Effectiveness of the mobile Stress Autism Mate Junior application in reducing stress and improving quality of life in adolescents with autism: a pilot study

ObjectiveStudies indicate that stress levels of autistic adolescents may be particularly high. Therefore, support is needed to help them deal with their stressors. Stress Autism Mate (SAM) Junior, a mobile self-help tool, was designed in co-creation with adolescents with autism to help reduce daily...

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Main Authors: Alvin van Asselt, Kirsten Hoeberichts, Sevda Demirel, Anke Scheeren, Yvette Roke
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1469257/full
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author Alvin van Asselt
Kirsten Hoeberichts
Kirsten Hoeberichts
Sevda Demirel
Sevda Demirel
Anke Scheeren
Anke Scheeren
Yvette Roke
author_facet Alvin van Asselt
Kirsten Hoeberichts
Kirsten Hoeberichts
Sevda Demirel
Sevda Demirel
Anke Scheeren
Anke Scheeren
Yvette Roke
author_sort Alvin van Asselt
collection DOAJ
description ObjectiveStudies indicate that stress levels of autistic adolescents may be particularly high. Therefore, support is needed to help them deal with their stressors. Stress Autism Mate (SAM) Junior, a mobile self-help tool, was designed in co-creation with adolescents with autism to help reduce daily stress levels. The app is based on the SAM app, which was previously shown to be effective in reducing stress in autistic adults. This study aimed to evaluate the effectiveness of the SAM Junior app in reducing perceived stress and maladaptive coping styles, and increasing adaptive coping styles and quality of life in adolescents with autism.MethodsA total of 24 Dutch adolescents with autism participated in this Single Case Experimental Design study. Sixteen of them (9 girls and 7 boys; Mage = 15.0 years, SD = 1.9) completed all research phases. Data were collected at four time points separated by four weeks: Control, pre-test, post-test and follow-up. Linear mixed-effects models were used to analyze the data.ResultsAt post-test, use of the SAM Junior app had no significant effects on participants’ perceived stress (B = 0.31; 95% CI [-1.59, 2.22], p = .73), adaptive coping (B = -1.38; 95% CI [-5.69, 2.94], p = .51), maladaptive coping (B = -0.63; 95% CI [-4.56, 3.30], p = .74) and quality of life (B = -4.13; 95% CI [-12.19, 3.94], p = .29). These non-significant effects persisted at follow-up.DiscussionCurrent preliminary results do not show effectiveness of the SAM Junior app to support adolescents with autism. Using the app as intended, without professional supervision, may have been too complex for this population. Further research is needed to determine the potential effects of the SAM Junior app with more certainty.
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spelling doaj-art-34f50322ae4e4d068def1cd1a95d6ad02025-01-08T06:11:45ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011510.3389/fpsyt.2024.14692571469257Effectiveness of the mobile Stress Autism Mate Junior application in reducing stress and improving quality of life in adolescents with autism: a pilot studyAlvin van Asselt0Kirsten Hoeberichts1Kirsten Hoeberichts2Sevda Demirel3Sevda Demirel4Anke Scheeren5Anke Scheeren6Yvette Roke7Emerhese Flevoland, GGz Centraal, Almere, NetherlandsEmerhese Flevoland, GGz Centraal, Almere, NetherlandsDepartment of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Maastricht University, Maastricht, NetherlandsEmerhese Flevoland, GGz Centraal, Almere, NetherlandsDepartment of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Maastricht University, Maastricht, NetherlandsFaculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam, NetherlandsAmsterdam Public Health, Vrije Universiteit, Amsterdam, NetherlandsEmerhese Flevoland, GGz Centraal, Almere, NetherlandsObjectiveStudies indicate that stress levels of autistic adolescents may be particularly high. Therefore, support is needed to help them deal with their stressors. Stress Autism Mate (SAM) Junior, a mobile self-help tool, was designed in co-creation with adolescents with autism to help reduce daily stress levels. The app is based on the SAM app, which was previously shown to be effective in reducing stress in autistic adults. This study aimed to evaluate the effectiveness of the SAM Junior app in reducing perceived stress and maladaptive coping styles, and increasing adaptive coping styles and quality of life in adolescents with autism.MethodsA total of 24 Dutch adolescents with autism participated in this Single Case Experimental Design study. Sixteen of them (9 girls and 7 boys; Mage = 15.0 years, SD = 1.9) completed all research phases. Data were collected at four time points separated by four weeks: Control, pre-test, post-test and follow-up. Linear mixed-effects models were used to analyze the data.ResultsAt post-test, use of the SAM Junior app had no significant effects on participants’ perceived stress (B = 0.31; 95% CI [-1.59, 2.22], p = .73), adaptive coping (B = -1.38; 95% CI [-5.69, 2.94], p = .51), maladaptive coping (B = -0.63; 95% CI [-4.56, 3.30], p = .74) and quality of life (B = -4.13; 95% CI [-12.19, 3.94], p = .29). These non-significant effects persisted at follow-up.DiscussionCurrent preliminary results do not show effectiveness of the SAM Junior app to support adolescents with autism. Using the app as intended, without professional supervision, may have been too complex for this population. Further research is needed to determine the potential effects of the SAM Junior app with more certainty.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1469257/fullautismadolescentsmHealthstresscoping strategiesquality of life
spellingShingle Alvin van Asselt
Kirsten Hoeberichts
Kirsten Hoeberichts
Sevda Demirel
Sevda Demirel
Anke Scheeren
Anke Scheeren
Yvette Roke
Effectiveness of the mobile Stress Autism Mate Junior application in reducing stress and improving quality of life in adolescents with autism: a pilot study
Frontiers in Psychiatry
autism
adolescents
mHealth
stress
coping strategies
quality of life
title Effectiveness of the mobile Stress Autism Mate Junior application in reducing stress and improving quality of life in adolescents with autism: a pilot study
title_full Effectiveness of the mobile Stress Autism Mate Junior application in reducing stress and improving quality of life in adolescents with autism: a pilot study
title_fullStr Effectiveness of the mobile Stress Autism Mate Junior application in reducing stress and improving quality of life in adolescents with autism: a pilot study
title_full_unstemmed Effectiveness of the mobile Stress Autism Mate Junior application in reducing stress and improving quality of life in adolescents with autism: a pilot study
title_short Effectiveness of the mobile Stress Autism Mate Junior application in reducing stress and improving quality of life in adolescents with autism: a pilot study
title_sort effectiveness of the mobile stress autism mate junior application in reducing stress and improving quality of life in adolescents with autism a pilot study
topic autism
adolescents
mHealth
stress
coping strategies
quality of life
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1469257/full
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