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Ecological momentary assessment of self-rated health, daily strategies and self-management app use among trauma-exposed adults
European Journal of Psychotraumatology ( IF 5.783 ) Pub Date : 2021-05-27 , DOI: 10.1080/20008198.2021.1920204
Ida Hensler 1 , Josefin Sveen 1 , Martin Cernvall 2 , Filip K Arnberg 1
Affiliation  

ABSTRACT

Background: The process whereby trauma-exposed people benefit from self-management apps to increase health is poorly understood.

Objective: We investigated whether access to a self-management smartphone app for posttraumatic stress (PTSD Coach) improved momentary self-rated health (SRH) and if use of a self-management app or specific strategies related to SRH.

Method: Participants were 179 adults in Sweden with trauma exposure in the past 2 years who were enrolled in a randomized trial of PTSD Coach versus waitlist. Ecological momentary assessments (EMA) were collected twice daily during 21 consecutive days from participants in both groups, with questions about momentary SRH as well as self-management app use and use of strategies (social support, distress management, monitoring of discomfort and seeking information) in the preceding 12 hours.

Results: Overall, neither access to PTSD Coach nor reported use of an app in the preceding hours was related to SRH. Even so, people with access to PTSD Coach reported using more social support over time. Socializing and use of social support predicted greater SRH. Use of other strategies was associated with worse short-term SRH.

Conclusions: Momentarily improved health relates to utilization of social support. However, the directionality of the day-to-day associations is unclear; uncertainty remains around the timing for assessing these relationships.



中文翻译:

创伤暴露成人自评健康、日常策略和自我管理应用程序使用的生态瞬时评估

摘要

背景:人们对遭受创伤的人从自我管理应用程序中受益以增进健康的过程知之甚少。

目标: 我们调查了使用针对创伤后压力的自我管理智能手机应用程序 (PTSD Coach) 是否改善了瞬时自评健康 (SRH),以及是否使用自我管理应用程序或与 SRH 相关的特定策略。

方法:参与者是 179 名在过去 2 年中经历过创伤的瑞典成年人,他们参加了 PTSD 教练与候补名单的随机试验。在连续 21 天内,每天两次从两组参与者那里收集生态瞬时评估 (EMA),包括有关瞬时 SRH 以及自我管理应用程序使用和策略使用(社会支持、痛苦管理、不适感监测和寻求信息)的问题) 在过去的 12 小时内。

结果:总体而言,访问 PTSD Coach 或报告在之前几个小时内使用应用程序均与 SRH 无关。即便如此,能够获得 PTSD Coach 的人报告说随着时间的推移他们使用了更多的社会支持。社交和使用社会支持预示着更高的 SRH。使用其他策略与较差的短期 SRH 相关。

结论:暂时改善的健康状况与社会支持的利用有关。但是,日常关联的方向性尚不清楚;评估这些关系的时机仍然存在不确定性。

更新日期:2021-05-28
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