AUTHOR=Maurer Katherine , Kimyaci Mert , Konyk Katy , Wekerle Christine 

TITLE=Building resilience through daily smartphone app use: results of a pilot study of the JoyPop app with social work students

JOURNAL=Frontiers in Digital Health

VOLUME=5

YEAR=2023

URL=https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2023.1265120

DOI=10.3389/fdgth.2023.1265120

ISSN=2673-253X

ABSTRACT=<sec><title>Background</title><p>The JoyPop™ smartphone app is a digital intervention designed to enhance day-to-day resilience in youth, particularly those exposed to traumatogenic events [adverse childhood experiences (ACEs)]. Processes of adaptation that foster resilience in response to high stress include affect, cognitive, and behavioral regulation, and social interaction. Digital interventions have application for youth and those who provide them support, including social work trainees navigating the stressors of university studies concurrent with practice internships. Research on resilience-enhancing apps is needed to understand the underlying mechanisms by which change occurs and who is most likely to benefit from these interventions.</p></sec><sec><title>Methods</title><p>Social work student participants (<italic>N</italic> = 91) were invited to use the JoyPop app two times daily for 28 days. Baseline ACE exposure and change-over-time in affect regulation, stress responsivity, and social support were evaluated after 2 and 4 weeks of app use with <italic>t</italic>-tests and generalized estimating equation (GEE) modeling.</p></sec><sec><title>Results</title><p>Participants identified predominantly as cisgender women of European descent, mean age 26 years (SD = 6.78), 70% undergraduates, and reported consistent daily app use (<italic>Mean days</italic> = 26.9, SD = 1.90). Self-reported baseline ACE exposure was high (30% ≥ 5+). We tested change-over-time with generalized estimating equation and saw improvement in affect regulation in the Abbreviated Dysregulation Inventory scale (<italic>β</italic> = −3.38, <italic>p</italic> <italic>=</italic> &lt;.001), and subscales of behavioral (<italic>β</italic> = −1.63, <italic>p</italic> <italic>=</italic> &lt;.001), affect (<italic>β</italic> = −3.24, <italic>p</italic> <italic>=</italic> &lt;.001), and cognitive regulation (<italic>β</italic> = 1.50, <italic>p</italic> <italic>=</italic> .009). Perceived stress decreased with app use (<italic>β</italic> = −2.65, <italic>p</italic> <italic>=</italic> &lt;.001) and even more so for participants with reported exposure to more than 4 ACEs (<italic>β</italic> = −3.786, <italic>p</italic> <italic>=</italic> .030).</p></sec><sec><title>Conclusions</title><p>The exploratory findings from our pilot study suggest that consistent use of the app may enhance multidimensional resilience amongst university students who self-report higher than average levels of baseline traumatogenic exposures. Our findings support an approach modeling resilience as a complex, dynamic, multicomponent process supported by resources within and between individuals. Further testing of the mechanisms of adaptation in response to high stress that enhance resilience and identification of the JoyPop™ app features that influence this change is needed to validate that daily app use could help youth with experiences of past and current high stress to better regulate their affect, reduce stress reactivity, and increase resilience.</p></sec>