Developing a Theory-Informed Smartphone App for Early Psychosis: Learning Points From a Multidisciplinary Collaboration.
Developing a Theory-Informed Smartphone App for Early Psychosis: Learning Points From a Multidisciplinary Collaboration.
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DOI：
10.3389/fpsyt.2020.602861
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发表时间：
2020
影响因子：
4.7
通讯作者：
Bucci S
中科院分区：
文献类型：
--
作者：
Berry N;Machin M;Ainsworth J;Berry K;Edge D;Haddock G;Lewis S;Morris R;Bucci S
背景：Actissist是一款智能手机应用程序，旨在为早期精神病提供基于认知行为疗法的干预。Actissist是由一个多学科的学者，临床医生，经验丰富的专家和软件工程师团队开发的。Actissist已经在两项试验中进行了测试，第一项是概念验证试验，其中Actissist是安全的，可接受的和可行的，第二项是有把握的随机对照试验。目的：本文描述了我们的多学科团队如何设计和开发Actisist。本文介绍：（i）Actisist如何通过最初的定性访谈和焦点小组以及专家咨询小组获得信息;（ii）根据持续的用户反馈对应用程序进行的改进;（iii）遇到的成功和挑战;（iv）让利益相关者参与数字健康干预的学习点和建议。研究方法：专家参考小组会议为Actisist的开发和后续试验的设计提供了信息，其中包括有精神病生活经验的个人，临床医生，学者，计算机科学家和软件工程师。在开发应用程序之前，使用焦点小组和定性访谈促进了以人为本的利益相关者参与，这为Actissist的第一个版本提供了信息。访谈进行了与参与者谁使用了Actissistist。在额外的几轮测试之后，开发了另外两个版本的Actissist。结果：在整个Actissist项目中，多学科的工作促进了应用程序设计和内容的开发、纳入和改进。这些变化和功能包括非指导性和富有同情心的内容，共同设计的恢复视频，放松练习，心理教育材料，用户发现有帮助的应用程序的“最喜欢”区域的能力，以及目标设定。合作工作的挑战包括利益相关者想要的和技术上可能提供的之间的差异，资源压力，试图在基本试验设计考虑的范围内提供所需的功能，以及与多学科工作相关的权力不平衡。结论：利益相关者参与设计、开发和交付Actissist是我们开发方法的基础。通过这个合作过程，我们已经确定了不同的观点和想法，这些观点和想法不会单独由研究团队产生。临床试验注册：概念验证试验：http://www.isrctn.com/ISRCTN34966555全把握度随机对照试验：https://www.isrctn.com/ISRCTN76986679
Background: Actissist is a smartphone app designed to deliver an intervention grounded in cognitive behavior therapy for early psychosis. Actissist was developed by a multidisciplinary team of academics, clinicians, experts by experience and software engineers. Actissist has been tested in two trials, the first a proof-of-concept trial where Actissist was safe, acceptable and feasible, the second, a powered randomized controlled trial. Objective: This article describes how our multidisciplinary team designed and developed Actissist. This article describes: (i) how Actissist was informed by initial qualitative interviews and focus groups and an expert reference group; (ii) refinements made to the app based on ongoing user feedback; (iii) successes and challenges encountered; and (iv) learning points and recommendations for involving stakeholders in digital health interventions. Methods: Expert reference group meetings informed the development of Actissist and design of subsequent trials, which included individuals with lived experience of psychosis, clinicians, academics, computer scientists and software engineers. Person-centered stakeholder involvement was promoted using focus groups and qualitative interviews prior to the development of the app, which informed version one of Actissist. Interviews were carried out with participants who had used Actissist. Two further versions of Actissist were developed following additional rounds of testing. Results: Multidisciplinary working throughout the Actissist project led to the development, inclusion and improvement of the app design and content. These changes and features included non-directive and compassionate content, co-designed recovery videos, relaxation exercises, psychoeducation material, ability to “favorite” areas of the app that users found helpful, and goal-setting. Challenges to collaborative working included discrepancies between what stakeholders want and what is technically possible to deliver, resource pressures, trying to deliver desired features within the boundaries of fundamental trial design considerations, and power imbalances associated with multidisciplinary working. Conclusions: The involvement of stakeholders in the design and development and delivery of Actissist has been fundamental to our development approach. Through this collaborative process, we have identified different perspectives and ideas that would have not been generated by the research team alone. Clinical Trial Registrations: Proof-of-concept trial: http://www.isrctn.com/ISRCTN34966555 Fully-powered randomized controlled trial: https://www.isrctn.com/ISRCTN76986679
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DOI：
10.1111/hex.13088
发表时间：
2021-05
期刊：
Health expectations : an international journal of public participation in health care and health policy
影响因子：
--
作者：
Dewa LH;Lawrence-Jones A;Crandell C;Jaques J;Pickles K;Lavelle M;Pappa S;Aylin P
通讯作者：
Aylin P
DOI：
10.1111/hex.12977
发表时间：
2021-05
期刊：
Health expectations : an international journal of public participation in health care and health policy
影响因子：
--
作者：
Bixo L;Cunningham JL;Ekselius L;Öster C;Ramklint M
通讯作者：
Ramklint M
影响因子：
7.4
作者：
Baumel, Amit;Muench, Frederick;Kane, John M.
通讯作者：
Kane, John M.
影响因子：
2.1
作者：
Esmail, Laura;Moore, Emily;Rein, Alison
通讯作者：
Rein, Alison
影响因子：
4.4
作者：
Jennings H;Slade M;Bates P;Munday E;Toney R
通讯作者：
Toney R