An ecological momentary intervention incorporating personalised feedback to improve symptoms and social functioning in schizophrenia spectrum disorders

Hanssen, Esther; Balvert, Sanne C E; Oorschot, Margreet; Borkelmans, Karel; Os, Jim van; Delespaul, Philippe; Fett, Anne‐Kathrin

doi:10.1016/j.psychres.2019.112695

Cited by 46 publications

(70 citation statements)

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“…Twelve studies were carried out in the United States (48, 49,52,54,55,56,63,64,66,72,74,75), eleven in Australia (45,47,53,57,60,61,68,69,71,73,76), two in Netherlands (59,62), one in China (67), one in Iran (50), one in Korea (65), one in Portugal (58), one in Sri Lanka (70), one in Taiwan (46) and one in the United Kingdom (51). Only four studies (12.5%) were conducted between 2000-2010 (47,55,56,63); the others were conducted between years 2011-2020, among which 21 studies were conducted within the last ve years (2016-2020) at the time of conducting this review.…”

Section: Resultsmentioning

confidence: 99%

“…Of the total of 32 studies, 16 (50%) were feasibility or pilot studies (45,47,48,51,52,53,55,57,59,60,61,63,66,68,69,73). Most were uncontrolled, pre-post measures pilot studies and four were pilot RCTs (48, 51,59,63).…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies used more than one social isolation measure(48,49,53,57,61,63,69). Four studies used unvalidated outcome measures including single-item measures, multiple-item measures and questionnaires administered via the Experience Sampling Method (ESM) (48,54,59,62). Detailed characteristics of studies, including study aims, sample sizes, study designs and outcome measures, are outlined in Table1(feasibility studies), Table2(single-group studies) and Table3(effectiveness trials).…”

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confidence: 99%

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Digital Interventions for Subjective and Objective Social Isolation Among Individuals with Mental Health Conditions: A Scoping Review

Toh

Pearce

Vines

et al. 2021

Preprint

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BackgroundSocial isolation encompasses subjective and objective concepts. Both are associated with negative health consequences and are more prevalent among people with mental health problems than among the general population. To alleviate social isolation, digital interventions have potential as accessible alternatives or supplements to face-to-face interventions. This scoping review aimed to describe the types of digital interventions evaluated in research to alleviate social isolation among individuals with mental health problems, and to present an overview of the evidence yielded. MethodsWe systematically searched five electronic databases for quantitative and mixed methods studies published between January 2000 and July 2020. Studies were included if they evaluated digital interventions for individuals with mental health conditions and had subjective and/or objective social isolation as their primary outcome, or as one of their outcomes if no primary outcome was specified. Feasibility studies were included if feasibility outcomes were the primary outcomes and social isolation was among their secondary outcomes. A narrative synthesis was conducted to present our findings. The protocol was registered on Open Science Framework (OSF) (doi:10.17605/OSF.IO/CNX8A).ResultsThirty-two studies were identified as meeting criteria for our review: there were 16 feasibility studies, seven single-group studies and nine effectiveness trials. There was great variation in the interventions, study designs and sample populations. Interventions included web-based programmes, phone-based programmes, blended interventions, socially assistive robots and virtual reality interventions. Many were feasibility studies, or otherwise not fully powered to detect an effect if one were present, thus preventing clear conclusions about clinical effectiveness. Satisfactory feasibility outcomes indicated potential for future trials to assess these interventions.ConclusionOur scoping review identified a range of digital approaches utilized to alleviate social isolation among individuals with mental health disorders. Conclusions regarding clinical effectiveness cannot be reached due to variability of approaches and the lack of large-scale randomized controlled trials. To make clear recommendations for digital social isolation interventions, future research needs to use rigorous methods to conduct studies with larger samples. Future studies should also focus on utilizing theory-driven approaches and improving existing approaches to advance the field.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

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Digital Interventions for Subjective and Objective Social Isolation Among Individuals with Mental Health Conditions: A Scoping Review

Toh

Pearce

Vines

et al. 2021

Preprint

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“…It was hypothesized that not all administered questionnaires would be completed. A desired response rate of > 50% was used, since reported response rates in current literature about momentary assessments are often higher than 50% [49,50]. To calculate whether response rates of the DizzyQuest questionnaires were significantly different from the > 50% desired response rate [47,51], a one-sample T test was performed.…”

Section: Discussionmentioning

confidence: 99%

Introducing the DizzyQuest: an app-based diary for vestibular disorders

et al. 2020

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Background Most questionnaires currently used for assessing symptomatology of vestibular disorders are retrospective, inducing recall bias and lowering ecological validity. An app-based diary, administered multiple times in daily life, could increase the accuracy and ecological validity of symptom measurement. The objective of this study was to introduce a new experience sampling method (ESM) based vestibular diary app (DizzyQuest), evaluate response rates, and to provide examples of DizzyQuest outcome measures which can be used in future research. Methods Sixty-three patients diagnosed with a vestibular disorder were included. The DizzyQuest consisted of four questionnaires. The morning- and evening-questionnaires were administered once each day, the within-day-questionnaire 10 times a day using a semi-random time schedule, and the attack questionnaire could be completed after the occurrence of a vertigo or dizziness attack. Data were collected for 4 weeks. Response rates and loss-to-follow-up were determined. Reported symptoms in the within-day-questionnaire were compared within and between patients and subgroups of patients with different vestibular disorders. Results Fifty-one patients completed the study period. Average response rates were significantly higher than the desired response rate of > 50% (p < 0.001). The attack-questionnaire was used 159 times. A variety of neuro-otological symptoms and different disease profiles were demonstrated between patients and subgroups of patients with different vestibular disorders. Conclusion The DizzyQuest is able to capture vestibular symptoms within their psychosocial context in daily life, with little recall bias and high ecological validity. The DizzyQuest reached the desired response rates and showed different disease profiles between subgroups of patients with different vestibular disorders. This is the first time ESM was used to assess daily symptoms and quality of life in vestibular disorders, showing that it might be a useful tool in this population.

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“…Verhaltensprofilen geschehen, die auch in Kombination mit herkömmlichen Versorgungsangebotenwie beispielsweise im Rahmen der Psychoedukation oder kognitiv-behavioralen Ansätzen -sinnvoll genutzt werden könnten (Depp et al, 2015, Kramer et al, 2014. Das gemeinsame Besprechen des personalisierten Feedbacks könnte PatientInnen Einblicke in und Reflexion über ihr subjektives Erleben und ihre eigenen Verhaltensmuster ermöglichen (Carlier et al, 2012, Clough and Casey, 2011, Hanssen et al, 2020, die nicht durch selektive oder andere kognitive Verzerrungen (Engl. cognitive biases) beeinflusst werden.…”

Section: Introductionunclassified

Innovative digitale Versorgungsformen zur Personalisierung der stationsäquivalenten Behandlung in der alltäglichen Lebenswelt bei schweren psychischen Erkrankungen [Innovative digital forms of service delivery for personalized crisis resolution and home treatment for people with severe mental health problems]

Rauschenberg¹,

Hirjak²,

Ganslandt³

et al. 2020

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Die stationsäquivalente psychiatrische Behandlung (StäB) wurde 2018 als neue Krankenhausleistung für Menschen eingeführt, die die Indikation für eine stationäre Behandlung erfüllen. Die rasanten Fortschritte im Bereich der Informations- und Kommunikationstechnologie bieten völlig neue Chancen für innovative digitale Versorgungsangebote wie telemedizinische, eHealth oder mHealth Verfahren. Ziel dieser Arbeit ist es einen umfassenden Überblick über neue digitale Versorgungsformen zu geben, die zur Personalisierung der StäB in der alltäglichen Lebenswelt bei schweren psychischen Erkrankungen beitragen und somit klinische und soziale Outcomes verbessern sowie direkte und indirekte Kosten reduzieren könnten. Es lassen sich vier primäre digitale Versorgungsformen identifizieren, die in diesem Sinne in der StäB gewinnbringend genutzt werden könnten: (1) Kommunikation, Behandlungskontinuität und -flexibilität durch Online-Chat und Videotelefonie; (2) Monitoring von Symptomen und Verhaltensweisen in Echtzeit durch Anwendung des ambulatorischen Assessments (Engl. Ecological Momentary Assessments (EMA)); (3) Nutzung von multimodalen EMA-Daten für die Generierung und Darbietung von personalisiertem Feedback über subjektives Erleben und Verhaltensmuster sowie (4) auf Person, Moment und Kontext zugeschnittene, adaptive ambulatorische Interventionen (Engl. Ecological Momentary Interventions (EMIs)). Neue digitale Versorgungsformen haben erhebliches Potential die Effektivität und Kosteneffektivität der aufsuchenden fachpsychiatrischen und psychotherapeutischen Behandlung zu steigern. Ein wichtiger nächster Schritt besteht nun darin, die Anwendung dieser Versorgungsformen im Bereich der StäB zu modellieren und deren Qualität aus Patientensicht, Sicherheit, und initiale Prozess- und Ergebnisqualität sowie Implementierungsbedingungen sorgfältig zu untersuchen. Abstract:Ward-equivalent treatment (StäB), a form of crisis resolution and home treatment in Germany, has been introduced in 2018 as a new model of mental health service delivery for people with an indication for inpatient care. The rapid progress in the field of information and communication technology offers entirely new opportunities for innovative digital mental health care such as telemedicine, eHealth, or mHealth interventions. This paper aims to provide a comprehensive overview of novel digital forms of service delivery in the daily lives of help-seeking individuals for personalized delivery of StäB that may contribute to improving clinical and social outcomes as well as reducing direct and indirect costs. Four primary digital forms of service delivery have been identified that can be used for personalized delivery of StäB: (1) communication, continuity of care, and flexibility through online chat and video call; (2) monitoring of symptoms and behaviour in real-time through ecological momentary assessment (EMA); (3) use of multimodal EMA data to generate and offer personalized feedback on subjective experience and behavioural patterns as well as (4) adaptive ecological momentary interventions (EMIs) tailored to the person, moment, and context in daily life. New digital forms of service delivery have considerable potential to increase the effectiveness and cost-effectiveness of crisis resolution, home treatment, and assertive outreach. An important next step is to model and initially evaluate these novel digital forms of service delivery in the context of StäB and carefully investigate their quality from the user perspective, safety, feasibility, initial process and outcome quality as well as barriers and facilitators of implementation.

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An ecological momentary intervention incorporating personalised feedback to improve symptoms and social functioning in schizophrenia spectrum disorders

Cited by 46 publications

References 46 publications

Digital Interventions for Subjective and Objective Social Isolation Among Individuals with Mental Health Conditions: A Scoping Review

Digital Interventions for Subjective and Objective Social Isolation Among Individuals with Mental Health Conditions: A Scoping Review

Introducing the DizzyQuest: an app-based diary for vestibular disorders

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