Mobile Mental Wellness Training for Stress Management: Feasibility and Design Implications Based on a One-Month Field Study

Ahtinen, Aino; Mattila, Elina; Välkkynen, Pasi; Kaipainen, Kirsikka; Vanhala, Toni; Ermes, Miikka; Sairanen, Essi; Myllymäki, Tero; Lappalainen, Raimo

doi:10.2196/mhealth.2596

Cited by 157 publications

(177 citation statements)

References 39 publications

Supporting

Mentioning

160

Contrasting

Unclassified

Order By: Relevance

“…The present study examines DNS students' experiences and perceptions of a mobile app, named Oiva, which teaches coping strategies for stress and mood problems through active experiential exercises [19]. The exercises are based on Acceptance and Commitment Therapy (ACT), a psychological intervention approach which belongs to third-wave cognitive behavioral therapies [20].…”

Section: Introductionmentioning

confidence: 99%

“…ACT appears to be equally effective in treating depression as established psychological treatments [23,24], and recent studies suggest that ACT-based online programs can be feasible in reducing or preventing symptoms of depression [25][26][27][28]. Mobile delivery of ACT has been studied in small-scale non-clinical samples, and initial findings suggest that it can promote well-being and satisfaction with life [19,29].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Applicability of acceptance and commitment therapy-based mobile app in depression nursing

Kaipainen¹,

Välkkynen²,

Kilkku

2016

Behav. Med. Pract. Policy Res.

Self Cite

View full text Add to dashboard Cite

Due to the high burden of depression, new models and methods of mental healthcare need to be developed. Prior research has shown the potential benefits of using technology tools such as mobile apps as self-help or combined with psychological treatment. Therefore, professionals should acquaint themselves with evidence-based apps to be able to use them with clients and guide the clients in their use. The purpose of this study was to explore how an acceptance and commitment therapy-based mobile app was perceived as a self-management tool among nurses, and how it could be applied in the prevention and treatment of depression and other mental health issues. Sixteen Finnish nurses undergoing depression nurse specialist education used the app for 5 weeks and participated in semistructured focus group interviews. Interviews were analyzed by qualitative content analysis. In general, the nurses found the app suitable as a self-management tool and identified three models of using it in clinical practice. Having used the app personally, the nurses were eager to take it into use with various client groups, especially in occupational health but also in the treatment of mental health problems. However, they also raised concerns about the effort needed in familiarizing oneself with the content and pointed out specific client groups for whom the benefits of the app should be carefully weighed against the potential risks. Despite the small sample size, the findings suggest that involving technology tools as part of the nurses' education could ease their adoption in clinical practice. The degree of professional support in the app use should be aligned to the severity of the mental health problems.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Applicability of acceptance and commitment therapy-based mobile app in depression nursing

Kaipainen¹,

Välkkynen²,

Kilkku

2016

Behav. Med. Pract. Policy Res.

Self Cite

View full text Add to dashboard Cite

show abstract

“…The goal of the pilot was to investigate the feasibility of MyBehaviorCBP, which is measured by three factors (i) use (ii) acceptability, and (iii) early efficacy. In addition, we also report lessons learned for future improvements [35,36,46]. These factors are measured with a combination of phone logs, daily evening surveys during the study and a post-study exit survey.…”

Section: Methodsmentioning

confidence: 99%

Feasibility and Acceptability of Mobile Phone–Based Auto-Personalized Physical Activity Recommendations for Chronic Pain Self-Management: Pilot Study on Adults (Preprint)

Rabbi¹,

Aung²,

Gay³

et al. 2018

Preprint

View full text Add to dashboard Cite

Chronic Pain (CP) is defined as pain that persists despite the resolution of injury or pathology [1] and is attributed to changes in the central and peripheral nervous system resulting in amplified or uninhibited pain signals [2,3]. The persistency of pain signals over long periods of time can severely affect people both physically and psychologically.CP is closely linked with distress, can affect behavior, lead to a loss of productivity and daily functioning. Among people with CP, 86% report an inability to sleep well [4], 70% report trouble concentrating [4], 44-51% report anxiety [5], 88% express anger due to not seeing improvement [5]; CP related productivity related losses are 4.6 hour per week (5.5 hours/ week for chronic back pain) [6]. These adverse effects of CP can further result in depression and mood disorders; 40-50% CP population suffer from depressive disorders, while 77% report feeling depressed [5,7,8,9]. In terms of prevalence, the World Health Organization recognizes CP as a public health problem worldwide [10] (32% in low income countries and 30% in high income countries) [11,12]. In the US alone, 120 million adults are reported to be suffering from CP [13].Related costs have exceeded diabetes, cancer and heart disease in US [14] and CP is also related to substance abuse; 12 million (12 year or older) reported non-medical use of pain medication and overdose related deaths are rising every year [15].A particularly common form of CP is musculoskeletal chronic pain, which affects one in ten adults globally; 28.1% of the CP population has a musculoskeletal form.Musculoskeletal CP is a leading cause of disability, with 28% of people with chronic back pain reporting limited movement due to the condition [16]. Having said this, it is well understood that successful management in musculoskeletal CP is achievable with regular and sustained physical activity [10]. This is due to regular activity having the effect of protecting against muscle weakening and also inhibiting the neurophysiological mechanisms underlying the spread of pain [4]. Physical activity also has fewer side effects than drugs [17]. The National Institute of Health Care in the UK (NICE) recommends reducing the dependence on drugs and suggests exercise to be a core treatment for CP [10]. Despite these benefits, adherence to regular and sustained physical activity is very low [12] and the need to improve adherence to prescribed physiotherapies among individuals with musculoskeletal CP has been a longstanding problem [18]. This is especially challenging in self-managed settings where there is no care provider present to offer encouragement and respond to the individual's specific needs in real time [12]. This low adherence is principally due to the perceived onset of pain exacerbation due to physical activity which over time results in psychological barriers. Some barriers manifest at an affective level [5], typically fear and anxiety [19,20] which are also closely linked to more cognitive barriers such as negative beliefs [5] and catast...

show abstract

“…There are a few mobile based applications, which incorporate cognitive and behavioral methods and exercises to ameliorate mental wellness and mitigate work related stress [1,2].…”

Section: Manual Systems For Mental Wellnessmentioning

confidence: 99%

“…Ovia [2] is a mobile phone application that uses acceptance and commitment therapy (ACT). Ovia users learn skills that prepare them to take corrective actions toward maintaining better mental wellness.…”

Section: Manual Systems For Mental Wellnessmentioning

confidence: 99%

Let Me Relax: Toward Automated Sedentary State Recognition and Ubiquitous Mental Wellness Solutions

Rajanna

Alamudun

Goldberg

et al. 2015

Proceedings of the 5th EAI International Conference on Wireless Mobile Communication and Healthcare - "Transforming Healthcare

View full text Add to dashboard Cite

Advances in ubiquitous computing technology improve workplace productivity, reduce physical exertion, but ultimately result in a sedentary work style. Sedentary behavior is associated with an increased risk of stress, obesity, and other health complications. Let Me Relax is a fully automated sedentary-state recognition framework using a smartwatch and smartphone, which encourages mental wellness through interventions in the form of simple relaxation techniques.The system was evaluated through a comparative user study of 22 participants split into a test and a control group. An analysis of NASA Task Load Index pre-and post-study survey revealed that test subjects who followed relaxation methods, showed a trend of both increased activity as well as reduced mental stress. Reduced mental stress was found even in those test subjects that had increased inactivity. These results suggest that repeated interventions, driven by an intelligent activity recognition system, is an effective strategy for promoting healthy habits, which reduce stress, anxiety, and other health risks associated with sedentary workplaces.

show abstract

Mobile Mental Wellness Training for Stress Management: Feasibility and Design Implications Based on a One-Month Field Study

Cited by 157 publications

References 39 publications

Applicability of acceptance and commitment therapy-based mobile app in depression nursing

Applicability of acceptance and commitment therapy-based mobile app in depression nursing

Feasibility and Acceptability of Mobile Phone–Based Auto-Personalized Physical Activity Recommendations for Chronic Pain Self-Management: Pilot Study on Adults (Preprint)

Let Me Relax: Toward Automated Sedentary State Recognition and Ubiquitous Mental Wellness Solutions

Contact Info

Product

Resources

About