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  4. Publikationen Angewandte Psychologie
Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-30977
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dc.contributor.authorUlrich, Sandra-
dc.contributor.authorLienhard, Natascha-
dc.contributor.authorKünzli, Hansjörg-
dc.contributor.authorKowatsch, Tobias-
dc.date.accessioned2024-07-04T13:23:49Z-
dc.date.available2024-07-04T13:23:49Z-
dc.date.issued2024-06-26-
dc.identifier.issn2291-5222de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/30977-
dc.description.abstractBackground: Globally, students face increasing mental health challenges, including elevated stress levels and declining well-being, leading to academic performance issues and mental health disorders. However, due to stigma and symptom underestimation, students rarely seek effective stress management solutions. Conversational agents in the health sector have shown promise in reducing stress, depression, and anxiety. Nevertheless, research on their effectiveness for students with stress remains limited. Objective: This study aims to develop a conversational agent–delivered stress management coaching intervention for students called MISHA and to evaluate its effectiveness, engagement, and acceptance. Methods: In an unblinded randomized controlled trial, Swiss students experiencing stress were recruited on the web. Using a 1:1 randomization ratio, participants (N=140) were allocated to either the intervention or waitlist control group. Treatment effectiveness on changes in the primary outcome, that is, perceived stress, and secondary outcomes, including depression, anxiety, psychosomatic symptoms, and active coping, were self-assessed and evaluated using ANOVA for repeated measure and general estimating equations. Results: The per-protocol analysis revealed evidence for improvement of stress, depression, and somatic symptoms with medium effect sizes (Cohen d=−0.36 to Cohen d=−0.60), while anxiety and active coping did not change (Cohen d=−0.29 and Cohen d=0.13). In the intention-to-treat analysis, similar results were found, indicating reduced stress (β estimate=−0.13, 95% CI −0.20 to −0.05; P<.001), depressive symptoms (β estimate=−0.23, 95% CI −0.38 to −0.08; P=.003), and psychosomatic symptoms (β estimate=−0.16, 95% CI −0.27 to −0.06; P=.003), while anxiety and active coping did not change. Overall, 60% (42/70) of the participants in the intervention group completed the coaching by completing the postintervention survey. They particularly appreciated the quality, quantity, credibility, and visual representation of information. While individual customization was rated the lowest, the target group fitting was perceived as high. Conclusions: Findings indicate that MISHA is feasible, acceptable, and effective in reducing perceived stress among students in Switzerland. Future research is needed with different populations, for example, in students with high stress levels or compared to active controls.de_CH
dc.language.isoende_CH
dc.publisherJMIR Publicationsde_CH
dc.relation.ispartofJMIR mHealth and uHealthde_CH
dc.rightshttps://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectBehavior changede_CH
dc.subjectCoachingde_CH
dc.subjectConversational agentde_CH
dc.subjectLifestylede_CH
dc.subjectmHealthde_CH
dc.subjectMobile healthde_CH
dc.subjectMobile phonede_CH
dc.subjectSmartphonede_CH
dc.subjectStress managementde_CH
dc.subjectWell-beingde_CH
dc.subject.ddc006: Spezielle Computerverfahrende_CH
dc.subject.ddc158: Angewandte Psychologiede_CH
dc.titleA chatbot-delivered stress management coaching for students (MISHA app) : pilot randomized controlled trialde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementAngewandte Psychologiede_CH
zhaw.organisationalunitPsychologisches Institut (PI)de_CH
dc.identifier.doi10.2196/54945de_CH
dc.identifier.doi10.21256/zhaw-30977-
dc.identifier.pmid38922677de_CH
zhaw.funding.euNode_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.starte54945de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume12de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.webfeedDiagnostik und Beratungde_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
Appears in collections:Publikationen Angewandte Psychologie

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Ulrich, S., Lienhard, N., Künzli, H., & Kowatsch, T. (2024). A chatbot-delivered stress management coaching for students (MISHA app) : pilot randomized controlled trial. JMIR mHealth and uHealth, 12, e54945. https://doi.org/10.2196/54945
Ulrich, S. et al. (2024) ‘A chatbot-delivered stress management coaching for students (MISHA app) : pilot randomized controlled trial’, JMIR mHealth and uHealth, 12, p. e54945. Available at: https://doi.org/10.2196/54945.
S. Ulrich, N. Lienhard, H. Künzli, and T. Kowatsch, “A chatbot-delivered stress management coaching for students (MISHA app) : pilot randomized controlled trial,” JMIR mHealth and uHealth, vol. 12, p. e54945, Jun. 2024, doi: 10.2196/54945.
ULRICH, Sandra, Natascha LIENHARD, Hansjörg KÜNZLI und Tobias KOWATSCH, 2024. A chatbot-delivered stress management coaching for students (MISHA app) : pilot randomized controlled trial. JMIR mHealth and uHealth. 26 Juni 2024. Bd. 12, S. e54945. DOI 10.2196/54945
Ulrich, Sandra, Natascha Lienhard, Hansjörg Künzli, and Tobias Kowatsch. 2024. “A Chatbot-Delivered Stress Management Coaching for Students (MISHA App) : Pilot Randomized Controlled Trial.” JMIR mHealth and uHealth 12 (June): e54945. https://doi.org/10.2196/54945.
Ulrich, Sandra, et al. “A Chatbot-Delivered Stress Management Coaching for Students (MISHA App) : Pilot Randomized Controlled Trial.” JMIR mHealth and uHealth, vol. 12, June 2024, p. e54945, https://doi.org/10.2196/54945.


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