1/15

Welcome to Pro-Change’s Stress Management Program which is recognized by SAMSHA and AHRQ Health Care Innovation Exchange. The program assists adults in effectively managing stress in healthy ways, including: exercising, seeking support, and using relaxation techniques.

2/15

Based on the Transtheoretical Model of Behavior Change and funded by grants from the National Cancer Institute, the program was developed through extensive research. The mobile-optimized computer-tailored intervention begins with an assessment of the user’s stage of change for effectively managing stress.

3/15

The user then receives individually tailored feedback about their stage of change.

4/15

Through the use of reliable and valid assessments, users are asked questions regarding the essential principles and processes of behavior change. Here we assess the user’s confidence to manage stress in a variety of difficult situations.

5/15

The individually tailored feedback for overall confidence is based on a comparison of the user’s responses to pre-programmed decision rules that operate on the back end. As is true in the rest of the program, it is much like having a computer coach who uses evidence-based guidelines to determine what feedback each user should receive.

6/15

Here the system provides feedback on the situation for which the user is least confident in his or her ability to effectively manage stress.

7/15

Users also receive individually tailored feedback on the four or five behavior change strategies that will be most instrumental in helping them make progress through the stages of change.

8/15

9/15

When users return to the program they will receive updated feedback based on responses to their most recent assessment on how they are dong compared to the last time they interacted with the program. Research shows that this type of dynamic tailoring is more efficacious than computer-tailored interventions based on one assessment.

10/15

Near the end of the program, users are asked if they are ready to set a goal. If they aren’t ready, the program offers other small steps they can take instead.

11/15

At follow-up sessions users are asked to report on progress toward their goals. And once they have met a goal, they are encouraged to set new ones.

12/15

13/15

Once they’ve completed the computer-tailored intervention, users are seamlessly transitioned to the Personal Activity Center (PAC). There, they have access to 29 stage-matched interactive activities, tools, tips, and resources to build skills and use the behavior change strategies that were recommended in the tailored feedback.

14/15

This PAC activity for users in the Contemplation stage provides various strategies to assist users in responding to stressors they can control, such as setting limits.

15/15

Users can return to the PAC as often as they like between computer-tailored interventions to reinforce the evidence-based feedback they received.