clinic (ICU-AC). PICS symptoms were evaluated using the Impact of Event Scale-Revised (IES-R), Hospital Anxiety and Depression Scale (HADS), and a medical questionnaire for physical and cognitive functioning. ResultsA total of 110 patients were included. The prevalence of anxiety and depressive symptoms was 23.6% and 19.1%, respectively. Post-traumatic stress disorder (PTSD) was seen in 26.4%. Cognitive complaints were lack of concentration (63.6%), short-term memory loss (45.8%), and reduced speed of thinking (60.9%). The most reported physical complaints were fatigue (73.6%), limitations in daily activity (72.7%), muscle weakness (41.8%), pain (36.4%), and weight loss (30.9%). PICS symptoms related to all three domains were present in 30% of patients. ConclusionThe prevalence of PICS in patients after aSAH is high. Even in patients without aSAH-related neurological impairment who were discharged home, a high prevalence of PICS symptoms was reported. Early screening for PICS should comprise all three domains and is important to facilitate a better tailored rehabilitation of these patients.

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Efficacy and acceptability of mobile application-delivered acceptance and commitment therapy for posttraumatic stress disorder in China: A randomized controlled trial

Zhao,

Levin

et al. 2023

Behaviour Research and Therapy

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Efficacy and mechanisms of mobile application-delivered Acceptance and Commitment Therapy for posttraumatic stress disorder in China: Study protocol for a randomized controlled trial

Cited by 3 publications

References 89 publications

Promoting Positive Thinking and Reducing Perceived Stress Using the Be Aware of Stress Smartphone Application among At-risk Adolescents: A Quasi-experimental Study.

Promoting Positive Thinking and Reducing Perceived Stress Using the Be Aware of Stress Smartphone Application among At-risk Adolescents: A Quasi-experimental Study.

Post-Intensive Care Syndrome in Patients Suffering From Acute Subarachnoid Hemorrhage: Results From an Outpatient Post-ICU Aftercare Clinic

Efficacy and acceptability of mobile application-delivered acceptance and commitment therapy for posttraumatic stress disorder in China: A randomized controlled trial

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