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User experiences from a web-based, self-management programme: struggling with what I need when stress management is about me
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. (Behavioral medicine, health and lifestyle (BeMe-Health))ORCID-id: 0000-0002-9890-8249
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. (Behavioral medicine, health and lifestyle (BeMe-Health))ORCID-id: 0000-0002-5098-8489
Mälardalens högskola, Akademin för innovation, design och teknik, Innovation och produktrealisering.ORCID-id: 0000-0001-9057-0063
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. (Behavioral medicine, health and lifestyle (BeMe-Health))ORCID-id: 0000-0002-4537-030X
2019 (Engelska)Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, s. 39-48Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objectives: To explore users’ experiences of a tailored, interactive web application that supports behaviour change in stress management and to identify if and in that case what in the web-based programme that needed further development or adjustment to be feasible in a randomised controlled trial.

Method: The design of this study was explorative with a qualitative approach. Nine individuals were recruited among the staff at a university. Semi-structured individual interviews were conducted and analysed using qualitative content analysis, after the participants had completed the web-based stress management programme.

Results: One theme was identified, Struggling with what I need when stress management is about me, describing the paradox in having a programme that is perceived as supporting stress management while also being perceived as extensive and time consuming. The theme was divided in two categories: Defining the needs, where the users expressed what they needed from the programme and their everyday environment, to be able to use the programme, and It is about me, where the programme was described as helping the users understand their own stress.

Conclusion: The participants expressed acceptance of using a web-based programme for stress related problems. The perceived extensiveness of the programme must be considered in further development.

Ort, förlag, år, upplaga, sidor
Taylor & Francis Group, 2019. s. 39-48
Nyckelord [en]
stress management, behaviour change, behaviour medicine, content analysis, e-health
Nationell ämneskategori
Medicin och hälsovetenskap Annan medicin och hälsovetenskap
Forskningsämne
vårdvetenskap
Identifikatorer
URN: urn:nbn:se:mdh:diva-40273DOI: 10.1080/21679169.2018.1468814ISI: 000470063000008Scopus ID: 2-s2.0-85046429289OAI: oai:DiVA.org:mdh-40273DiVA, id: diva2:1233992
Tillgänglig från: 2018-07-20 Skapad: 2018-07-20 Senast uppdaterad: 2019-06-20Bibliografiskt granskad
Ingår i avhandling
1. Development and evaluation of a web application for stress management: Supporting behaviour change in persons with work related stress
Öppna denna publikation i ny flik eller fönster >>Development and evaluation of a web application for stress management: Supporting behaviour change in persons with work related stress
2018 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

Stress is the most common reason for sick leave in Sweden. Stress can lead to health-related problems such as burnout syndrome, depression, sleep disorders, cardiovascular disease and pain. It is important to handle stress at an early stage before it could lead to health-related problems. The web enables to reach many persons at a low cost. Web-applications have proven to be effective regarding several health-related problems. However, adherence is often low and many of the available stress management-programs have not been based on evidence. The overall aim of the thesis was to develop and evaluate a fully automated, evidence-based web-application for stress management for persons experiencing work related stress. The thesis compiles of four studies. Study I contained the systematic development of the program in three phases. Phase one included the development of the program's theoretical framework and content, and phase two consisted of structuring the content and developing the platform to deliver the content from. The third phase consisted of coding the behaviour change supporting content, validation of the program among experts and testing it with one possible end-user. The result was an interactive web-application tailored to the individual's need for stress management supporting behaviour change in several ways; My Stress Control (MSC). In study I, MSC was also tested regarding how to proceed through the program. The results showed that the participants had trouble to reach the program’s end. In study II the feasibility of the coming RCT study procedure was investigated as well as how feasible MSC, the web-application, was to be applied in a larger study. 14 persons participated in study II. The findings proved the scientific study procedure feasible with minor changes, but some changes were required for the web-application to increase the chance for success in a larger, more costly study. In study III nine of the 14 persons that participated in study II were interviewed. The interviews aimed for a better understanding of how the participants experienced the program to further develop it. One theme was identified: Struggling with what I need when stress management is about me. It described an understanding for that stress management takes time and is complex but that it was difficult to find the time for working with it. In study IV, a randomized controlled trial, MSC was evaluated regarding its effect on stress. One group with access to MSC was compared to a wait-list group. 92 persons participated in study IV. The results showed that there were no significant between- or within group differences on perceived stress. A small effect size of MSC on perceived stress was shown between intervention- and wait-list groups, but adherence to the program was low.

These studies support that a web-application based on the evidence within multiple fields may have effect on perceived stress. However, to handle stress on one’s own is complex and the paradox in having one more thing to do when already stressed contribute to a conflict on how to handle the task. How to facilitate adherence to the fully automated program should be further investigated in future studies.

Ort, förlag, år, upplaga, sidor
Västerås: Mälardalen University, 2018
Serie
Mälardalen University Press Dissertations, ISSN 1651-4238 ; 269
Nationell ämneskategori
Medicin och hälsovetenskap Hälsovetenskaper
Forskningsämne
fysioterapi
Identifikatorer
urn:nbn:se:mdh:diva-40277 (URN)978-91-7485-400-8 (ISBN)
Disputation
2018-10-12, Beta, Mälardalens högskola, Västerås, 09:15 (Svenska)
Opponent
Handledare
Forskningsfinansiär
AFA Försäkring, 130263
Tillgänglig från: 2018-07-23 Skapad: 2018-07-20 Senast uppdaterad: 2018-09-21Bibliografiskt granskad

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Förlagets fulltextScopushttps://www.tandfonline.com/doi/full/10.1080/21679169.2018.1468814

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Eklund, CarolineElfström, MagnusEriksson, YvonneSöderlund, Anne

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