Development and formative evaluation of a Web-based stress management program to promote psychological well-being

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  • KAWAI Kaoru
    Department of Health Sociology, School of Health Sciences and Nursing, the University of Tokyo
  • YAMAZAKI Yoshihiko
    Department of Health Sociology, School of Health Sciences and Nursing, the University of Tokyo
  • NAKAYAMA Kazuhiro
    St. Luke's College of Nursing

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Abstract

Objective : The purpose of this study was to develop and evaluate the feasibility of a web-based stress management program to promote psychological well-being. Methods : This study was based on a single group (N=28 (male :15, female : 13), age =35.8±9.9, white-collar workers), pre-, post-test design. The evaluation measures include participants'perceived evaluation of the program, such as its comprehensiveness, informativeness, interestingness, as well as degeree of intention to act and self-efficacy belief. Participants'psychological well-being and mental health were measured pre (T1) -and post (T2) -intervention. All measures were conducted on the web. Results : Participant evaluation of the program was positive, and these results appear to confirm the feasibility of using web-based stress management programs. High 'intention to act' and 'self-efficacy belief' were reported, and these measures positively correlated with post-intervention psychological well-being after the intervention (P<.01). Program primary outcome, psychological wellbeing increased positively (T1=189.5±32.6, T2=195.6±31.6, P<.01), and among secondary outcomes, only STAT-state was improved (T1=41.8±10.4, T2=38.1±12.3, P<.05), but no significant difference was found for CRS-D, psychosomatic symptoms, and job satisfaction. Conclusion : Web-based stress management program for the enhancement of personal psychological well-being are feasible, and participants'perceived 'intention to act' and 'self-efficacy beliefs' were important exposures that influenced outcome. Further evaluation of the effectiveness of web based stress management programs requires controlled trials using larger samples with more varied demographics and investigation of program efficacy in longer-term follow-up.

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