Capitalizing on the potential of mobile health applications as behavioral interventions: A research agenda for calorie-tracking and activity-tracking applications

Mobile health applications (mHealth apps) are widely used tools that provide support for people seeking help managing their health in a particular behavioral domain (e.g., physical activity). Despite their popularity, evidence for the effectiveness of mHealth apps as stand-alone behavioral interventions is limited. Psychological and behavioral scientists can play a critical role in addressing this gap by pursuing programs of research that leverage basic behavioral science principles to test links between key features of mHealth apps (e.g., goal setting, feedback) and behavior change. To demonstrate this approach to evaluating mHealth apps, we systematically examine five key features of popular calorie-tracking and activity-tracking apps, explain how these features align with established behavior change techniques, discuss the evidence base for the effectiveness of these techniques within each behavioral domain, and situate predictions about how individual app features may promote behavior change in a conceptual model. Through this work, researchers can guide the design of mHealth apps and optimize them for facilitating sustained health behavior change.     

“电子钱包”让人花钱更多？——手机支付的心理账户效应

为探究手机支付使用者消费增加的现象及其心理账户效应,使用计算机程序对114名被试进行了三项模拟购物实验。实验发现：（1）手机支付组被试的商品消费次数和金额都显著高于现金支付组被试,且这种差异体现在功能型商品的消费上。（2）手机支付时被试不会倾向于对大金额的消费进行控制,对大钱和小钱的花费不存在显著差异。（3）手机支付时收到红包的被试消费次数和金额显著高于账户常规收入的被试,且更多用于享乐型消费。总的来看,手机支付减弱了对大额金钱和意外收入的消费控制,非现金支付让消费者花钱更多。     

手机依赖与青少年心理健康的关系:学业倦怠的中介作用和应对方式的调节作用

为探讨青少年手机依赖、学业倦怠、应对方式与心理健康的关系及作用机制,采用手机依赖指数量表、初中生学习倦怠问卷、简易应对方式问卷和SCL-90心理症状自评量表,对黑龙江、天津、山东、河南、江西8所高校的在校大学生以及河南省2所初中、2所高中的中学生共1191名青少年进行测查。结构方程模型的分析结果表明:(1)手机依赖对青少年心理健康有显著的负向预测作用;(2)学业倦怠在手机依赖和心理健康之间发挥部分中介作用;(3)消极应对方式调节了手机依赖通过学业倦怠影响青少年心理健康中介作用的后半段路径,相对于低消极应对的青少年,中介作用在高消极应对的青少年中更显著。该研究结果对维护和促进手机移动互联网时代青少年心理健康具有积极启示意义。     

Analyse interlocutoire d’une plainte exprimée par une équipe mobile de soins palliatifs

This article points out the merits of conducting an interlocutory analysis of a group meeting held between two administrations of a questionnaire. Here, the Company Climate Questionnaire was filled out individually by the members of the group before and after the meeting. Changed attitudes toward the supervisory staff were observed after the discussion. All participants were members of a mobile palliative care team at a university hospital. The verbal interaction analysis allowed us to identify the collaborative facet of the complaint that surfaced, and to determine what inter - subjective processes arising during the group discussion triggered the expressed changes of opinion.     

Pilot Evaluation of a Tablet-Based Application to Improve Quality of Care in Child Mental Health Treatment

Mental health systems need scalable solutions that can reduce the efficacy–effectiveness gap and improve mental health outcomes in community mental health service settings. Two major challenges to delivery of high-quality care are providers’ fidelity to evidence-based treatment models and children’s and caregivers’ engagement in the treatment process. We developed a novel, tablet-based application designed to enhance via technology the quality of delivery of trauma-focused cognitive-behavioral therapy (TF-CBT). We piloted its use in four community mental health service organizations using a blocked randomized controlled trial to examine the feasibility of implementing tablet-facilitated TF-CBT versus standard TF-CBT with 13 providers and 27 families. Provider fidelity and child engagement in treatment were observationally measured via session audio recording. Parent and child perceptions of the tablet application were assessed using structured interviews and mixed-method analyses. Providers actively and appropriately used tablet TF-CBT to facilitate treatment activities. Providers and families expressed high satisfaction with its use, demonstrating acceptability of this approach. Youth and caregivers in both conditions reported high alliance with their providers. Overall, we found that tablet-facilitated treatment is accepted by providers and families and may be integrated into mental health treatment with minimal training. Further study is needed to examine the extent to which technology-based applications may enhance the reach, quality, and clinical outcomes of mental health treatment delivered to children and families.