A randomized controlled trial of a self-guided, multimedia, stress management and resilience training program
Highlights
► We developed and evaluated a multimedia stress management training program. ► The program (SMART-OP) was compared to an attention control group. ► SMART-OP decreased perceived stress and increased perceived control over stress. ► SMART-OP was rated as more useful than attention control and very easy to use.
Section snippets
Efficacy of technology-based behavioral healthcare
A growing body of literature supports the efficacy of technology-based (i.e., computer/Internet) interventions for anxiety and depression (e.g., Andrews, Cuijpers, Craske, McEvoy, & Titov, 2010; Proudfoot et al., 2003). To date, studies have not targeted stressed but otherwise healthy populations. Typically, technology-based programs developed for and tested with clinical samples are as efficacious as face-to-face therapy or better than treatment as usual (Proudfoot et al., 2003; Titov,
Stress and resilience
Stress has various definitions that converge upon the notion of “strain” (Webster's Online Dictionary, 2012) or “the nonspecific response of the body to any demand placed upon it” (Selye, 1956). Resilience is “the ability of individuals to adapt successfully in the face of acute stress, trauma, or chronic adversity, maintaining or rapidly regaining psychological well-being and physiological homeostasis” (Charney, 2004).
In the short-term, the body's response to stress can be helpful and adaptive
Methods
All study procedures were approved by the UCLA Office of Human Research Protection Program.
Baseline data
There were no significant baseline group differences on any measure.
Pre- and post-assessment self-report measures
PSS-10: The Condition × Time interaction was significant (F (1, 57) = 8.04, p < .01; η2 = .14). Simple main effects analyses showed significant effects for Time within SMART-OP (F (1, 57) = 46.83, p < .01) and within AC (F (1, 57) = 7.57, p < .01). Also, while the groups did not differ significantly at pre-assessment (F (1, 57) = .45, p = .51), SMART-OP was lower than AC at post-assessment (F (1, 57) = 4.59, p < .04) (see
Discussion
Stress management training is empirically supported in clinical populations (e.g., Meichenbaum, 2007), yet stress is a common and costly behavioral health problem (Madhu, 2002). While there is growing empirical support for computer-based interventions for anxiety and depression (Proudfoot et al., 2003), to our knowledge, there are no studies examining the efficacy of computer-based stress management training in stressed but otherwise healthy populations. We report the results of an RCT of a
Acknowledgments
The authors acknowledge the contributions of Fred Connors, Ryan Green, and Timothy Elliott to the production of SMART-OP. This work was supported by the National Space Biomedical Research Institute through NASA NCC 9-58 in a grant to R. Rose (# NBPFOI 605).
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