dc.contributor.author |
Thabrew, Hiran |
|
dc.contributor.author |
Boggiss, Anna Lynette |
|
dc.contributor.author |
Lim, David |
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dc.contributor.author |
Schache, Kiralee |
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dc.contributor.author |
Morunga, Eva |
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dc.contributor.author |
Cao, Nic |
|
dc.contributor.author |
Cavadino, Alana |
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dc.contributor.author |
Serlachius, Anna Sofia |
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dc.coverage.spatial |
England |
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dc.date.accessioned |
2022-08-10T23:24:13Z |
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dc.date.available |
2022-08-10T23:24:13Z |
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dc.date.issued |
2022-05-19 |
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dc.identifier.citation |
(2022). BMJ Open, 12(5), e058144-. |
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dc.identifier.issn |
2044-6055 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/60762 |
|
dc.description.abstract |
<h4>Objectives</h4>To evaluate the efficacy and acceptability of 'Whitu: seven ways in seven days', a well-being application (app) for young people.<h4>Design</h4>Prospective randomised controlled trial of Whitu against waitlist control, with 45 participants in each arm.<h4>Participants</h4>90 New Zealand young people aged 16-30 recruited via a social media advertising campaign.<h4>Setting</h4>Participants' homes.<h4>Interventions</h4>Developed during the COVID-19 pandemic, and refined from a prototype version that was evaluated during a smaller qualitative study, 'Whitu: seven ways in seven days' is a well-being app that, as its name suggests, contains seven modules to help young people (1) recognise and rate emotions, (2) learn relaxation and mindfulness, (3) practice self-compassion and (4) gratitude, (5) connect with others, (6) care for their physical health and (7) engage in goal-setting. It can be completed within a week or as desired.<h4>Main outcome measures</h4>Primary outcomes were changes in well-being on the WHO 5-item Well-Being Index and Short Warwick-Edinburgh Mental Well-Being Scale. Secondary outcomes were changes in depression on the Centre for Epidemiological Studies Depression Scale, anxiety on the Generalised Anxiety Disorder 7-item Scale, self-compassion on the Self Compassion Scale-Short Form, stress on the 10-item Perceived Stress Scale, sleep on the single-item Sleep Quality Scale and user engagement on the end-user version of the Mobile Application Rating Scale and via qualitative feedback during an online survey. Outcomes were evaluated at baseline, 4 weeks (primary study endpoint) and 3 months, and analysed using linear mixed models with group, time and a group-time interaction.<h4>Results</h4>At 4 weeks, participants in the Whitu group experienced significantly higher emotional (Mean difference (md) 13.19 (3.96 to 22.42); p=0.005) and mental (md 2.44 (0.27 to 4.61); p=0.027) well-being, self-compassion (md 0.56 (0.28 to 0.83); p<0.001) and sleep (md 1.13 (0.24 to 2.02); p=0.018), and significantly lower stress (md -4.69 (-7.61 to -1.76); p=0.002) and depression (md -5.34 (-10.14 to -0.53); p=0.030), compared with the waitlist controls. Group differences remained statistically significant at 3 months for all outcomes. Symptoms of anxiety were also lower in the intervention group at 4 weeks (p=0.096), with statistically significant differences at 3 months (md -2.31 (-4.54 to -0.08); p=0.042). Usability of Whitu was high (subjective ratings of 4.45 (0.72) and 4.38 (0.79) out of 5 at 4 weeks and 3 months, respectively) and qualitative feedback indicated individual and cultural acceptability of the app.<h4>Conclusions</h4>Given the evolving psychological burden of the COVID-19 pandemic, Whitu could provide a clinically effective and scalable means of improving the well-being, mental health and resilience of young people. Replication of current findings with younger individuals and in other settings is planned.<h4>Trial registration number</h4>Australian New Zealand Clinical Trials Registry (ACTRN12620000516987). |
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dc.format.medium |
Electronic |
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dc.language |
eng |
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dc.publisher |
BMJ |
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dc.relation.ispartofseries |
BMJ open |
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dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc/4.0/ |
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dc.subject |
Humans |
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dc.subject |
Prospective Studies |
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dc.subject |
Adolescent |
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dc.subject |
Australia |
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dc.subject |
Pandemics |
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dc.subject |
Mobile Applications |
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dc.subject |
COVID-19 |
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dc.subject |
coping skills |
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dc.subject |
mHealth |
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dc.subject |
mental health |
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dc.subject |
mobile apps |
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dc.subject |
pandemic |
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dc.subject |
well-being |
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dc.subject |
young adult |
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dc.subject |
Clinical Research |
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dc.subject |
Prevention |
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dc.subject |
Behavioral and Social Science |
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dc.subject |
Brain Disorders |
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dc.subject |
Depression |
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dc.subject |
Clinical Trials and Supportive Activities |
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dc.subject |
6 Evaluation of treatments and therapeutic interventions |
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dc.subject |
6.6 Psychological and behavioural |
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dc.subject |
Science & Technology |
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dc.subject |
Life Sciences & Biomedicine |
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dc.subject |
Medicine, General & Internal |
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dc.subject |
General & Internal Medicine |
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dc.subject |
GENERALIZED ANXIETY DISORDER |
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dc.subject |
MENTAL-HEALTH |
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dc.subject |
SCALE |
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dc.subject |
PREVALENCE |
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dc.subject |
IMPACT |
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dc.subject |
VALIDATION |
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dc.subject |
PROGRAM |
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dc.subject |
SAMPLE |
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dc.subject |
1103 Clinical Sciences |
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dc.subject |
1117 Public Health and Health Services |
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dc.subject |
1199 Other Medical and Health Sciences |
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dc.title |
Well-being app to support young people during the COVID-19 pandemic: randomised controlled trial. |
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dc.type |
Journal Article |
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dc.identifier.doi |
10.1136/bmjopen-2021-058144 |
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pubs.issue |
5 |
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pubs.begin-page |
e058144 |
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pubs.volume |
12 |
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dc.date.updated |
2022-07-29T02:25:11Z |
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dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
35589362 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/35589362 |
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pubs.publication-status |
Published |
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dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Research Support, Non-U.S. Gov't |
|
pubs.subtype |
research-article |
|
pubs.subtype |
Randomized Controlled Trial |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
903087 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
Population Health |
|
pubs.org-id |
Epidemiology & Biostatistics |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Psychological Medicine Dept |
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dc.identifier.eissn |
2044-6055 |
|
dc.identifier.pii |
bmjopen-2021-058144 |
|
pubs.number |
ARTN e058144 |
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pubs.record-created-at-source-date |
2022-07-29 |
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pubs.online-publication-date |
2022-05 |
|