A randomized controlled trial of a self-guided, multimedia, stress management and resilience training program

Rose, Raphael D.; Buckey, Jay C.; Zbozinek, Tomislav D.; Motivala, Sarosh J.; Glenn, Daniel E.; Cartreine, James A.; Craske, Michelle G.

doi:10.1016/j.brat.2012.11.003

Cited by 153Digital Mental Health InterventionsMindfulness and Compassion InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

A randomized controlled trial of a self-guided, multimedia, stress management and resilience training program

Rose, Raphael D., Buckey, Jay C., Zbozinek, Tomislav D., Motivala, Sarosh J., Glenn, Daniel E., Cartreine, James A., Craske, Michelle G.·2013·Behaviour Research and Therapy

DOI 10.1016/j.brat.2012.11.003

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Abstract

Background Stress is a common and costly behavioral health issue. Technology-based behavioral health programs (e.g., computer or web-based programs) are effective for treating anxiety or depression. These programs increase availability of evidence-based interventions to individuals who are not able or willing to receive such in-person treatments. Stress management training has empirical support, but little data exists on its efficacy with stressed but healthy individuals, and there are no prior studies employing a self-guided, multimedia intervention. We conducted a randomized controlled trial of a self-guided, multimedia stress management and resilience training program (SMART-OP) with a stressed but healthy sample.Methods Participants (N = 66) were randomized to SMART-OP or an attention control (AC) group that received marketed videos and published material on stress management. Participants were evaluated on self-report measures and Trier Social Stress Test (TSST) performance. Analyses were based on study completers (N = 59).Results SMART-OP group reported significantly less stress, more perceived control over stress, and rated SMART-OP as significantly more useful than AC. During the TSST, the data suggests the SMART-OP group showed greater within-task α-amylase recovery at post-assessment.Conclusions SMART-OP is highly usable and is a more effective and useful stress management training program than an educational comparison.

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Resilience after trauma: from surviving to thriving
Nugent, N. R., Sumner, J. A., & Amstadter, A. B. (2014) · European Journal of Psychotraumatology · doi:10.3402/ejpt.v5.25339 · Cited by 73 · see citing works
“Furthermore, specific resiliencefocused training programs (e.g., Lester et al., 2011; Rose et al., 2013) may represent another promising future direction, particularly with respect to prevention.”
Background
The Future of Orthopaedic Care: Promoting Psychosocial Resiliency in Orthopaedic Surgical Practices
Zale, E. L., Ring, D., & Vranceanu, A.-M. (2018) · Journal of Bone and Joint Surgery. American volume · doi:10.2106/jbjs.17.01159 · Cited by 63 · see citing works
Stress and Anxiety
Bystritsky, A., & Kronemyer, D. (2014) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2014.08.002 · Cited by 92 · see citing works
Effectiveness of an online positive psychology intervention among Tunisian healthcare students on mental health and study engagement during the Covid‐19 pandemic
Krifa, I., Hallez, Q., van Zyl, L. E., Braham, A., Sahli, J., Ben Nasr, S., & Shankland, R. (2022) · Applied Psychology: Health and Well-Being · doi:10.1111/aphw.12332 · Cited by 58 · see citing works
Assessing the Effects of the COVID-19 Pandemic on Nontraditional Students’ Mental Health and Well-Being
Babb, S. J., Rufino, K. A., & Johnson, R. (2021) · Adult Education Quarterly · doi:10.1177/07417136211027508 · Cited by 64 · see citing works
“University counseling services should also employ programs that are designed to increase resilience and coping skills, such as those implemented by First et al. (2018), Rose et al. (2013), and Steinhardt and Dolbier (2008).”
Background
Childhood Adversity and Schizophrenia
Lee, E., Martin, A. S., Tu, X. M., Palmer, B. W., & Jeste, D. V. (2018) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.17m11776 · Cited by 64 · see citing works
Practicing emotion-regulation through biofeedback on the decision-making performance in the context of serious games: A systematic review
Jerčić, P., & Sundstedt, V. (2019) · Entertainment Computing · doi:10.1016/j.entcom.2019.01.001 · Cited by 58 · see citing works
Pre-deployment programmes for building resilience in military and frontline emergency service personnel
Doody, C. B., Robertson, L., Cox, K. M., Bogue, J., Egan, J., & Sarma, K. M. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013242.pub2 · Cited by 49 · see citing works
Resilience in lesbians and gay men: A review and key findings from a nationwide Australian survey
Lyons, A. (2015) · International Review of Psychiatry · doi:10.3109/09540261.2015.1051517 · Cited by 49 · see citing works
“Another example is SMART-OP (Rose et al., 2013), which is a selfhelp online stress management and resilience training programme for adult men and women.”
Background
Physiological Modalities for Relaxation Skill Transfer in Biofeedback Games
Parnandi, A., & Gutiérrez‐Osuna, R. (2015) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2015.2511665 · Cited by 49 · see citing works
“Digital Object Identifier 10.1109/JBHI.2015.2511665 biofeedback requires substantial commitment of time and other resources from both workers and employers [5], which may result in high dropout rates [6], [7].”
BackgroundInfluential
Resilience and Coping Intervention (RCI): A Group Intervention to Foster College Student Resilience
First, J. M., First, N. L., & Houston, J. B. (2017) · Social Work With Groups · doi:10.1080/01609513.2016.1272032 · Cited by 48 · see citing works
Effectiveness of a Mobile Device–Based Resilience Training Program in Reducing Depressive Symptoms and Enhancing Resilience and Quality of Life in Parents of Children With Cancer: Randomized Controlled Trial
Luo, Y., Xia, W., Cheung, A. T., Ho, L. L. K., Zhang, J., Xie, J., Xiao, P., & Li, W. H. C. (2021) · Journal of Medical Internet Research · doi:10.2196/27639 · Cited by 49 · see citing works
“The findings were in accordance with those of a previous study conducted in students using a computer device compared with educational attention control [38].”
Resilience to depression: Implication for psychological vaccination
Dai, Q., & Smith, G. D. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1071859 · Cited by 47 · see citing works
“Resilience could be trained Besides real-world natural-stress vaccination, recent studies have suggested that individuals can learn “resilience” through mentoring or coaching without stress exposure (96), which could be a much safer and easier way to foster resilient diathesis.”
Background
Internet-delivered cognitive behavioral interventions to reduce elevated stress: a systematic review and meta-analysis
Svärdman, F., Sjöwall, D., & Lindsäter, E. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100553 · Cited by 47 · see citing works
“Two interventions used computer-automated guidance (i.e., without therapist involvement) (Ebert et al., 2016a; Mehring et al., 2016), and one study tested a selfguided intervention with reminders via mail and telephone (Rose et al., 2013).”
BackgroundMethodInfluential
Infertility-Related Stress and Life Satisfaction among Chinese Infertile Women: A Moderated Mediation Model of Marital Satisfaction and Resilience
Li, X., Ye, L., Tian, L., 霍亚芬, & Zhou, M. (2019) · Sex Roles · doi:10.1007/s11199-019-01032-0 · Cited by 42 · see citing works
Resilience Interventions Conducted in Western and Eastern Countries—A Systematic Review
Blessin, M., Lehmann, S., Kunzler, A. M., van Dick, R., & Lieb, K. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19116913 · Cited by 40 · see citing works
Incorporating Internet-based Interventions into Couple Therapy: Available Resources and Recommended Uses
Cicila, L. N., Georgia, E. J., & Doss, B. D. (2014) · Australian and New Zealand Journal of Family Therapy · doi:10.1002/anzf.1077 · Cited by 38 · see citing works
Visual Biofeedback and Game Adaptation in Relaxation Skill Transfer
Parnandi, A., & Gutiérrez‐Osuna, R. (2017) · IEEE Transactions on Affective Computing · doi:10.1109/taffc.2017.2705088 · Cited by 33 · see citing works
Evaluating the Effectiveness of Graduated Stress Exposure in Virtual Spaceflight Hazard Training
Finseth, T., Keren, N., Dorneich, M. C., Franke, W. D., Anderson, C. C., & Shelley, M. (2018) · Journal of Cognitive Engineering and Decision Making · doi:10.1177/1555343418775561 · Cited by 32 · see citing works
“In a review by Saunders et al. (1996), the beneficial effects of SIT increase as the number of training sessions increase.”
Background
Enhancing Human Cognitive Capital by Harnessing the Brain’s Inherent Neuroplasticity
Chapman, S. B., Cook, L. G., Vas, A., & Robertson, I. H. (2019) · Oxford University Press eBooks · doi:10.1093/oso/9780190455132.003.0012 · Cited by 30 · see citing works
An Intervention Enhances Resilience in Entry-Level Physical Therapy Students: A Preliminary Randomized Controlled Trial
Mejia-Downs, A. (2019) · Journal of Physical Therapy Education · doi:10.1097/jte.0000000000000114 · Cited by 30 · see citing works
“e curriculum incorporated topics and techniques used in previous mental health prevention programs for college students.(8,9,47-51) e face-to-face curriculum, presented by the researcher, involved education about components of resilience, skills building exercises, group and paired discussion, and homework exercises…”
BackgroundMethod
Assessing the Efficacy and Acceptability of a Web-Based Intervention for Resilience Among College Students: Pilot Randomized Controlled Trial
Enrique, Á., Mooney, O., Salamanca-Sanabria, A., Lee, C. T., Farrell, S., & Richards, D. (2020) · JMIR Formative Research · doi:10.2196/20167 · Cited by 29 · see citing works
“Encouragingly, research investigating technology-delivered preventive interventions with college students has demonstrated small to moderate effect sizes for mental health outcomes [19,20] and preliminary support exists for the efficacy of web-based resilience interventions [23].”
Computer-based versus in-person interventions for preventing and reducing stress in workers
Kuster, A. T., Dalsbø, T. K., Luong Thanh, B. Y., Agarwal, A., Durand-Moreau, Q. V., & Kirkehei, I. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011899.pub2 · Cited by 28 · see citing works
Can the effectiveness of an online stress management program be augmented by wearable sensor technology?
Millings, A., Morris, J., Rowe, A. C., Easton, S., Martin, J. K., Majoe, D., & Möhr, C. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.04.005 · Cited by 27 · see citing works
“Such work could also seek to identify the mechanisms of improvement by measuring potential mediators of the beneficial effects, such as skills learned at various points in the program, and even changes in biosignals in response to stress (Rose et al., 2013) as a result of practicing biofeedback.”
BackgroundInfluential
Efficacy of the Mental Health App Intellect to Reduce Stress: Randomized Controlled Trial With a 1-Month Follow-up
Toh, S. H. Y., Tan, J. H. Y., Kosasih, F. R., & Sündermann, O. (2022) · JMIR Formative Research · doi:10.2196/40723 · Cited by 25 · see citing works
“Likewise, student users of the 6-week SMART-OP intervention had access to a variety of cognitive behavioral content, including stress management psychoeducation and cognitive restructuring exercises.”
Method
Interventionen zur Resilienzförderung bei Erwachsenen
Linz, S., Helmreich, I., Kunzler, A., Chmitorz, A., Lieb, K., & Kubiak, T. (2019) · PPmP. Psychotherapie, Psychosomatik, medizinische Psychologie · doi:10.1055/a-0830-4745 · Cited by 19 · see citing works
“Sechs Studien sind internetbasiert [17, 51, 52, 56, 57, 59], 2 Studien bieten Interventionen auf telefonischer Basis an [54, 60] und 6 Studien verwenden multimodale Interventionen, welche verschiedene Formate kombinieren [50, 58, 62, 64–66].”
BackgroundInfluential
Self-guided multimedia stress management and resilience training
Rose, R. D. (2014) · The Journal of Positive Psychology · doi:10.1080/17439760.2014.927907 · Cited by 24 · see citing works
“As we previously reported (Rose et al., 2013), SMART-OP was rated very highly in terms of usefulness (based on user surveys), excellent in usability based on SUS (Bangor et al., 2008), and had a low dropout rate (12%).”
BackgroundMethodInfluentialSelf-citation
Key Factors and Threats to Team Dynamics in Long-Duration Extreme Environments
Roma, P. G., & Bedwell, W. L. (2017) · Research on managing groups and teams · doi:10.1108/s1534-085620160000018007 · Cited by 25 · see citing works
Internetbasierte Resilienzförderung und Prävention psychischer Erkrankungen
Lehr, D., Kunzler, A. M., Helmreich, I., Behrendt, D., Chmitorz, A., & Lieb, K. (2018) · Der Nervenarzt · doi:10.1007/s00115-018-0532-2 · Cited by 22 · see citing works
The Stressed Executive: Sources and Predictors of Stress Among Participants in an Executive Health Program
Ganesh, R., Mahapatra, S., Fuehrer, D. L., Folkert, L. J., Jack, W. A., Jenkins, S. M., Bauer, B. A., Wahner‐Roedler, D. L., & Sood, A. (2018) · Global Advances in Health and Medicine · doi:10.1177/2164956118806150 · Cited by 23 · see citing works
Facing digital transformation with resilience – operational measures to strengthen the openness towards change
Peschl, A., & Schüth, N. J. (2022) · Procedia Computer Science · doi:10.1016/j.procs.2022.01.324 · Cited by 23 · see citing works
Assessing the efficacy and acceptability of an internet-delivered intervention for resilience among college students: A pilot randomised control trial protocol
Enrique, Á., Mooney, O., Salamanca-Sanabria, A., Lee, C. T., Farrell, S., & Richards, D. (2019) · Internet Interventions · doi:10.1016/j.invent.2019.100254 · Cited by 23 · see citing works
Efficacy of a self-applied online program to promote resilience and coping skills in university students in four Spanish-speaking countries: study protocol for a randomized controlled trial
Palma-Gómez, A., Herrero, R., Baños, R., García‐Palacios, A., Castañeiras, C. E., Fernández, G. L., Llull, D. M., Cudris–Torres, L., Barranco, L. A., Cárdenas-Gómez, L., et al. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-02536-w · Cited by 25 · see citing works
“Internet-based interventions [63, 64] overcome barriers such as cost, availability of services, waiting time, access, and stigma.”
Background
Creating value with eHealth: identification of the value proposition with key stakeholders for the resilience navigator app
Lentferink, A., Polstra, L., D’Souza, A., Oldenhuis, H., Velthuijsen, H., & van Gemert-Pijnen, L. (2020) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-020-1088-1 · Cited by 21 · see citing works
“Recent decades have seen the launch of many mobile applications that support self-management, including stress management apps [3], many of which have failed [8].”
Background
Autonomous Psychological Support for Isolation and Confinement
Lyons, K. D., Slaughenhaupt, R. M., Mupparaju, S., Lim, J. S., Anderson, A. P., Stankovic, A. S., Cowan, D. R., Fellows, A. M., Binsted, K. A., & Buckey, J. C. (2020) · Aerospace Medicine and Human Performance · doi:10.3357/amhp.5705.2020 · Cited by 21 · see citing works
Self-citation
Fostering employees' resilience and psychological well-being through an app-based resilience intervention
Avey, J. B., Newman, A., & Herbert, K. (2022) · Personnel Review · doi:10.1108/pr-08-2021-0612 · Cited by 20 · see citing works
Partial Reinforcement in Game Biofeedback for Relaxation Training
Parnandi, A., & Gutiérrez‐Osuna, R. (2018) · IEEE Transactions on Affective Computing · doi:10.1109/taffc.2018.2842727 · Cited by 19 · see citing works
A Live Video Mind-Body Treatment to Prevent Persistent Symptoms Following Mild Traumatic Brain Injury: Protocol for a Mixed Methods Study
Greenberg, J., Singh, T., Iverson, G. L., Silverberg, N. D., Macklin, E. A., Parker, R. A., Giacino, J. T., Yeh, G. Y., & Vranceanu, A. (2020) · JMIR Research Protocols · doi:10.2196/25746 · Cited by 19 · see citing works
“Mind-body interventions can also be effectively delivered via live videos [24,25].”
Risk of Adverse Cognitive or Behavioral Conditions and Psychiatric Disorders: Evidence Report
Slack, K. J., Williams, T. J., Schneiderman, J. S., Whitmire, A. M., Picano, J. J., Leveton, L. B., Schmidt, L. L., & Shea, C. (2016) · Cited by 19 · see citing works
Effects of Resilience Training on Resilient Functioning in Chronic Stress Situations among Cadets of the Swiss Armed Forces
Niederhauser, M., Zueger, R., Annen, H., Gültekin, N., Stanga, Z. G., Brand, S., & Bahmani, D. S. (2023) · Healthcare · doi:10.3390/healthcare11091329 · Cited by 18 · see citing works
My Health Too: Investigating the Feasibility and the Acceptability of an Internet-Based Cognitive-Behavioral Therapy Program Developed for Healthcare Workers
Bureau, R., Bemmouna, D., Faria, C. G. F., Goethals, A.-A. C., Douhet, F., Mengin, A. C., Fritsch, A., Bertschy, A. Z., Frey, I., & Weiner, L. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.760678 · Cited by 18 · see citing works
The role of self-efficacy in internet-based interventions for mental health: A systematic review and meta-analysis
Behr, S., Garcia, L. M., Lucas, J., Kohlhase, E., Puetz, M., Boettcher, J., Schaeuffele, C., & Knaevelsrud, C. (2025) · Internet Interventions · doi:10.1016/j.invent.2025.100821 · Cited by 16 · see citing works
Evaluating the Role of Breathing Guidance on Game-Based Interventions for Relaxation Training
Gummidela, V. N. C., Silva, D. R. D. C., & Gutiérrez‐Osuna, R. (2021) · Frontiers in Digital Health · doi:10.3389/fdgth.2021.760268 · Cited by 16 · see citing works
“But these methods also suﬀer from high dropout rates (20) due to the lack of motivation and the unengaging nature of the exercises (21).”
Background
Does Training Motivation Influence Resilience Training Outcome on Chronic Stress? Results from an Interventional Study
Niederhauser, M., Zueger, R., Sefidan, S., Annen, H., Brand, S., & Sadeghi-Bahmani, D. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19106179 · Cited by 17 · see citing works
“Only a few studies focused on the effect of resilience training in acute stress situations such as police interventions [22] or standardized acute stress tests (Trier Social Stress Test (TSST) [23,24].”
Background
Psychosocial Characteristics, Training Attitudes and Well-being of Students: A Longitudinal Study
Nor, N. I. Z., & Smith, A. (2019) · Journal of Education Society and Behavioural Science · doi:10.9734/jesbs/2019/v29i130100 · Cited by 23 · see citing works
“Intervention programmes, such as those associated with stress management [3,4], resilience [5,6], mindfulness [7,8] and cognitive behaviour therapy [9] have been proven to facilitate an increase in the level of well-being in individuals.”
Background
Mind-body therapies for resilience in adolescents: A systematic review of randomized controlled trials
Mei, Z., Jiang, W., Zhang, Y., Luo, S., & Luo, S. (2024) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2024.08.014 · Cited by 13 · see citing works
Use of a self-guided computerized cognitive behavioral tool during COVID-19: evaluation study
Detweiler Guarino, I., Cowan, D. R., Fellows, A. M., & Buckey, J. C. (2021) · JMIR Formative Research · doi:10.2196/26989 · Cited by 10 · see citing works
“These results confirm the acceptability of the program with a general population and match results from previous studies [7,18,25,27,37].”
BackgroundResultSelf-citation
A Guided, Internet-Based Stress Management Intervention for University Students With High Levels of Stress: Feasibility and Acceptability Study
Amanvermez, Y., Karyotaki, E., Cuijpers, P. J., Čihařová, M., Donker, M. H., Hurks, P. P. M., Salemink, E., Spinhoven, P., Struijs, S. Y., & de Wit, L. M. (2023) · JMIR Formative Research · doi:10.2196/45725 · Cited by 14 · see citing works
“Our finding regarding intervention usability also was comparable with those of similar interventions for stress in university students [79,80].”
Psychological intervention programme for developing resilience in the military personnel. A randomized controlled trial.
Turliuc, M., & Balcan, A.-D. (2024) · Stress and Health · doi:10.1002/smi.3399 · Cited by 14 · see citing works
Resilience and Growth in Long-duration Isolated, Confined and Extreme (ICE) Missions A Literature Review and Selection, Training and Countermeasure Recommendations
Vanhove, A. J., & Herian, M. N. (2015) · Cited by 12 · see citing works
Preventive Effect of a 7-Week App-Based Passive Psychoeducational Stress Management Program on Students
Weiss, E. M., Staggl, S., Holzner, B., Rumpold, G., Dresen, V., & Canazei, M. (2024) · Behavioral Sciences · doi:10.3390/bs14030180 · Cited by 11 · see citing works
“Nevertheless, only a few studies examined the effectiveness of internet-based preventive interventions to promote and develop strength and resilience in younger people with less severe psychopathological symptoms [43–47].”
Background
Effectiveness of an online mental health strengthening module to build resilience and overcome stress for transitional aged medical students
Kaligis, F., Ismail, R. I., Wiguna, T., Prasetyo, S., Gunardi, H., Indriatmi, W., Pasaribu, M. M., Pandia, V., Minayati, K., Magdalena, C. C., et al. (2023) · Frontiers in Digital Health · doi:10.3389/fdgth.2023.1207583 · Cited by 10 · see citing works
A Longitudinal Study of Hardiness as a Buffer for Posttraumatic Stress Symptoms in Mothers of Children With Cancer
Stoppelbein, L., McRae, E. M., & Greening, L. (2017) · Clinical Practice in Pediatric Psychology · doi:10.1037/cpp0000168 · Cited by 10 · see citing works
“Rose et al. (2013) provide preliminary empirical support for the efficacy of such a program with nontraumatized populations confronting daily life stressors.”
Pre-deployment programmes for building resilience in military and frontline emergency service personnel
Doody, C. B., Robertson, L., Uphoff, N., Bogue, J., Egan, J., & Sarma, K. M. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013242 · Cited by 10 · see citing works
Intérêt d’un programme self help de gestion du stress sur support numérique. Étude de faisabilité du programme Seren@ctif
Servant, D., Rougegrez, L., Barasino, O., Demarty, A.-L., Duhamel, A., & Vaiva, G. (2016) · L'Encéphale · doi:10.1016/j.encep.2016.03.010 · Cited by 9 · see citing works
Efficacy of Seren@ctif, a computer-based stress management program for patients with adjustment disorder with anxiety: Protocol for a controlled trial
Servant, D., Leterme, A.-C., Barasino, O., Rougegrez, L., Duhamel, A., & Vaiva, G. (2017) · JMIR Research Protocols · doi:10.2196/resprot.7976 · Cited by 8 · see citing works
Risk of Adverse Cognitive or Behavioral Conditions and Psychiatric Disorders
Slack, K. J., Schneiderman, J. S., Leveton, L. B., Whitmire, A. M., & Picano, J. J. (2015) · NASA Technical Reports Server (NASA) · Cited by 8 · see citing works
Evidence Report: Risk of Performance Errors Due to Training Deficiencies
Barshi, I., & Dempsey, D. L. (2016) · NASA STI Repository (National Aeronautics and Space Administration) · Cited by 7 · see citing works
Revisión de programas de resiliencia basados en la evidencia en los ejércitos
Silgo, M. G. (2013) · Sanidad militar: revista de sanidad de las Fuerzas Armadas de España · doi:10.4321/s1887-85712013000300005 · Cited by 6 · see citing works
Incorporating moral resilience into an undergraduate nursing program
Baker-Townsend, J. A., & Cummings, C. (2020) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2020.06.001 · Cited by 6 · see citing works
Pedagogical approaches to support student resilience in higher-education settings: A systematic literature review
Buttazzoni, A. N. (2022) · Compass Journal of Learning and Teaching · doi:10.21100/compass.v15i1.1285 · Cited by 6 · see citing works
Effects of the Cognitive Behavioral Therapy (CBT) Education Program for Children and Adolescents on the Adaptation of First-Year Students to Junior High School:
Nakano, Y., Sukigara, M., Shimura, N., Nakagawa, A., & Ono, Y. (2020) · The Japanese Journal of Educational Psychology · doi:10.5926/jjep.68.66 · Cited by 6 · see citing works
Efficacy of the internet-based intervention “Cultivating our resilience” (CORE) for improving resilience and coping strategies in university students: A randomized controlled trial
Herrero, R., Franke, M., Görlich, D., García‐Palacios, A., Baños, R., Jacobi, C., Berger, T., Schaub, M. P., Krieger, T., Ebert, D. D., et al. (2025) · Internet Interventions · doi:10.1016/j.invent.2025.100811 · Cited by 5 · see citing works
“Compared to studies that reported the greatest benefits, such as Aikens et al. (2014), Enrique Roig et al. (2020), and Rose et al. (2013), the CORE intervention demonstrates comparable improvements, with similar effect size.”
The Need for a Neutral Speaking Period in Psychosocial Stress Testing
Grimley, S. J., Ko, C. M., Morrell, H. E. R., Grace, F., Bañuelos, M., Bautista, B. R., Chavez, G. N., Dalrymple, E. R., Green, M., Gurning, J., et al. (2018) · Journal of Psychophysiology · doi:10.1027/0269-8803/a000228 · Cited by 5 · see citing works
“…self-compassion training, meditation, or acupressure, were successful in reducing participants’ emotional stress response from pre- to post-intervention (Arch et al., 2014; Kemeny et al., 2012; McFadden et al., 2012; Rose et al., 2013; Vocks, Ockenfels, Jürgensen, Mussgay, & Rüddel, 2004).”
Background
A Technology-Assisted Telephone Intervention for Work-Related Stress Management: Pilot Randomized Controlled Trial
Muuraiskangas, S. T., Honka, A. M., Junno, U.-M., Nieminen, H., & Kaartinen, J. K. (2022) · Journal of Medical Internet Research · doi:10.2196/26569 · Cited by 5 · see citing works
“However, there are studies indicating that blended stress management interventions can be more effective at reducing stress or stress-related mental health problems than fully technological interventions [31,32].”
Influential
School Heads’ Instructional Supervisory Skills and Teachers’ Performance
Go, A. D. G., & Eslabon, R. T. (2024) · Polaris Global Journal of Scholarly Research and Trends · doi:10.58429/pgjsrt.v3n1a104 · Cited by 5 · see citing works
“Moreover, findings in the study of Rose et al. (2013) imply that training is essential to help teachers become more competent in implementing innovations, which would not only improve their performance but their students' performance as well.”
Background
An Unguided Web-Based Resilience Training Programme for NHS Keyworkers During the COVID-19 Pandemic: a Usability Study
Bennion, M. R., Baker, F. R. L., & Burrell, J. (2022) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-021-00225-3 · Cited by 5 · see citing works
“Indeed, digital resilience training has been found to benefit other groups such as students and first responders (Galante et al., 2018; Heyen et al., 2021; Rose et al., 2013).”
Background
Building Resilience in College: Evidence from a Randomized Trial
Rodríguez-Planas, N., Secor, A., & Joue, R. D. B. (2025) · European Economic Review · doi:10.1016/j.euroecorev.2025.105131 · Cited by 3 · see citing works
The Effectiveness of Technology‐Based Interventions for Mental Health and Well‐Being: A Systematic Review
Alqahtani, F., & Orji, R. (2025) · Human Behavior and Emerging Technologies · doi:10.1155/hbe2/8111089 · Cited by 14 · see citing works

Self-Guided Multimedia Stress Management and Resilience Training for Flight Controllers
Rose, R. D., Zbozinek, T. D., Hentschel, P. G., Smith, S. M., O'Brien, J., Oftedal, A., & Craske, M. G. (2016) · NASA Technical Reports Server (NASA)
Self-citation
Self-guided multimedia stress management and resilience training
Rose, R. D. (2014) · The Journal of Positive Psychology · doi:10.1080/17439760.2014.927907 · Cited by 24 · see citing works
Self-citation
P02.197. Self help intervention to decrease stress and increase mindfulness: a pilot trial
Sharma, V., Bauer, B. A., Prasad, K., Sood, A., & Schroeder, D. R. (2012) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-12-s1-p253 · Cited by 14 · see citing works
Bibliotherapy to decrease stress and anxiety and increase resilience and mindfulness: A pilot trial
Sharma, V., Sood, A., Prasad, K., Loehrer, L., Schroeder, D., & Brent, B. (2014) · EXPLORE · doi:10.1016/j.explore.2014.04.002 · Cited by 39 · see citing works
A randomized clinical trial of a population- and transtheoretical model-based stress-management intervention.
Evers, K. E., Prochaska, J. O., Johnson, J. L., Mauriello, L. M., Padula, J. A., & Prochaska, J. M. (2006) · Health Psychology · doi:10.1037/0278-6133.25.4.521 · Cited by 130 · see citing works

Authors: Rose, R. D., Buckey, J. C., Zbozinek, T. D., Motivala, S. J., Glenn, D. E., Cartreine, J. A., & Craske, M. G.
Affiliations: University of California, Los Angeles (US)
Dartmouth College (US)
Brigham and Women's Hospital (US)
Corresponding author: Rose, Raphael D.
ORCID: Buckey, Jay C.
Zbozinek, Tomislav D.
Glenn, Daniel E.
Craske, Michelle G.
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 2013-02
Volume: 51
Issue: 2
Pages: 106-112
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/j.brat.2012.11.003
OpenAlex: W2044512741
Cited by: 153
References: 49
Citations by year: 2026: 5 · 2025: 7 · 2024: 9 · 2023: 14 · 2022: 18 · 2021: 14 · 2020: 13 · 2019: 15 · 2018: 14 · 2017: 12 · 2016: 11 · 2015: 8 · 2014: 9 · 2013: 4
FWCI: 9.41
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Behaviour Research and Therapy (publishedVersion)
PubMed (publishedVersion)
Funders: National Aeronautics and Space Administration
National Space Biomedical Research Institute
Topics: Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: stress management training, resilience training, self-guided intervention, multimedia intervention, Trier Social Stress Test, salivary amylase, healthy individuals, intervention usability
MeSH terms: Adult, Attention, Female, Humans, Male, Phobic Disorders, Self Care, Stress, Psychological, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Multimedia, Resilience, Psychological, Self Report

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A randomized controlled trial of a self-guided, multimedia, stress management and resilience training program

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