The Pros and Cons of Getting Engaged in an Online Social Community Embedded Within Digital Cognitive Behavioral Therapy for Insomnia: Survey Among Users

Coulson, Neil; Smedley, Richard M.; Bostock, Sophie; Kyle, Simon D.; Gollancz, Rosie; Luik, Annemarie I.; Hames, Peter; Espie, Colin A.

doi:10.2196/jmir.5654

Cited by 41 publications

(39 citation statements)

References 36 publications

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“…Reasons for low usage were similar to those found in other evaluations of online forums, including doubts about the trustworthiness of the information provided, perceived negativity of the forum posts, concerns regarding internet safety, and negative views of the forum platform [21,30]. Unique to this population, some users were concerned that participation in the forum would make their tinnitus worse by focusing on it or highlighting people's negative tinnitus experiences.…”

Section: Key Contrasting Findings Between Study 1 Andsupporting

confidence: 59%

Understanding User Reactions and Interactions with an Internet-Based Intervention for Tinnitus Self-Management: Mixed-Methods Process Evaluation (Preprint)

Greenwell¹,

Sereda²,

Coulson³

et al. 2017

Preprint

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Section: Key Contrasting Findings Between Study 1 Andsupporting

confidence: 59%

Understanding User Reactions and Interactions with an Internet-Based Intervention for Tinnitus Self-Management: Mixed-Methods Process Evaluation (Preprint)

Greenwell¹,

Sereda²,

Coulson³

et al. 2017

Preprint

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“…Several MAs have been developed to monitor sleep. For example, the CBT-I Coach, 4 Sleepio, 7 Win-Win aSleep, 8 and SleepRate 9 applications were developed to track sleep or facilitate CBT-I. Previous pilot studies found that CBT-I Coach improved sleep in 4 patients with cannabisuse disorder 10 ; when used as an adjunct to CBT-I, the MA improved adherence and sleep outcomes.…”

Section: Introductionmentioning

confidence: 99%

Cognitive Behavioral Therapy Using a Mobile Application Synchronizable With Wearable Devices for Insomnia Treatment: A Pilot Study

Kang

Cho

et al. 2017

Journal of Clinical Sleep Medicine

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Study Objectives: The use of telemedicine with a mobile application (MA) and a wearable device (WD) for the management of sleep disorders has recently received considerable attention. We designed an MA synchronizable with a WD for insomnia treatment. Our pilot study determined the efficacy of simplified group cognitive behavioral therapy for insomnia (CBT-I) delivered using our MA and assessed participant adherence to and satisfaction with the device. Methods: The efficacy of the CBT-I using MA (CBT-I-MA) was assessed by comparing sleep variables (sleep efficiency [SE], Insomnia Severity Index [ISI], and Pittsburgh Sleep Quality Inventory [PSQI] scores) before and after a 4-week treatment protocol in 19 patients with insomnia disorder patients. SE was assessed using a sleep diary, actigraphy, and the PSQI. Results:The intervention significantly improved all three measures of SE (P < .05), and the response rate to treatment was high (94.7%). Total ISI and PSQI scores and sleep latency, as measured by the sleep diary, improved significantly. Participants showed relatively good adherence to our MA, and sleep diary entries were made on 24.3 ± 3.8 of 28 days. Moreover, 94.7% of the participants reported that our MA was effective for treating insomnia. Conclusions: Our pilot study suggested the clinical usefulness of a CBT-I-MA. We expect that our findings will lead to further development and replication studies of CBT-I-MA. Keywords: cognitive behavioral therapy, insomnia, mobile application, telemedicine, wearable device Citation: Kang SG, Kang JM, Cho SJ, Ko KP, Lee YJ, Lee HJ, Kim L, Winkelman JW. Cognitive behavioral therapy using a mobile application synchronizable with wearable devices for insomnia treatment: a pilot study.

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“…In line with the literature [6,18,26], the success or failure of digital services such as a mobile phone app in encouraging a healthier lifestyle is highly dependent on the app's efficacy in achieving behavioral change. Based on research exploring game-based health interventions [13,15], as well as theories and practice of designing for change [20], our findings suggest that in the context of smoking cessation, psychological empowerment through the gamified design of a mHealth app significantly predicts users' ability to quit smoking successfully.…”

Section: Extending Extant Knowledgementioning

confidence: 67%

“…Contrary to our common intuition, the inspiring element of the app was negatively associated with both the probability of successfully quitting smoking and the reduction in cigarettes smoked per day. While inspiration can motivate and encourage individuals to keep going [16,26,27], it can also reduce individual's sense of selfresponsibility at times. As prior research notes [28,29], inspiration is not the same as positive affect; people who enter an inspired state (by thinking of a moment when they were inspired) reported lower levels of volitional control, controllability, and selfresponsibility for their inspiration.…”

Section: Extending Extant Knowledgementioning

confidence: 99%

Effective Behavioral Changes through a Digital mHealth App: Exploring the Impact of Hedonic Well-Being, Psychological Empowerment and Inspiration (Preprint)

Lin¹,

Tudor-Sfetea²,

Siddiqui³

et al. 2018

Preprint

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Background: New mobile health (mHealth) apps are emerging, and are providing the foundation to radically transform the practice and reach of medical research and care. For the purpose of this study we collaborated with Quit Genius (QG), a cognitive behavioral therapy (CBT) based mHealth app that helps users quit smoking, to explore the effective design of a digital mHealth app; one that delivers important benefits to its users and helps them change their behaviors for a healthier lifestyle. Objective: The specific aims of this study were to (1) explore the key app elements that deliver significant benefits to users, (2) explore the effectiveness of these app elements to help users quit smoking, and (3) identify and describe any potential drivers and hindrances arising from the app design elements. Methods: We developed an online survey and sent an email invitation to 4,144 individuals, who had previously or were at the time using the QG mHealth app, to encourage participation in the study. We matched the online survey data with objective app usage data of the study participants. Results: A dataset of 190 completed responses was used. At the time of the survey, respondents had completed an average of 60% of the CBT program in the QG mHealth app. 36% of the respondents noted to have quit smoking successfully after using the QG app. As for those remaining smokers after using the app, the number of cigarettes smoked per day was significantly reduced by 59.6%. The app's ability to enhance users' psychological well-being and psychologically empower them in their daily lives was identified as being key in helping users quit smoking. Specifically, the results show that users whose well-being was enhanced through the app were 1.72 times more likely to quit smoking successfully. Moreover, a one-unit increase on a 7-point Likert scale in the app's ability to empower smokers in their daily lives led to a reduction of cigarettes smoked per day of 53%. The app's inspiration to users, however, was negatively associated with quitting success and the reduction in cigarette smoked per day. Conclusions: The findings offer important insights for the design of digital mHealth apps. Specifically, we find that perceived psychological empowerment and enhanced well-being from the mobile solution may be a more impactful way to support the effectiveness of mobile cognitive behavioral therapy for smoking cessation than eliciting inspiration.

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The Pros and Cons of Getting Engaged in an Online Social Community Embedded Within Digital Cognitive Behavioral Therapy for Insomnia: Survey Among Users

Cited by 41 publications

References 36 publications

Understanding User Reactions and Interactions with an Internet-Based Intervention for Tinnitus Self-Management: Mixed-Methods Process Evaluation (Preprint)

Understanding User Reactions and Interactions with an Internet-Based Intervention for Tinnitus Self-Management: Mixed-Methods Process Evaluation (Preprint)

Cognitive Behavioral Therapy Using a Mobile Application Synchronizable With Wearable Devices for Insomnia Treatment: A Pilot Study

Effective Behavioral Changes through a Digital mHealth App: Exploring the Impact of Hedonic Well-Being, Psychological Empowerment and Inspiration (Preprint)

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