Mobile mental wellness training for stress management: Feasibility and design implications based on a one-month field study

JMIR mHealth and uHealth

Volumn 1, Issue 2, 2013, Pages

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

^a VTT TECHNICAL RESEARCH CENTRE OF FINLAND   (Finland)

^b UNIVERSITY OF JYVÄSKYLÄ   (Finland)

Author keywords

Acceptance and commitment therapy; Design; Field studies; Mental health; Mobile phone; Stress; User experience

Indexed keywords

EID: 85082217186     PISSN: None     EISSN: 22915222     Source Type: Journal    
DOI: 10.2196/mhealth.2596     Document Type: Article

References (43)

1. OECD. 2008 Nov. Policy brief: Mental health in OECD countriesURL: http://www.oecd.org/els/health-systems/41686440. pdf [accessed 2013-06-24] [WebCite Cache ID 6Hc2gT9Xs]
2. Stansfeld S, Candy B. Psychosocial work environment and mental health-a meta-analytic review. Scand J Work Environ Health 2006 Dec;32(6):443-462 [FREE Full text] [Medline: 17173201]
3. Parent-Thirion A, Fernández Macías E, Hurley J, Vermeylen G. Fourth European working conditions survey. Dublin, Ireland: European Foundation for the Improvement of Living and Working Conditions; 2007. URL: http://www. eurofound.europa.eu/pubdocs/2006/98/en/2/ef0698en.pdf [accessed 2013-06-28] [WebCite Cache ID 6HhsTJFnZ]
4. Cox T, Griffiths A, Rial-Gonzalez E, European Agency for Safety and Health at Work. Research on work-related stress. Luxembourg: Office for Official Publications of the European Communities; 2000. URL: https://osha.europa.eu/en/ publications/reports/203 [accessed 2013-06-24] [WebCite Cache ID 6Hc33Dqdi]
5. van der Klink JJ, Blonk RW, Schene AH, van Dijk FJ. The benefits of interventions for work-related stress. Am J Public Health 2001 Feb;91(2):270-276. [Medline: 11211637]
6. Cuijpers P, van Straten A, Smit F, Mihalopoulos C, Beekman A. Preventing the onset of depressive disorders: a meta-analytic review of psychological interventions. Am J Psychiatry 2008 Oct;165(10):1272-1280. [doi: 10.1176/appi.ajp.2008.07091422] [Medline: 18765483]
7. Giga S, Cooper C, Faragher B. The development of a framework for a comprehensive approach to stress management interventions at work. Int J Stress Manag Nov 2003;10(4):280-296. [doi: 10.1037/10725245104280]
8. Richardson KM, Rothstein HR. Effects of occupational stress management intervention programs: a meta-analysis. J Occup Health Psychol 2008 Jan;13(1):69-93. [doi: 10.1037/1076-8998.13.1.69] [Medline: 18211170]
9. Marks IM, Cavanagh K, Gega L. Hands-on help: computer-aided psychotherapy. Hove [England]: Psychology Press; 2007.
10. Atienza AA, Patrick K. Mobile health: the killer app for cyberinfrastructure and consumer health. Am J Prev Med 2011 May;40(5 Suppl 2):S151-S153. [doi: 10.1016/j.amepre.2011.01.008] [Medline: 21521588]
11. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther 2006 Jan;44(1):1-25. [doi: 10.1016/j.brat.2005.06.006] [Medline: 16300724]
12. Ruiz FJ. A review of Acceptance and Commitment Therapy (ACT) empirical evidence: Correlational, experimental psychopathology, component and outcome studies. Intern Jour Psych Psychol Ther 2010 Mar;10(1):125-162.
13. Harris R. Embracing your demons: an overview of acceptance and commitment therapy. Psychotherapy in Australia 2006 Aug;12(4):2-8.
14. Bond FW, Bunce D. Mediators of change in emotion-focused and problem-focused worksite stress management interventions. J Occup Health Psychol 2000 Jan;5(1):156-163. [Medline: 10658893]
15. Bond FW, Bunce D. The role of acceptance and job control in mental health, job satisfaction, and work performance. J Appl Psychol 2003 Dec;88(6):1057-1067. [doi: 10.1037/0021-9010.88.6.1057] [Medline: 14640816]
16. Bond FW, Flaxman PE. The ability of psychological flexibility and job control to predict learning, job performance, and mental health. Journal of Organizational Behavior Management 2006 Nov 07;26(1-2):113-130. [doi: 10.1300/J075v26n01_05]
17. Flaxman PE, Bond FW. A randomised worksite comparison of acceptance and commitment therapy and stress inoculation training. Behav Res Ther 2010 Aug;48(8):816-820. [doi: 10.1016/j.brat.2010.05.004] [Medline: 20627269]
18. Harrison V, Proudfoot J, Wee PP, Parker G, Pavlovic DH, Manicavasagar V. Mobile mental health: review of the emerging field and proof of concept study. J Ment Health 2011 Dec;20(6):509-524. [doi: 10.3109/09638237.2011.608746] [Medline: 21988230]
19. Matthews M, Doherty G. In the mood: engaging teenagers in psychotherapy using mobile phones. New York: ACM; 2011 Presented at: 2011 Annual Conference on Human Factors in Computing Systems (CHI'11); May 7-12, 2011; Vancouver, BC p. 2947-2956. [doi: 10.1145/1978942.1979379]
20. Morris ME, Kathawala Q, Leen TK, Gorenstein EE, Guilak F, Labhard M, et al. Mobile therapy: case study evaluations of a cell phone application for emotional self-awareness. J Med Internet Res 2010 Apr;12(2):e10 [FREE Full text] [doi: 10.2196/jmir.1371] [Medline: 20439251]
21. Depp CA, Mausbach B, Granholm E, Cardenas V, Ben-Zeev D, Patterson TL, et al. Mobile interventions for severe mental illness: design and preliminary data from three approaches. J Nerv Ment Dis 2010 Oct;198(10):715-721 [FREE Full text] [doi: 10.1097/NMD.0b013e3181f49ea3] [Medline: 20921861]
22. Burns MN, Begale M, Duffecy J, Gergle D, Karr CJ, Giangrande E, et al. Harnessing context sensing to develop a mobile intervention for depression. J Med Internet Res 2011 Aug;13(3):e55 [FREE Full text] [doi: 10.2196/jmir.1838] [Medline: 21840837]
23. Whittaker R, Merry S, Stasiak K, McDowell H, Doherty I, Shepherd M, et al. MEMO-a mobile phone depression prevention intervention for adolescents: development process and postprogram findings on acceptability from a randomized controlled trial. J Med Internet Res 2012 Jan;14(1):e13 [FREE Full text] [doi: 10.2196/jmir.1857] [Medline: 22278284]
24. Ly KH, Dahl J, Carlbring P, Andersson G. Development and initial evaluation of a smartphone application based on acceptance and commitment therapy. SpringerPlus 2012 Jul;1(1):11. [doi: 10.1186/21931801111]
25. Ly KH, Carlbring P, Andersson G. Behavioral activation-based guided self-help treatment administered through a smartphone application: study protocol for a randomized controlled trial. Trials 2012 May;13:62 [FREE Full text] [doi: 10.1186/1745-6215-13-62] [Medline: 22607302]
26. Fogg BJ. Persuasive Technology: Using Computers to Change What We Think and Do. USA: Morgan Kaufmann; 2003.
27. Oinas-Kukkonen H, Harjumaa M. Persuasive systems design: Key issues, process model, and system features. Communications of the Association for Information Systems 2009 Mar;24(1):485-500.
28. Consolvo S, McDonald DW, Landay JA. Theory-driven design strategies for technologies that support behavior change in everyday life. New York: ACM; 2009 Presented at: 27th International Conference on Human Factors in Computing Systems (CHI'09); Apr 4-9, 2009; Boston, MA p. 405-414. [doi: 10.1145/1518701.1518766]
29. Deterding S, Dixon D, Khaled R. Gamification: Toward a Definition. In: CHI 2011 Gamification Workshop Proceedings. 2011 Presented at: 2011 Annual Conference on Human Factors in Computing Systems (CHI'11); May 7-12, 2011; Vancouver, BC.
30. Mueller F, Peer F, Agamanolis S, Sheridan J. Gamification and exertion. In: Proceedings of the Workshop on Gamification at the Conference on Human Factors in Computing Systems. 2011 Presented at: 2011 Annual Conference on Human Factors in Computing Systems (CHI'11); May 7-12, 2011; Vancouver, BC.
31. Morris ME. Motivating change with mobile: seven guidelines. interactions 2012 May;19(3):26-31. [doi: 10.1145/2168931.2168939]
32. Doherty G, Coyle D, Sharry J. Engagement with online mental health interventions: an exploratory clinical study of a treatment for depression. New York: ACM; 2012 Presented at: 2012 Annual Conference on Human Factors in Computing Systems (CHI'12); May 5-10, 2012; Austin, Texas, USA p. 1421-1430. [doi: 10.1145/2207676.2208602]
33. Moraveji N, Soesanto C. Towards stress-less user interfaces: 10 design heuristics based on the psychophysiology of stress. New York: ACM; 2012 Presented at: 2012 Annual Conference on Human Factors in Computing Systems (CHI'12); May 5-10, 2012; Austin, Texas, USA p. 1643-1648. [doi: 10.1145/2212776.2223686]
34. Doherty G, Coyle D, Matthews M. Design and evaluation guidelines for mental health technologies. Interacting with Computers 2010 Jul;22(4):243-252. [doi: 10.1016/j.intcom.2010.02.006]
35. Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, et al. Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther 2011 Dec;42(4):676-688. [doi: 10.1016/j.beth.2011.03.007] [Medline: 22035996]
36. Boelen PA, Reijntjes A. Measuring experiential avoidance: Reliability and validity of the Dutch 9-item acceptance and action questionnaire (AAQ). J Psychopathol Behav Assess 2008 Dec;30(4):241-251. [doi: 10.1007/s1086200890824]
37. Pavot W, Diener E. The Satisfaction With Life Scale and the emerging construct of life satisfaction. The Journal of Positive Psychology 2008 Apr;3(2):137-152. [doi: 10.1080/17439760701756946]
38. Pavot W, Diener E. Review of the Satisfaction With Life Scale. Psychological Assessment 1993;5(2):164-172. [doi: 10.1037/1040-3590.5.2.164]
39. Elo AL, Leppänen A, Jahkola A. Validity of a single-item measure of stress symptoms. Scand J Work Environ Health 2003 Dec;29(6):444-451 [FREE Full text] [Medline: 14712852]
40. Gibbs GR. Analysing Qualitative Data (Qualitative Research Kit). London: SAGE; 2008.
41. Kashdan TB, Rottenberg J. Psychological flexibility as a fundamental aspect of health. Clin Psychol Rev 2010 Nov;30(7):865-878 [FREE Full text] [doi: 10.1016/j.cpr.2010.03.001] [Medline: 21151705]
42. Campbell A, Choudhury T. From smart to cognitive phones. IEEE Pervasive Comput 2012 Mar;11(3):7-11. [doi: 10.1109/MPRV.2012.41]
43. Laschke M, Hassenzahl M. Mayor or patron? The difference between a badge and a meaningful story. In: CHI 2011 Gamification Workshop Proceedings. 2011 Presented at: 2011 Annual Conference on Human Factors in Computing Systems (CHI'11); May 7-12, 2011; Vancouver, BC p. 7-12.