StudiCare procrastination - Randomized controlled non-inferiority trial of a persuasive design-optimized internet- and mobile-based intervention with digital coach targeting procrastination in college students

Autor: Agnes Mutter, A.-M. Küchler, A. R. Idrees, F. Kählke, Y. Terhorst, H. Baumeister
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMC Psychology, Vol 11, Iss 1, Pp 1-17 (2023)
Druh dokumentu: article
ISSN: 2050-7283
DOI: 10.1186/s40359-023-01312-1
Popis: Abstract Background Academic procrastination is widespread among college students. Procrastination is strongly negatively correlated with psychological well-being, thus early interventions are needed. Internet- and mobile-based cognitive behavioral therapy (iCBT) could provide a low-threshold treatment option. Human guidance seems to be a decisive mechanism of change in iCBT. Persuasive design optimization of iCBT and guidance by a digital coach might represent a resource-saving alternative. The study evaluated the non-inferiority of a digital coach in comparison to human guidance with regard to the primary outcome procrastination. Methods The iCBT StudiCare procrastination was optimized by principles of the Persuasive System Design (PSD). A total of 233 college students were randomly assigned to either StudiCare procrastination guided by a digital coach (intervention group, IG) or by a human eCoach (control group, CG). All participants were assessed at baseline, 4-, 8- and 12-weeks post-randomization. Symptom change and between-group differences were assessed with latent growth curve models and supported by effect size levels. The non-inferiority margin was set at Cohen’s d = − 0.3. Results The primary outcome procrastination measured by the Irrational Procrastination scale (IPS) significantly decreased across groups (γ = − 0.79, p
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