Randomized controlled trial of stress management intervention using transtheoretical model

本研究将跨理论模型(TTM)应用于大学生压力管理行为的改变(如每天开展任何形式的压力管理活动至少20分钟)，并在此基础上对大学生进行基于TTM的压力管理干预。为了应用TTM，我们首先开发了TTM措施的日语版本。我们开发了日语版的工作手册和专家系统，对每个参与者进行评估，并在变化的进展阶段给出反馈信息，并通过随机对照试验比较了对感知压力和参与压力管理的影响。我们发现，阶段匹配的量身定制的方法减少了感知到的压力，并增加了参与者进行压力管理行为的比例。

This study applied transtheoretical model (TTM) to change of stress management behavior (e.g., carrying out any forms of health activities to manage stress at least 20 minutes per day), and then conducted the TTM-based stress management interventions in college students. To apply the TTM, we firstly developed the Japanese versions of the TTM measures. We developed the Japanese versions of workbook and expert system which carries out assessment and gives feedback messages for each participant to progress stage of change, and compared effects on perceived stress and engagement in stress management by randomized controlled trial. We found that stage-matched tailored approach reduced perceived stress and increased the portion of participants who are carrying out stress management behavior.