15-Month Follow-Up Data on the Web-Based Autonomy-Supportive Intervention Program for PE Teachers

Background One relatively new and increasingly popular approach of increasing access to treatment is Web-based intervention programs. The advantage of Web-based approaches is the accessibility, affordability, and anonymity of potentially evidence-based treatment. Despite much research evidence on the effectiveness of Web-based interventions for anxiety found in the literature, little is known about what is publically available for potential consumers on the Web. Objective Our aim was to explore what a consumer searching the Web for Web-based intervention options for anxiety-related issues might find. The objectives were to identify currently publically available Web-based intervention programs for anxiety and to synthesize and review these in terms of (1) website characteristics such as credibility and accessibility; (2) intervention program characteristics such as intervention focus, design, and presentation modes; (3) therapeutic elements employed; and (4) published evidence of efficacy. Methods Web keyword searches were carried out on three major search engines (Google, Bing, and Yahoo—UK platforms). For each search, the first 25 hyperlinks were screened for eligible programs. Included were programs that were designed for anxiety symptoms, currently publically accessible on the Web, had an online component, a structured treatment plan, and were available in English. Data were extracted for website characteristics, program characteristics, therapeutic characteristics, as well as empirical evidence. Programs were also evaluated using a 16-point rating tool. Results The search resulted in 34 programs that were eligible for review. A wide variety of programs for anxiety, including specific anxiety disorders, and anxiety in combination with stress, depression, or anger were identified and based predominantly on cognitive behavioral therapy techniques. The majority of websites were rated as credible, secure, and free of advertisement. The majority required users to register and/or to pay a program access fee. Half of the programs offered some form of paid therapist or professional support. Programs varied in treatment length and number of modules and employed a variety of presentation modes. Relatively few programs had published research evidence of the intervention’s efficacy. Conclusions This review represents a snapshot of available Web-based intervention programs for anxiety that could be found by consumers in March 2015. The consumer is confronted with a diversity of programs, which makes it difficult to identify an appropriate program. Limited reports and existence of empirical evidence for efficacy make it even more challenging to identify credible and reliable programs. This highlights the need for consistent guidelines and standards on developing, providing, and evaluating Web-based interventions and platforms with reliable up-to-date information for professionals and consumers about the characteristics, quality, and accessibility of Web-based interventions.

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A Suite of Mobile Conversational Agents for Daily Stress Management (Popbots): Mixed Methods Exploratory Study (Preprint)

10.2196/preprints.25294 ◽

2020 ◽

Author(s):

Matthew Louis Mauriello ◽

Nantanick Tantivasadakarn ◽

Marco Antonio Mora-Mendoza ◽

Emmanuel Thierry Lincoln ◽

Grace Hon ◽

...

Keyword(s):

Stress Management ◽

Design Guidelines ◽

Coping Resources ◽

Rank Test ◽

Depression Symptoms ◽

Conversational Agents ◽

Daily Stress ◽

Web Based ◽

The Web

BACKGROUND Approximately 60%-80% of the primary care visits have a psychological stress component, but only 3% of patients receive stress management advice during these visits. Given recent advances in natural language processing, there is renewed interest in mental health chatbots. Conversational agents that can understand a user’s problems and deliver advice that mitigates the effects of daily stress could be an effective public health tool. However, such systems are complex to build and costly to develop. OBJECTIVE To address these challenges, our aim is to develop and evaluate a fully automated mobile suite of shallow chatbots—we call them Popbots—that may serve as a new species of chatbots and further complement human assistance in an ecosystem of stress management support. METHODS After conducting an exploratory Wizard of Oz study (N=14) to evaluate the feasibility of a suite of multiple chatbots, we conducted a web-based study (N=47) to evaluate the implementation of our prototype. Each participant was randomly assigned to a different chatbot designed on the basis of a proven cognitive or behavioral intervention method. To measure the effectiveness of the chatbots, the participants’ stress levels were determined using self-reported psychometric evaluations (eg, web-based daily surveys and Patient Health Questionnaire-4). The participants in these studies were recruited through email and enrolled on the web, and some of them participated in follow-up interviews that were conducted in person or on the web (as necessary). RESULTS Of the 47 participants, 31 (66%) completed the main study. The findings suggest that the users viewed the conversations with our chatbots as helpful or at least neutral and came away with increasingly positive sentiment toward the use of chatbots for proactive stress management. Moreover, those users who used the system more often (ie, they had more than or equal to the median number of conversations) noted a decrease in depression symptoms compared with those who used the system less often based on a Wilcoxon signed-rank test (W=91.50; Z=−2.54; <i>P</i>=.01; <i>r</i>=0.47). The follow-up interviews with a subset of the participants indicated that half of the common daily stressors could be discussed with chatbots, potentially reducing the burden on human coping resources. CONCLUSIONS Our work suggests that suites of shallow chatbots may offer benefits for both users and designers. As a result, this study’s contributions include the design and evaluation of a novel suite of shallow chatbots for daily stress management, a summary of benefits and challenges associated with random delivery of multiple conversational interventions, and design guidelines and directions for future research into similar systems, including authoring chatbot systems and artificial intelligence–enabled recommendation algorithms.

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Lessons learnt during the implementation of a web-based triage tool for Dutch intensive care follow-up clinics

BMJ Open ◽

10.1136/bmjopen-2017-021249 ◽

2018 ◽

Vol 8 (9) ◽

pp. e021249 ◽

Cited By ~ 2

Author(s):

Ilse van Beusekom ◽

Ferishta Bakhshi-Raiez ◽

Nicolette F de Keizer ◽

Dave A Dongelmans ◽

Marike van der Schaaf

Keyword(s):

Intensive Care ◽

Health Professionals ◽

Web Based ◽

Quality Registry ◽

Email Address ◽

National Quality ◽

The Web ◽

Screening Software ◽

National Quality Registry

ObjectivesScreening for symptoms of postintensive care syndrome is based on a long list of questionnaires, filled out by the intensive care unit (ICU) survivor and manually reviewed by the health professional. This is an inefficient and time-consuming process. The aim of this study was to evaluate the feasibility of a web-based triage tool and to compare the outcomes from web-based questionnaires to those from paper-based questionnaires.DesignA mixed-methods study.SettingNine Dutch ICU follow-up clinics.Participants221 ICU survivors and 14 health professionals.InterventionsA web-based triage tool was implemented by nine ICU follow-up clinics. End users, that is, health professionals were interviewed in order to evaluate the feasibility of the triage tool. ICU survivors were invited to fill out web-based questionnaires 3 months after hospital discharge.Primary outcomesOutcomes of the questionnaires were merged with clinical data from a national quality registry to assess the differences in outcomes between paper-based and web-based questionnaires.Results221 ICU survivors received an invitation to fill out questionnaires, 93 (42.1%) survivors did not respond to the invitation. Respondents to the web-based questionnaires (n=54) were significantly younger and had a significantly longer ICU stay than those who preferred the paper-based questionnaires (n=74). The prevalence of mental, physical and nutritional problems was high, although comparable between the groups. Health professionals’ interviews revealed that the software was complex to use (n=8) and although emailing survivors is very convenient, not all survivors have an email address (n=7).ConclusionsWeb-based screening software has major benefits compared with paper-based screening. However, implementation has shown to be rather difficult and there are important barriers to consider. Although different in age, the health status is comparable between the users of the web-based questionnaire and paper-based questionnaire.

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Physicians’ Choice in Using Internet and Fax for Patient Recruitment and Follow-up in a Randomized Controlled Trial

Methods of Information in Medicine ◽

10.1055/s-0038-1633867 ◽

2004 ◽

Vol 43 (03) ◽

pp. 268-272 ◽

Cited By ~ 5

Author(s):

S. Morita ◽

T. Fukui ◽

J. Sakamoto ◽

M. Rahman

Keyword(s):

Randomized Controlled Trial ◽

Odds Ratio ◽

Controlled Trial ◽

Data Entry ◽

Regression Analyses ◽

Multivariate Logistic Regression ◽

Web Based ◽

Randomized Controlled ◽

The Web

Summary Objective: To examine the physicians’ preference between Web and fax-based remote data entry (RDE) system for an ongoing randomized controlled trial (RCT) in Japan. Methods: We conducted a survey among all the collaborating physicians (n = 512) of the CASE-J (Candesartan Antihypertensive Survival Evaluation in Japan) trial, who have been recruiting patients and sending follow-up data using the Web or a fax-based RDE system. The survey instrument assessed physicians’ choice between Web and fax-based RDE systems, their practice pattern, and attitudes towards these two modalities. Results: A total of 448 (87.5%) responses were received. The proportions of physicians who used Web, fax, and the combination of these two were 45.9%, 33.3% and 20.8%, respectively. Multivariate logistic regression analyses revealed that physicians 55 years or younger [odds ratio (OR) = 1.9, 95% confidence interval (CI) = 1.1-3.3] and regular users of computers (OR = 4.2, 95% CI = 2.1-8.2) were more likely to use the Web-based RDE system. Conclusions: This information would be useful in designing an RCT with a Web-based RDE system in Japan and abroad.

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One-year Follow-up Data on the Face-to-face Autonomy-Supportive Intervention Program for Physical Education Teachers

10.31234/osf.io/qu8jm ◽

2021 ◽

Author(s):

Henri Tilga ◽

Hanna Kalajas-Tilga ◽

Vello Hein ◽

Lennart Raudsepp ◽

Andre Koka

Keyword(s):

Physical Education ◽

Intervention Program ◽

Psychological Needs ◽

Need Satisfaction ◽

Basic Psychological Needs ◽

Control Group ◽

One Year ◽

Experimental Group ◽

Supportive Intervention

In a recent manuscript published in International Journal of Sport Psychology, entitled “Effects of a brief one-day autonomy-supportive intervention on improving basic psychological needs, motivation, and behaviours of physical activity among middle-school students: A multidimensional approach”, we reported that a one-day eight-hour Autonomy-Supportive Intervention Program for Physical Education (ASIP-PE) was effective (Tilga et al., in press) in changing students’ perceptions of their physical education (PE) teachers’ cognitive and procedural autonomy support at a one-month follow-up, compared to control group students. After the intervention, a significant increase was also found in the experimental group students’ need satisfaction for autonomy and competence. Also, a significant decrease was found in experimental group students’ perceptions of their PE teachers’ intimidation and negative conditional regard, and in students’ need frustration for autonomy. This letter is to briefly convey additional data regarding the long-term benefits of ASIP-PE now that we have been able to conduct one-year follow-up analyses.

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Feasibility of the Web-Based IDEAL CGM Training and Follow-Up Support Intervention: A Randomized Controlled Pilot Study (Preprint)

JMIR Diabetes ◽

10.2196/15410 ◽

2019 ◽

Author(s):

Madison Brick Smith ◽

Anastasia Albanese-O'Neill ◽

Yingwei Yao ◽

Diana J. Wilkie ◽

Michael J. Haller ◽

...

Keyword(s):

Pilot Study ◽

Web Based ◽

Support Intervention ◽

Randomized Controlled ◽

The Web

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Efficacy of a Web-Based, Tailored, Alcohol Prevention/Intervention Program for College Students: 3-Month Follow-up

Journal of Drug Education ◽

10.2190/de.41.4.e ◽

2011 ◽

Vol 41 (4) ◽

pp. 405-430 ◽

Cited By ~ 19

Author(s):

C. Raymond Bingham ◽

Andrea Ippel Barretto ◽

Maureen A. Walton ◽

Christopher M. Bryant ◽

Jean T. Shope ◽

...

Keyword(s):

College Students ◽

Risk Reduction ◽

Intervention Program ◽

Drinking Behavior ◽

Alcohol Prevention ◽

Efficacy Evaluation ◽

Web Based ◽

Prevention Intervention ◽

Positive Effects

This study presents the results of an efficacy evaluation of a web-based brief motivational alcohol prevention/intervention program called Michigan Prevention and Alcohol Safety for Students (M-PASS). Four on-line sessions providing individually-tailored feedback were delivered to first-year college students over 9 weeks. Non- and low-risk drinking participants received risk prevention, while high-risk drinking participants received a risk-reduction intervention. Both intervention and control groups were surveyed at baseline and at a 3-month follow-up. Analysis showed positive effects for both men and women on stage of change, drinking behavior, drinking motivation and attitudes, and use of risk-reduction strategies. These results provided evidence of efficacy and found that M-PASS had both intervention and prevention effects, making it unique among currently developed brief alcohol interventions for college students.

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Effectiveness of a Web-Based Intervention on Parental Psychological Flexibility and Emotion Regulation: A Pilot Open Trial

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18062958 ◽

2021 ◽

Vol 18 (6) ◽

pp. 2958

Author(s):

Juan M. Flujas-Contreras ◽

Azucena García-Palacios ◽

Inmaculada Gómez

Keyword(s):

Emotion Regulation ◽

Parental Stress ◽

Intervention Program ◽

Satisfaction With Life ◽

Psychological Flexibility ◽

Open Trial ◽

Post Intervention ◽

Web Based ◽

Positive Effects ◽

The Web

“Parenting Forest” is an informed contextual therapy parenting program for improving parental emotion regulation strategies and psychological flexibility. The aim of this study was to evaluate the preliminary effectiveness of a self-guided web-based intervention of the Parenting Forest program. The intervention program consists of six self-applied sequential modules that use strategies from contextual therapies for providing a parenting style open to experience, mindful and committed to its actions. A pilot controlled open trial was conducted. Eligible parents (n = 12) enrolled in the web-based intervention completed baseline (T1) and post-intervention (T2) assessment instruments. Parental psychological flexibility, avoidance, emotional regulation, parental stress, satisfaction with life, children’s psychological adjustment and client satisfaction were measured to assess the effects of the intervention. Mood, coping, and value-related actions were assessed as measures of progress. The results showed positive effects on the parents’ psychological flexibility and emotion regulation. Parents’ mood and coping skills improved throughout the intervention program. These results provide preliminary evidence of the web-based Parenting Forest’s efficacy, although further research is needed to assess its effectiveness for prevention and in clinical populations.

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Development of a Web-Based Monitoring System for Power Tilt-in-Space Wheelchairs: Formative Evaluation (Preprint)

10.2196/preprints.13560 ◽

2019 ◽

Author(s):

Charles Campeau-Vallerand ◽

François Michaud ◽

François Routhier ◽

Philippe S Archambault ◽

Dominic Létourneau ◽

...

Keyword(s):

Monitoring System ◽

Formative Evaluation ◽

Age Groups ◽

Feedback System ◽

Evaluation Framework ◽

Web Interface ◽

Web Based ◽

Wheelchair Users ◽

The Web

BACKGROUND A power tilt-in-space wheelchair meets many clinical purposes, including pressure management, increased postural control, and pain management. However, there is a significant gap between the use of tilt as recommended by clinicians and its actual usage. A Web-based electronic health (eHealth) intervention, including a goal setting, monitoring, reminder, and feedback system of the use of power tilt-in-space wheelchairs was developed. The intervention incorporates behavior change principles to promote optimal use of tilt and to improve clinical postprocurement follow-up. OBJECTIVE This study aimed to conduct a formative evaluation of the intervention prototype to pinpoint the functionalities needed by end users, namely, power wheelchair users and clinicians. METHODS On the basis of an evaluation framework for Web-based eHealth interventions, semistructured interviews were conducted with power wheelchair users and clinicians. A content analysis was performed with a mix of emerging and a priori concepts. RESULTS A total of 5 users of power tilt-in-space wheelchairs and 5 clinicians who had experience in the field of mobility aids aged 23 to 55 years were recruited. Participants found the Web interface and the physical components easy to use. They also appreciated the reminder feature that encourages the use of the tilt-in-space and the customization of performance goals. Participants requested improvements to the visual design and learnability of the Web interface, the customization of reminders, feedback about specific tilt parameters, and the bidirectionality of the interaction between the user and the clinician. They thought the current version of the intervention prototype could promote optimal use of the tilt and improve clinical postprocurement follow-up. CONCLUSIONS On the basis of the needs identified by power wheelchair users and clinicians regarding the prototype of a power tilt-in-space wheelchair monitoring system, 3 main directions were defined for future development of the intervention. Further research with new wheelchair users, manual tilt-in-space wheelchairs, various age groups, and family caregivers is recommended to continue the formative evaluation of the prototype.

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Feasibility of the Web-Based IDEAL CGM Training and Follow-Up Support Intervention: A Randomized Controlled Pilot Study (Preprint)

10.2196/preprints.15410 ◽

2019 ◽

Author(s):

Madison Brick Smith ◽

Anastasia Albanese-O'Neill ◽

Yingwei Yao ◽

Diana J. Wilkie ◽

Michael J. Haller ◽

...

Keyword(s):

Pilot Study ◽

Glycemic Control ◽

Standard Care ◽

Cognitive Theory ◽

Healthcare Team ◽

Post Intervention ◽

Web Based ◽

The Web ◽

The Ideal

BACKGROUND Proper training and follow-up for patients new to continuous glucose monitor (CGM) use are required to maintain adherence and achieve diabetes-related outcomes. However, CGM training is hampered by a lack of evidence-based standards and poor reimbursement. We hypothesized that web-based CGM training and education would be effective and could be provided with minimal burden to the healthcare team. OBJECTIVE To perform a pilot feasibility study testing a theory-driven, web-based intervention designed to provide extended training and follow-up support to adolescents and young adults newly implementing CGM, and to describe CGM adherence, glycemic control and CGM-specific psychosocial measures pre- and post-intervention. METHODS The “Intervention Designed to Educate and improve Adherence through Learning to use CGM”, (IDEAL CGM) web-based training intervention was based on supporting literature and theoretical concepts adapted from the Health Belief Model and Social Cognitive Theory. Patients new to CGM aged 15-24 with type 1 diabetes for more than 6 months were recruited from within a public university’s endocrinology clinics. Participants were randomized to enhanced standard care or enhanced standard care plus the IDEAL CGM intervention using a 1:3 randomization scheme. HbA1c and psychosocial measures were assessed at baseline and 3 months after start of the intervention. RESULTS 10 eligible subjects were approached for recruitment and eight were randomized. Within the IDEAL CGM group 4 of the 6 participants received exposure to the web-based training. Half of the participants completed at least 5 of the 7 modules, however dosage of the intervention and level of engagement varied widely among participants. This study provided proof of concept for use of a web-based intervention to deliver follow-up CGM training and support. However, revisions to the intervention are needed in order to improve engagement and determine feasibility. CONCLUSIONS This pilot study underscores the importance of continued research efforts to optimimize the use of web-based intervention tools for their potential to improve adherence, glycemic control and the psychosocial impact of the use of diabetes technologies without adding significant burden to the healthcare team. Enhancements should be made to the intervention to increase engagement, maximize responsiveness, and ensure attainment of the skills necessary to achieve consistent use and improvements in glycemic control prior to the design of a larger well-powered clinical trial to establish feasibility. CLINICALTRIAL ClinicalTrials.gov NCT03367351, https://clinicaltrials.gov/ct2/show/NCT03367351.

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