To our knowledge, this is the first RCT to test a fully self-guided,
multimedia stress management and resilience training program.
SMART-OP significantly decreased perceived stress while
increasing perceived control over stress. It was useful, acceptable,
and easy to use. Data also suggests a faster recovery from a social
stressor based on a-amylase levels. This approach could be an
effective way to bring validated stress management techniques to
individuals who would ordinarily not seek behavioral healthcare
due to problems with stigma, cost, or access to care. Creating
innovative ways to deliver evidence-based interventions for
common behavioral health issues, such as stress, to a wide audience
is a challenging but worthy endeavor.