دورية أكاديمية

Smartphone-based ecological momentary assessment (EMA) in psychiatric patients and student controls: A real-world feasibility study.

التفاصيل البيبلوغرافية
العنوان: Smartphone-based ecological momentary assessment (EMA) in psychiatric patients and student controls: A real-world feasibility study.
المؤلفون: Porras-Segovia A; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Department of Psychiatry, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid., Molina-Madueño RM; Department of Psychiatry, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid., Berrouiguet S; Department of Psychiatry, Centre Hospitalier Universitaire De Brest, Brest, France., López-Castroman J; Department of Psychiatric Emergency and Post-Acute Care, Hôpital Lapeyronie, Université de Montpellier, Montpellier, France; Department of Psychiatry, Centre Hospitalier Universitaire De Nîmes, Nîmes, France., Barrigón ML; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Universidad Autónoma de Madrid; Department of Psychiatry, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain., Pérez-Rodríguez MS; Departament of Personality, Assessment and Treatment, Universidad de Valencia, Valencia (Spain)., Marco JH; Departament of Personality, Assessment and Treatment, Universidad de Valencia, Valencia (Spain)., Díaz-Oliván I; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Universidad Autónoma de Madrid., de León S; Department of Psychiatry, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain., Courtet P; Department of Psychiatric Emergency and Post-Acute Care, Hôpital Lapeyronie, Université de Montpellier, Montpellier, France., Artés-Rodríguez A; Department of Signal Theory, Universidad Carlos III de Madrid, Leganés, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain., Baca-García E; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Department of Psychiatry, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid.; Department of Psychiatry, Centre Hospitalier Universitaire De Nîmes, Nîmes, France; Universidad Autónoma de Madrid; Department of Psychiatry, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain; Department of Psychiatry, Hospital Universitario Central de Villalba, Madrid.; Department of Psychiatry, Hospital Universitario Infanta Elena, Valdemoro, Madrid.; Universidad Católica del Maule, Talca, Chile; CIBERSAM (Centro de Investigación Biomédica en Red Salud Mental), Carlos III Institute of Health, Madrid, Spain. Electronic address: ebacgar2@yahoo.es.
المصدر: Journal of affective disorders [J Affect Disord] 2020 Sep 01; Vol. 274, pp. 733-741. Date of Electronic Publication: 2020 May 26.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Elsevier/North-Holland Biomedical Press Country of Publication: Netherlands NLM ID: 7906073 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2517 (Electronic) Linking ISSN: 01650327 NLM ISO Abbreviation: J Affect Disord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Amsterdam, Elsevier/North-Holland Biomedical Press.
مواضيع طبية MeSH: Mobile Applications* , Smartphone*, Ecological Momentary Assessment ; Feasibility Studies ; Humans ; Students
مستخلص: Background: Smartphone-based ecological momentary assessment (EMA) is a promising methodology for mental health research. The objective of this study is to determine the feasibility of smartphone-based active and passive EMA in psychiatric outpatients and student controls.
Methods: Two smartphone applications -MEmind and eB 2 - were developed for behavioral active and passive monitoring. The applications were tested in psychiatric patients with a history of suicidal thoughts and/or behaviors (STB), psychiatric patients without a history of STB, and student controls. Main outcome was feasibility, measured as response to recruitment, retention, and EMA compliance. Secondary outcomes were patterns of smartphone usage.
Results: Response rate was 87.3% in patients with a history of STB, 85.1% in patients without a history of STB, and 75.0% in student controls. 457 participants installed the MEmind app (120 patients with a history of STB and 337 controls) and 1,708 installed the eB 2 app (139 patients with a history of STB, 1,224 patients with no history of STB and 346 controls). For the MEmind app, participants were followed-up for a median of 49.5, resulting in 22,622 person-days. For the eB 2 application, participants were followed-up for a median of 48.9 days, resulting in 83,521 person-days. EMA compliance rate was 65.00% in suicidal patients and 75.21% in student controls. At the end of the follow-up, over 60% of participants remained in the study.
Limitations: Cases and controls were not matched by age and sex. Cases were patients who were receiving adequate psychopharmacological treatment and attending their appointments, which may result in an overstatement of clinical compliance.
Conclusions: Smartphone-based active and passive monitoring are feasible methods in psychiatric patients in real-world settings. The development of applications with friendly interfaces and directly useful features can help increase engagement without using incentives. The MEmind and eB 2 applications are promising clinical tools that could contribute to the management of mental disorders. In the near future, these applications could serve as risk monitoring devices in the clinical practice.
Competing Interests: Declaration of Competing Interest All the authors confirm they have no conflict of interest.
(Copyright © 2020 Elsevier B.V. All rights reserved.)
تواريخ الأحداث: Date Created: 20200716 Date Completed: 20210215 Latest Revision: 20210215
رمز التحديث: 20231215
DOI: 10.1016/j.jad.2020.05.067
PMID: 32664009
قاعدة البيانات: MEDLINE
الوصف
تدمد:1573-2517
DOI:10.1016/j.jad.2020.05.067