The Efficacy of the Persian Version of the Mindfulness-Based Stress Management App (Aramgar) for College’s Mindfulness Skills and Perceived Stress
Abstract
Functional mobile applications are one of the brand-new approaches to psychological interventions in different areas, including stress. The study aims to analyze a mobile application for Persian users on perceived stress and improve mindful skills. This study is a one-group pretest-posttest design with a quasi-experimental research design. Three instruments were used in this study, including the Five Factor Mindfulness Questionnaire (FFMQ), the Perceived Stress Scale (PSS-10), and the Mobile App Rating Scale (MARS). Eighty-five students participated in an 8-week mindfulness mobile app (Aramgar) for at least 10 minutes per day intervention. They responded to validated outcome measures of stress and mindfulness at baseline after the 8-week continued access period. Aramgar is designed based on mindfulness-based stress reduction. Paired t-tests showed significant differences in general perceived stress (P = 0.03) and total score of mindfulness (P = 0.002) before and after Aramgar. The analysis of Aramgar’s quality regarding engagement, functionality, aesthetics, and information quality showed that specialists assessed the quality appropriately. Using functional mobile apps provides simplicity for mental health services. Therefore, to strengthen and develop the mentioned services, it is recommended that the necessary information technology infrastructures be provided and limitations for designing and running mental health mobile apps be removed.
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Arlt Mutch, V. K., Evans, S., & Wyka, K. J. J. o. C. P. (2021). The role of acceptance in mood improvement during Mindfulness‐Based Stress Reduction. Journal of Clinical Psychology, 77(1), 7-19. https://doi.org/10.1002/jclp.23017
Atienza, A. A., & Patrick, K. (2011). Mobile health: the killer app for cyberinfrastructure and consumer health. American Journal of preventive medicine, 40(5), S151-S153. https://doi.org/10.1016/j.amepre.2011.01.008
Backinger, C. L., & Augustson, E. M. (2011). Where there’s an app, there’s a way?. American Journal of preventive medicine, 40(3), 390-391. https://doi.org/10.1016%2Fj.amepre.2010.11.014
Bai, S., Elavsky, S., Kishida, M., Dvořáková, K., & Greenberg, M. T. J. M. (2020). Effects of mindfulness training on daily stress response in college students: ecological momentary assessment of a randomized controlled trial. Mindfulness, 11, 1433-1445. https://doi.org/10.1007/s12671-020-01358-x
Bakker, D., Kazantzis, N., Rickwood, D., & Rickard, N. (2016). Mental health smartphone apps: review and evidence-based recommendations for future developments. JMIR mental health, 3(1), e4984. https://doi.org/10.2196/mental.4984
Bardus, M., Blake, H., Lloyd, S., & Suzanne Suggs, L. (2014). Reasons for participating and not participating in an e-health workplace physical activity intervention: A qualitative analysis. International Journal of Workplace Health Management, 7(4), 229-246. https://doi.org/10.1108/IJWHM-11-2013-0040
Bleau, D. N., Vaughan, G. B., & Davey, J. T. (2014). Message push notification client improvements for multi-user devices. U.S. Patent No. 8,924,489. Washington, DC: U.S. Patent and Trademark Office.
Borjalilu, S., Mazaheri, M. A., Talebpour, A. J. I. J. o. P., & Sciences, B. (2019). Effectiveness of mindfulness-based stress management in the mental health of Iranian university students: a comparison of blended therapy, face-to-face sessions, and mHealth app (Aramgar). Iranian Journal of Psychiatry and Behavioral Sciences, 13(2). https://doi.org/10.5812/ijpbs.84726
Borjalilu, S., Mohammadi, A., & Mojtahedzadeh, R. (2015). Sources and severity of perceived stress among Iranian medical students. Iranian Red Crescent Medical Journal, 17(10). https://doi.org/10.5812%2Fircmj.17767
Carissoli, C., Villani, D., & Riva, G. (2015). Does a meditation protocol supported by a mobile application help people reduce stress? Suggestions from a controlled pragmatic trial. Cyberpsychology, Behavior, and Social Networking, 18(1), 46-53. https://doi.org/10.1089/cyber.2014.0062
Champion, L., Economides, M., & Chandler, C. J. P. O. (2018). The efficacy of a brief app-based mindfulness intervention on psychosocial outcomes in healthy adults: A pilot randomised controlled trial. PloS one, 13(12), e0209482. https://doi.org/10.1371/journal.pone.0209482
Chiodelli, R., Mello, L. T. N. d., Jesus, S. N. d., Beneton, E. R., Russel, T., & Andretta, I. (2022). Mindfulness-based interventions in undergraduate students: A systematic review. Journal of American College Health, 70(3), 791-800. https://doi.org/10.1080/07448481.2020.1767109
Cho, J., Park, D., & Lee, H. E. (2014). Cognitive factors of using health apps: systematic analysis of relationships among health consciousness, health information orientation, eHealth literacy, and health app use efficacy. Journal of Medical Internet Research, 16(5). https://doi.org/10.2196/jmir.3283
Choudhury, A., Kuehn, A., Shamszare, H., & Shahsavar, Y. (2023). Analysis of Mobile App-Based Mental Health Solutions for College Students: A Rapid Review. Healthcare, 11(2), 272. https://doi.org/10.3390/healthcare11020272
Coulon, S. M., Monroe, C. M., & West, D. S. (2016). A systematic, multi-domain review of mobile smartphone apps for evidence-based stress management. American Journal of Preventive Medicine, 51(1), 95-105. https://doi.org/10.1016/j.amepre.2016.01.026
Dawson, A. F., Brown, W. W., Anderson, J., Datta, B., Donald, J. N., Hong, K., Allan, S., Mole, T. B., Jones, P. B., & Galante, J. (2020). Mindfulness‐based interventions for university students: A systematic review and meta‐analysis of randomised controlled trials. Applied Psychology: Health and Well‐Being, 12(2), 384-410. https://doi.org/10.1111/aphw.12188
De Leon, E., Fuentes, L. W., & Cohen, J. E. (2014). Characterizing periodic messaging interventions across health behaviors and media: Systematic review. Journal of Medical Internet Research, 16(3), e2837. https://doi.org/10.2196/jmir.2837
Dolbier, C., Conder, L., Guiler, W., & Haley, E. (2022). A mindfulness-based intervention for university students: A feasibility study. Building Healthy Academic Communities Journal, 6(1), 47-62. https://doi.org/10.18061/bhac.v6i1.8980
Donker, T., Petrie, K., Proudfoot, J., Clarke, J., Birch, M.-R., & Christensen, H. (2013). Smartphones for smarter delivery of mental health programs: a systematic review. Journal of Medical Internet Research, 15(11), e247. https://doi.org/10.2196/jmir.2791
Fessl, A., Rivera-Pelayo, V., Pammer, V., & Braun, S. (2012). Mood tracking in virtual meetings. In 21st Century Learning for 21st Century Skills: 7th European Conference of Technology Enhanced Learning, EC-TEL 2012, Saarbrücken, Germany, September 18-21, 2012. Proceedings 7 (pp. 377-382). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-642-33263-0_30
Flett, J. A., Hayne, H., Riordan, B. C., Thompson, L. M., & Conner, T. S. J. M. (2019). Mobile mindfulness meditation: a randomised controlled trial of the effect of two popular apps on mental health. Mindfulness, 10, 863-876. https://doi.org/10.1007/s12671-018-1050-9
García, I. P., Sánchez, C. M., Espílez, Á. S., García-Magariño, I., Guillén, G. A., & García-Campayo, J. (2017). Development and initial evaluation of a mobile application to help with mindfulness training and practice. International journal of medical informatics, 105, 59-67. https://doi.org/10.1016/j.ijmedinf.2017.05.018
Gustafson, D. H., McTavish, F. M., Chih, M.-Y., Atwood, A. K., Johnson, R. A., Boyle, M. G., Levy, M. S., Driscoll, H., Chisholm, S. M., & Dillenburg, L. (2014). A smartphone application to support recovery from alcoholism: a randomized clinical trial. JAMA psychiatry, 71(5), 566-572. https://doi.org/10.1001/jamapsychiatry.2013.4642
Harrison, V., Proudfoot, J., Wee, P. P., Parker, G., Pavlovic, D. H., & Manicavasagar, V. (2011). Mobile mental health: Review of the emerging field and proof of concept study. Journal of mental health, 20(6), 509-524. https://doi.org/10.3109/09638237.2011.608746
Hashemian, S. M. R., Farzanegan, B., Fathi, M., Ardehali, S. H., Vahedian-Azimi, A., Asghari-Jafarabadi, M., & Hajiesmaeili, M. (2015). Stress among Iranian nurses in critical wards. Iranian Red Crescent Medical Journal, 17(6). https://doi.org/10.5812%2Fircmj.22612v2
Hezomi, H., & Nadrian, H. (2018). What determines psychological well-being among Iranian female adolescents? Perceived stress may overshadow all determinants. Health Promotion Perspectives, 8(1), 79. https://doi.org/10.15171%2Fhpp.2018.10
Huberty, J., Green, J., Glissmann, C., Larkey, L., Puzia, M., Lee, C. J. J. M., & uHealth. (2019). Efficacy of the mindfulness meditation mobile app “calm” to reduce stress among college students: Randomized controlled trial. JMIR mHealth and uHealth, 7(6), e14273. https://doi.org/10.2196/14273
Jayarajah, U., Lakmal, K., Athapathu, A., Jayawardena, A. J., & de Silva, V. J. J. o. T. U. M. S. (2020). Validating the medical students' stressor questionnaire (MSSQ) from a Sri Lankan medical faculty. Journal of Taibah University Medical Sciences, 15(5), 344-350. https://doi.org/10.1016/j.jtumed.2020.08.003
Jones, D. J. (2018). Future directions in the design, development, and investigation of technology as a service delivery vehicle. In Future Work in Clinical Child and Adolescent Psychology (pp. 51-65). Routledge. https://doi.org/10.4324/9781315187914
Küchler, A.-M., Schultchen, D., Dretzler, T., Moshagen, M., Ebert, D. D., & Baumeister, H. (2023). A three-armed randomized controlled trial to evaluate the effectiveness, acceptance, and negative effects of studicare mindfulness, an internet-and mobile-based intervention for college students with no and “on demand” guidance. International Journal of Environmental Research and Public Health, 20(4), 3208. https://doi.org/10.3390/ijerph20043208
Lee, R. A., & Jung, M. E. (2018). Evaluation of an mhealth app (destressify) on university students’ mental health: pilot trial. JMIR mental health, 5(1), e8324. https://doi.org/10.2196/mental.8324
Lindhiem, O., Bennett, C. B., Rosen, D., & Silk, J. (2015). Mobile technology boosts the effectiveness of psychotherapy and behavioral interventions: a meta-analysis. Behavior modification, 39(6), 785-804. https://doi.org/10.1177/0145445515595198
Lungu, A., & Sun, M. J. T., (2016). Time for a change: college students’ preference for technology-mediated versus face-to-face help for emotional distress. 22(12), Telemedicine and e-Health, 22(12), 991-1000. https://doi.org/10.1089/tmj.2015.0214
Mani, M., Kavanagh, D. J., Hides, L., & Stoyanov, S. R. (2015). Review and evaluation of mindfulness-based iPhone apps. JMIR mHealth and uHealth, 3(3), e4328. https://doi.org/10.2196/mhealth.4328
Morris, M. E., Kathawala, Q., Leen, T. K., Gorenstein, E. E., Guilak, F., DeLeeuw, W., & Labhard, M. (2010). Mobile therapy: case study evaluations of a cell phone application for emotional self-awareness. Journal of medical Internet research, 12(2), e1371. https://doi.org/10.2196/jmir.1371
Morrison, L. G., Yardley, L., Powell, J., & Michie, S. (2012). What design features are used in effective e-health interventions? A review using techniques from critical interpretive synthesis. Telemedicine and e-Health, 18(2), 137-144. https://doi.org/10.1089/tmj.2011.0062
Neely, M. E., Schallert, D. L., Mohammed, S. S., Roberts, R. M., & Chen, Y. J. (2009). Self-kindness when facing stress: The role of self-compassion, goal regulation, and support in college students’ well-being. Motivation and Emotion, 33, 88-97. https://doi.org/10.1007/s11031-008-9119-8
Norman, C. D., & Skinner, H. A. (2006). eHealth literacy: essential skills for consumer health in a networked world. Journal of medical Internet research, 8(2), e506. https://doi.org/10.2196/jmir.8.2.e9
Parsons, C. E., Crane, C., Parsons, L. J., Fjorback, L. O., & Kuyken, W. (2017). Home practice in mindfulness-based cognitive therapy and mindfulness-based stress reduction: a systematic review and meta-analysis of participants' mindfulness practice and its association with outcomes. Behaviour research and therapy, 95, 29-41. https://doi.org/10.1016/j.brat.2017.05.004
Plaza, I., Demarzo, M. M. P., Herrera-Mercadal, P., & García-Campayo, J. (2013). Mindfulness-based mobile applications: literature review and analysis of current features. JMIR mHealth and uHealth, 1(2), e2733. https://doi.org/10.2196/mhealth.2733
Pramana, G., Parmanto, B., Kendall, P. C., & Silk, J. S. (2014). The SmartCAT: an m-health platform for ecological momentary intervention in child anxiety treatment. Telemedicine and e-Health, 20(5), 419-427. https://doi.org/10.1089/tmj.2013.0214
Preziosa, A., Grassi, A., Gaggioli, A., & Riva, G. (2009). Therapeutic applications of the mobile phone. British Journal of Guidance & Counselling, 37(3), 313-325. https://doi.org/10.1080/03069880902957031
Runyan, J. D., Steenbergh, T. A., Bainbridge, C., Daugherty, D. A., Oke, L., & Fry, B. N. (2013). A smartphone ecological momentary assessment/intervention “app” for collecting real-time data and promoting self-awareness. PloS one, 8(8), e71325. https://doi.org/10.1371/journal.pone.0071325
Sousa, G. M. D., Lima-Araújo, G. L. D., Araújo, D. B. D., & Sousa, M. B. C. D. (2021). Brief mindfulness-based training and mindfulness trait attenuate psychological stress in university students: a randomized controlled trial. BMC psychology, 9, 1-14. https://doi.org/10.1186/s40359-021-00520-x
Stoyanov, S. R., Hides, L., Kavanagh, D. J., Zelenko, O., Tjondronegoro, D., & Mani, M. (2015). Mobile app rating scale: a new tool for assessing the quality of health mobile apps. JMIR mHealth and uHealth, 3(1), e3422. https://doi.org/10.2196/mhealth.3422
Sturgill, R., Martinasek, M., Schmidt, T., & Goyal, R. (2021). A novel artificial intelligence-powered emotional intelligence and mindfulness App (Ajivar) for the college student population during the COVID-19 pandemic: quantitative questionnaire study. JMIR Formative Research, 5(1), e25372. https://doi.org/10.2196/25372
van Emmerik, A. A., Berings, F., & Lancee, J. (2018). Efficacy of a mindfulness-based mobile application: a randomized waiting-list controlled trial. Mindfulness, 9(1), 187-198. https://doi.org/10.1007/s12671-017-0761-7
Villani, D., Grassi, A., Cognetta, C., Toniolo, D., Cipresso, P., & Riva, G. (2013). Self-help stress management training through mobile phones: an experience with oncology nurses. Psychological services, 10(3), 315. https://psycnet.apa.org/doi/10.1037/a0026459
Walsh, K. M., Saab, B. J., & Farb, N. A. (2019). Effects of a mindfulness meditation app on subjective well-being: active randomized controlled trial and experience sampling study. JMIR mental health, 6(1), e10844. https://doi.org/10.2196/10844
DOI: https://doi.org/10.18196/ijiep.v4i1.16513
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