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been developed, called SAM Junior. More information can be found at: stressautismmate.nl/stress-autism- mate-junior/. Like SAM, SAM Junior was created through co-creation and differs primarily in the language used, the stress questionnaires, and the response time allowed for completing the questionnaires.
Clinical value and future research
Both apps align with the principles of lifestyle medicine by promoting self-management, improving stress regulation, and encouraging healthier daily choices. They stimulate users to reflect, recognize patterns, and make small behavioral adjustments that contribute to increased wellbeing. SAM and SAM Junior can be used alongside psychological treatment or independently at home or with support from non-clinical professionals. Healthcare providers can recommend these apps to clients who benefit from greater insight into their stress, energy, and recovery patterns. They may also serve a role in preventive care or social work contexts, for instance, in occupational health, community teams, or general practice. Studies are currently underway in Germany and Australia. The University of Munich is conducting a placebo-controlled randomized controlled trial on SAM, while Deakin University in Australia is performing a
Conclusion SAM and SAM Junior are global, non-profit, privacy-compliant digital innovations that demonstrate how technology and co-creation can contribute to accessible, person-centered mental health care. SAM is scientifically validated and has shown positive effects on stress and wellbeing in autistic adults. Both apps are safe, free, and accessible, with a strong focus on enhancing self- awareness and self-care—key principles of lifestyle medicine. Contact y.roke@ggzcentraal.nl or sam@ggzcentraal.nl if you want more information or to collaborate with us.
Yvette Roke MD Psychiatrist, Digital Healthcare Innovator, Autism Expertise Center and ICT Department, GGz Centraal
y.roke@ggzcentraal.nl yvette-roke-stress-expert
Academic references available on request.
Single-Case Experimental Design study on the app.
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