Psychoeducation in bipolar disorder with a SIMPLe smartphone application: Feasibility, acceptability and satisfaction

Psychoeducation in bipolar disorder with a SIMPLe smartphone application: Feasibility, acceptability and satisfaction
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DOI:
10.1016/j.jad.2016.04.042
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发表时间:
2016-08-01
影响因子:
6.6
通讯作者:
Colom, Francesc
Colom, Francesc
中科院分区:
医学2区
文献类型:
--
作者:
Hidalgo-Mazzei, Diego;Mateu, Ainoa;Colom, Francesc

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背景:在过去的十五年里,通过基于互联网的平台提供心理教育计划的可能性已经探索。评估这些方案的研究表明,保留率良好,可以接受。在这种情况下,我们开发了一个智能手机应用程序(SIMPLe)收集有关情绪症状的信息,并提供个性化的心理教育信息。本研究的主要目的是评估智能手机应用程序的可行性,可接受性和满意度。方法:本研究从2015年3月至8月进行。参加这项研究的建议,以连续样本的成年患者参加门诊心理健康诊所。在基线和3个月随访时收集社会人口统计学数据、临床和功能评估以及智能手机拥有和使用情况。结果:51名参与者最初参加了这项研究,36(74%)仍然积极使用应用程序后3个月。整个样品与应用程序的相互作用平均为77天(SD = 26.2)。在这些天里,他们完成了88%的日常测试。超过86%的参与者认为使用该应用程序的体验令人满意。局限性:智能手机操作系统的多样性导致样本数量适中,但具有代表性。此外,主观的数据报告,狭窄的时间框架的使用和稳定的患者可能会影响results.Conclusions:结果证实,这种特殊的干预是可行的,并代表一个令人满意的和可接受的工具,作为一个附加的双相情感障碍的自我管理,以通常的治疗,但未来的临床试验仍必须探讨其疗效。(C)2016爱思唯尔B.V.保留所有权利。
Background: During the last fifteen years, the possibility of delivering psychoeducation programs through Internet-based platforms have been explored. Studies evaluating those programs have shown good to acceptable retention rates. In this context, we developed a smartphone application (SIMPLe) collecting information about mood symptoms and offering personalized psychoeducation messages. The main aims of this study were to evaluate the feasibility, acceptability and satisfaction of the smartphone application.Methods: The study was conducted from March to August 2015. Participation in the study was proposed to a consecutive sample of adult patients attending an outpatient mental health clinic. Sociodemographic data, clinical and functional assessments alongside smartphone ownership and uses were collected at baseline and at 3 months' follow-up. A 5 item Likert-scale satisfaction questionnaire was also employed.Results: 51 participants were initially enrolled in the study, 36 (74%) remained actively using the application after 3 months. The whole sample interacted with the application a mean of 77 days (SD= 26.2). During these days they completed 88% of the daily tests. Over 86% of the participants agreed that the experience using the application was satisfactory.Limitations: The diversity of smartphones operating systems led to a moderate, although representative, sample number. Additionally, the subjective data reporting, narrow time frame of use and stability of the patients could have affected the results.Conclusions: The results confirm that this particular intervention is feasible and represent a satisfactory and acceptable instrument for the self-management of bipolar disorder as an add-on to the usual treatment but future clinical trials must still probe its efficacy. (C) 2016 Elsevier B.V. All rights reserved.