TY - JOUR
T1 - The Efficacy of a Smartphone-Based App on Stress Reduction
T2 - Randomized Controlled Trial
AU - Hwang, Hyunchan
AU - Kim, Sun Mi
AU - Netterstrøm, Bo
AU - Han, Doug Hyun
N1 - ©Hyunchan Hwang, Sun Mi Kim, Bo Netterstrøm, Doug Hyun Han. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 15.02.2022.
PY - 2022/2/15
Y1 - 2022/2/15
N2 - BACKGROUND: Stress management in the workplace is essential for a healthy mental and physical state. Due to technological advancements, individually tailored therapy and online cognitive behavioral therapy (CBT) are on the rise.OBJECTIVE: This study analyzed the efficacy of a smartphone app based on third-wave CBT tailored to an individual.METHODS: A randomized controlled trial was conducted with 126 participants who were divided into 2 groups. The intervention group used the smartphone app BetterLife for 10 weeks, while the control group was placed on a waiting list for the same duration. The Perceived Stress Scale-10 (PSS), Korean Utrecht Work Engagement Scale-9 (UWES), World Health Organization Quality of Life Assessment (WHOQOL), Beck Depression Inventory-II (BDI), and Beck Anxiety Inventory (BAI) were administered at baseline and after 10 weeks to both groups.RESULTS: Of the 126 participants, 11 dropped out during the trial. A 2-way repeated measure analysis of covariance was conducted, controlling for baseline BDI. There were greater improvements in PSS (F=24.33, P<.001, η2=0.17) and UWESK scores (F=8.32, P=.0046, η2=0.06) in the intervention group than in the control group. WHOQOL scores exhibited statistically significant improvement in the intervention group in the overall quality of life (F=8.19, P=.0049, η2=0.06), physical health (F=8.87, P=.003, η2=0.07), psychological health (F=13.32, P<.001, η2=0.10), social relationships (F=19.43, P<.001, η2=0.14), and environmental domains (F=10.14, P=.002, η2=0.08) but not overall health (F=1.68, P=.20). BDI (F=7.17, P=.008, η2=0.06) and BAI (F=6.00, P=.02, η2=0.05) showed a statistically significant improvement in the intervention group, but this significance did not survive the Bonferroni correction (P<.005).CONCLUSIONS: These results provide evidence that smartphone-based CBT is a viable option for reducing stress in the workplace.TRIAL REGISTRATION: Clinical Research Information Service KCT0003231; https://cris.nih.go.kr/cris/search/detailSearch.do/15137.
AB - BACKGROUND: Stress management in the workplace is essential for a healthy mental and physical state. Due to technological advancements, individually tailored therapy and online cognitive behavioral therapy (CBT) are on the rise.OBJECTIVE: This study analyzed the efficacy of a smartphone app based on third-wave CBT tailored to an individual.METHODS: A randomized controlled trial was conducted with 126 participants who were divided into 2 groups. The intervention group used the smartphone app BetterLife for 10 weeks, while the control group was placed on a waiting list for the same duration. The Perceived Stress Scale-10 (PSS), Korean Utrecht Work Engagement Scale-9 (UWES), World Health Organization Quality of Life Assessment (WHOQOL), Beck Depression Inventory-II (BDI), and Beck Anxiety Inventory (BAI) were administered at baseline and after 10 weeks to both groups.RESULTS: Of the 126 participants, 11 dropped out during the trial. A 2-way repeated measure analysis of covariance was conducted, controlling for baseline BDI. There were greater improvements in PSS (F=24.33, P<.001, η2=0.17) and UWESK scores (F=8.32, P=.0046, η2=0.06) in the intervention group than in the control group. WHOQOL scores exhibited statistically significant improvement in the intervention group in the overall quality of life (F=8.19, P=.0049, η2=0.06), physical health (F=8.87, P=.003, η2=0.07), psychological health (F=13.32, P<.001, η2=0.10), social relationships (F=19.43, P<.001, η2=0.14), and environmental domains (F=10.14, P=.002, η2=0.08) but not overall health (F=1.68, P=.20). BDI (F=7.17, P=.008, η2=0.06) and BAI (F=6.00, P=.02, η2=0.05) showed a statistically significant improvement in the intervention group, but this significance did not survive the Bonferroni correction (P<.005).CONCLUSIONS: These results provide evidence that smartphone-based CBT is a viable option for reducing stress in the workplace.TRIAL REGISTRATION: Clinical Research Information Service KCT0003231; https://cris.nih.go.kr/cris/search/detailSearch.do/15137.
KW - Cognitive Behavioral Therapy/methods
KW - Humans
KW - Mobile Applications
KW - Quality of Life
KW - Smartphone
KW - Waiting Lists
UR - http://www.scopus.com/inward/record.url?scp=85124609806&partnerID=8YFLogxK
U2 - 10.2196/28703
DO - 10.2196/28703
M3 - Journal article
C2 - 35166687
SN - 1439-4456
VL - 24
SP - e28703
JO - Journal of Medical Internet Research
JF - Journal of Medical Internet Research
IS - 2
M1 - e28703
ER -