Feasibility of a Personal Health Technology-Based Psychological Intervention for Men with Stress and Mood Problems

Randomized Controlled Pilot Trial

P. Lappalainen (Corresponding Author), Kirsikka Kaipainen, R. Lappalainen, H. Hoffrén, T. Myllymäki, M.-L. Kinnunen, Elina M. Mattila, Antti P. Happonen, H. Rusko, Ilkka Korhonen

Research output: Contribution to journalArticleScientificpeer-review

31 Citations (Scopus)

Abstract

Background: Work-related stress is a significant problem for both people and organizations. It may lead to mental illnesses such as anxiety and depression, resulting in increased work absences and disabilities. Scalable interventions to prevent and manage harmful stress can be delivered with the help of technology tools to support self-observations and skills training.

Objective: The aim of this study was to assess the feasibility of the P4Well intervention in treatment of stress-related psychological problems. P4Well is a novel intervention which combines modern psychotherapy (the cognitive behavioral therapy and the acceptance and commitment therapy) with personal health technologies to deliver the intervention via multiple channels, includinggroup meetings, Internet/Web portal, mobile phone applications, and personal monitoring devices.

Methods: This pilot study design was a small-scale randomized controlled trial that compared the P4Well intervention with a waiting list control group. In addition to personal health technologies for self-assessment, the intervention consisted of 3 psychologist-assisted group meetings. Self-assessed psychological measures through questionnaires were collected offline pre- and post-intervention, and 6 months after the intervention for the intervention group. Acceptance and usage of technology tools were measured with user experience questionnaires and usage logs.

Results: A total of 24 subjects were randomized: 11 participants were followed up in the intervention group (1 was lost to follow-up) and 12 participants did not receive any intervention (control group). Depressive and psychological symptoms decreased and self-rated health and working ability increased. All participants reported they had benefited from the intervention. All technology tools had active users and 10/11 participants used at least 1 tool actively. Physiological measurements with personal feedback were considered the most useful intervention component.

Conclusions: Our results confirm the feasibility of the intervention and suggest that it had positive effects on psychological symptoms, self-rated health, and self-rated working ability. The intervention seemed to have a positive impact on certain aspects of burnout and job strain, such as cynicism and over-commitment. Future studies need to investigate the effectiveness, benefits, and possible problems of psychological interventions which incorporate new technologies.
Original languageEnglish
JournalJMIR Research Protocols
Volume2
Issue number1
DOIs
Publication statusPublished - 2013
MoE publication typeA1 Journal article-refereed

Fingerprint

Biomedical Technology
Randomized Controlled Trials
Psychology
Technology
Aptitude
Acceptance and Commitment Therapy
Mobile Applications
Depression
Biomedical Technology Assessment
Control Groups
Cell Phones
Group Processes
Waiting Lists
Lost to Follow-Up
Health
Cognitive Therapy
Psychological Stress
Psychotherapy
Internet
Anxiety

Keywords

  • stress
  • technology-supported mini-intervention
  • personal health technologies
  • cognitive behaviour therapy
  • acceptance and commitment therapy
  • mhealth
  • mobile health
  • smartphone
  • Internet

Cite this

Lappalainen, P. ; Kaipainen, Kirsikka ; Lappalainen, R. ; Hoffrén, H. ; Myllymäki, T. ; Kinnunen, M.-L. ; Mattila, Elina M. ; Happonen, Antti P. ; Rusko, H. ; Korhonen, Ilkka. / Feasibility of a Personal Health Technology-Based Psychological Intervention for Men with Stress and Mood Problems : Randomized Controlled Pilot Trial. In: JMIR Research Protocols. 2013 ; Vol. 2, No. 1.
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abstract = "Background: Work-related stress is a significant problem for both people and organizations. It may lead to mental illnesses such as anxiety and depression, resulting in increased work absences and disabilities. Scalable interventions to prevent and manage harmful stress can be delivered with the help of technology tools to support self-observations and skills training.Objective: The aim of this study was to assess the feasibility of the P4Well intervention in treatment of stress-related psychological problems. P4Well is a novel intervention which combines modern psychotherapy (the cognitive behavioral therapy and the acceptance and commitment therapy) with personal health technologies to deliver the intervention via multiple channels, includinggroup meetings, Internet/Web portal, mobile phone applications, and personal monitoring devices.Methods: This pilot study design was a small-scale randomized controlled trial that compared the P4Well intervention with a waiting list control group. In addition to personal health technologies for self-assessment, the intervention consisted of 3 psychologist-assisted group meetings. Self-assessed psychological measures through questionnaires were collected offline pre- and post-intervention, and 6 months after the intervention for the intervention group. Acceptance and usage of technology tools were measured with user experience questionnaires and usage logs.Results: A total of 24 subjects were randomized: 11 participants were followed up in the intervention group (1 was lost to follow-up) and 12 participants did not receive any intervention (control group). Depressive and psychological symptoms decreased and self-rated health and working ability increased. All participants reported they had benefited from the intervention. All technology tools had active users and 10/11 participants used at least 1 tool actively. Physiological measurements with personal feedback were considered the most useful intervention component.Conclusions: Our results confirm the feasibility of the intervention and suggest that it had positive effects on psychological symptoms, self-rated health, and self-rated working ability. The intervention seemed to have a positive impact on certain aspects of burnout and job strain, such as cynicism and over-commitment. Future studies need to investigate the effectiveness, benefits, and possible problems of psychological interventions which incorporate new technologies.",
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Lappalainen, P, Kaipainen, K, Lappalainen, R, Hoffrén, H, Myllymäki, T, Kinnunen, M-L, Mattila, EM, Happonen, AP, Rusko, H & Korhonen, I 2013, 'Feasibility of a Personal Health Technology-Based Psychological Intervention for Men with Stress and Mood Problems: Randomized Controlled Pilot Trial', JMIR Research Protocols, vol. 2, no. 1. https://doi.org/10.2196/resprot.2389

Feasibility of a Personal Health Technology-Based Psychological Intervention for Men with Stress and Mood Problems : Randomized Controlled Pilot Trial. / Lappalainen, P. (Corresponding Author); Kaipainen, Kirsikka; Lappalainen, R.; Hoffrén, H.; Myllymäki, T.; Kinnunen, M.-L.; Mattila, Elina M.; Happonen, Antti P.; Rusko, H.; Korhonen, Ilkka.

In: JMIR Research Protocols, Vol. 2, No. 1, 2013.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Feasibility of a Personal Health Technology-Based Psychological Intervention for Men with Stress and Mood Problems

T2 - Randomized Controlled Pilot Trial

AU - Lappalainen, P.

AU - Kaipainen, Kirsikka

AU - Lappalainen, R.

AU - Hoffrén, H.

AU - Myllymäki, T.

AU - Kinnunen, M.-L.

AU - Mattila, Elina M.

AU - Happonen, Antti P.

AU - Rusko, H.

AU - Korhonen, Ilkka

N1 - Project code: 23889

PY - 2013

Y1 - 2013

N2 - Background: Work-related stress is a significant problem for both people and organizations. It may lead to mental illnesses such as anxiety and depression, resulting in increased work absences and disabilities. Scalable interventions to prevent and manage harmful stress can be delivered with the help of technology tools to support self-observations and skills training.Objective: The aim of this study was to assess the feasibility of the P4Well intervention in treatment of stress-related psychological problems. P4Well is a novel intervention which combines modern psychotherapy (the cognitive behavioral therapy and the acceptance and commitment therapy) with personal health technologies to deliver the intervention via multiple channels, includinggroup meetings, Internet/Web portal, mobile phone applications, and personal monitoring devices.Methods: This pilot study design was a small-scale randomized controlled trial that compared the P4Well intervention with a waiting list control group. In addition to personal health technologies for self-assessment, the intervention consisted of 3 psychologist-assisted group meetings. Self-assessed psychological measures through questionnaires were collected offline pre- and post-intervention, and 6 months after the intervention for the intervention group. Acceptance and usage of technology tools were measured with user experience questionnaires and usage logs.Results: A total of 24 subjects were randomized: 11 participants were followed up in the intervention group (1 was lost to follow-up) and 12 participants did not receive any intervention (control group). Depressive and psychological symptoms decreased and self-rated health and working ability increased. All participants reported they had benefited from the intervention. All technology tools had active users and 10/11 participants used at least 1 tool actively. Physiological measurements with personal feedback were considered the most useful intervention component.Conclusions: Our results confirm the feasibility of the intervention and suggest that it had positive effects on psychological symptoms, self-rated health, and self-rated working ability. The intervention seemed to have a positive impact on certain aspects of burnout and job strain, such as cynicism and over-commitment. Future studies need to investigate the effectiveness, benefits, and possible problems of psychological interventions which incorporate new technologies.

AB - Background: Work-related stress is a significant problem for both people and organizations. It may lead to mental illnesses such as anxiety and depression, resulting in increased work absences and disabilities. Scalable interventions to prevent and manage harmful stress can be delivered with the help of technology tools to support self-observations and skills training.Objective: The aim of this study was to assess the feasibility of the P4Well intervention in treatment of stress-related psychological problems. P4Well is a novel intervention which combines modern psychotherapy (the cognitive behavioral therapy and the acceptance and commitment therapy) with personal health technologies to deliver the intervention via multiple channels, includinggroup meetings, Internet/Web portal, mobile phone applications, and personal monitoring devices.Methods: This pilot study design was a small-scale randomized controlled trial that compared the P4Well intervention with a waiting list control group. In addition to personal health technologies for self-assessment, the intervention consisted of 3 psychologist-assisted group meetings. Self-assessed psychological measures through questionnaires were collected offline pre- and post-intervention, and 6 months after the intervention for the intervention group. Acceptance and usage of technology tools were measured with user experience questionnaires and usage logs.Results: A total of 24 subjects were randomized: 11 participants were followed up in the intervention group (1 was lost to follow-up) and 12 participants did not receive any intervention (control group). Depressive and psychological symptoms decreased and self-rated health and working ability increased. All participants reported they had benefited from the intervention. All technology tools had active users and 10/11 participants used at least 1 tool actively. Physiological measurements with personal feedback were considered the most useful intervention component.Conclusions: Our results confirm the feasibility of the intervention and suggest that it had positive effects on psychological symptoms, self-rated health, and self-rated working ability. The intervention seemed to have a positive impact on certain aspects of burnout and job strain, such as cynicism and over-commitment. Future studies need to investigate the effectiveness, benefits, and possible problems of psychological interventions which incorporate new technologies.

KW - stress

KW - technology-supported mini-intervention

KW - personal health technologies

KW - cognitive behaviour therapy

KW - acceptance and commitment therapy

KW - mhealth

KW - mobile health

KW - smartphone

KW - Internet

U2 - 10.2196/resprot.2389

DO - 10.2196/resprot.2389

M3 - Article

VL - 2

JO - JMIR Research Protocols

JF - JMIR Research Protocols

SN - 1929-0748

IS - 1

ER -