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The goal of this clinical trial is to learn if a coach-guided, app-based mental health program can improve well-being and reduce psychological distress in adults experiencing elevated stress levels. The main questions it aims to answer are:
Participants will:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| beWell Tirol Intervention | Experimental | A 4-month digital mental health program delivered via the beWell Tirol app. The intervention includes psychoeducation, cognitive-behavioral exercises, interactive tools, digital diaries, and bi-weekly video coaching. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Digital Mental Health Program with Coaching | Device | This intervention is a 4-month digital mental health program with coaching. Participants use a mobile app that provides access to psychoeducational content, interactive cognitive-behavioral exercises, digital diaries, and self-monitoring tools. The program includes individualized exercise selection, where participants choose exercises every two weeks in collaboration with a trained coach. The intervention also incorporates bi-weekly 20-30 minute video coaching sessions, delivered within the app, to support motivation, clarify questions, and tailor the training plan. Exercises include relaxation techniques, mindfulness exercises, positive psychology activities, journaling tools, daily structuring tasks, and problem-solving strategies. |
| Measure | Description | Time Frame |
|---|---|---|
| Usability of the digital mental health program | Usability will be assessed using the System Usability Scale (SUS), a 10-item validated questionnaire measuring perceived usability of digital systems. Scores range from 0 to 100, with higher scores indicating better usability. | Right after the intervention ended |
| Measure | Description | Time Frame |
|---|---|---|
| Participant satisfaction | Satisfaction will be measured using a 10-item participant satisfaction questionnaire assessing overall satisfaction, perceived usefulness, impact on well-being, and coach satisfaction. Items are rated on a 4-point Likert scale (strongly disagree to strongly agree). Higher scores indicate greater satisfaction. | Right after the intervention ended |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical University Innsbruck | Innsbruck | 6020 | Austria |
Individual participant data will not be shared because the dataset contains sensitive health information and cannot be sufficiently de-identified to ensure participant privacy. Data sharing is restricted by ethical approval and local data protection regulations.
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| Psychological distress | Psychological distress will be measured with the Perceived Stress Scale (PSS-10), which assesses whether individuals perceive situations in their lives as excessively uncontrollable and overwhelming. Scores ranging from 0 to 13 indicate low stress, scores ranging from 14 to 26 indicate moderate stress, and scores ranging from 27 to 40 indicate high perceived stress. | Baseline, right after the intervention ended, 3-month follow-up |
| Resilience | Resilience will be assessed using the RS-13 Resilience Scale, a 13-item measure with scores ranging from 13-91. Higher values reflect greater resilience. | Baseline, right after the intervention ended, 3-month follow-up |
| Self-efficacy expectation | Self-efficacy will be measured using the General Self-Efficacy Scale (SWE), consisting of 10 items rated on a 4-point Likert scale. Higher scores indicate greater perceived self-efficacy. | Baseline, right after the intervention ended, 3-month follow-up |
| Emotion regulation | Emotion regulation will be measured using the Emotion Regulation Questionnaire (ERQ), including the subscales Cognitive Reappraisal (6 items) and Expressive Suppression (4 items). Higher scores reflect greater use of the respective strategy. | Baseline, right after the intervention ended, 3-month follow-up |
| Quality of Life: WHOQOL-BREF Global Score | Quality of life will be assessed using the WHOQOL-BREF, comprising four domains: physical health, psychological health, social relationships, and environment. Higher scores reflect better quality of life. | Baseline, right after the intervention ended, 3-month follow-up |
| Coping strategies | Coping will be assessed using the SVF-ak 42, measuring positive and negative coping responses. Subscale scores range from 0-6. Higher scores indicate more frequent use of the respective strategies. | Baseline, right after the intervention ended, 3-month follow-up |
| Coach Evaluations | Goal attainment will be assessed by the coach using portions of the Goal Attainment Scaling (GAS) and therapy process scales (STEP-SV). Higher scores indicate higher goal achievement and better engagement. | Right after the intervention ended |
| Psychological distress | Somatization, depression, and anxiety syndromes will be assessed using the short version of the Brief Symptom Inventory (BSI-18). The total score on the BSI-18 is referred to as the Global Severity Index (GSI) and reflects the general psychological distress. | Baseline, right after the intervention ended, 3-month follow-up |