Articlehybrid2019

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

Esther Hanssen · Sanne C.E. Balvert · Margreet Oorschot · Karel W. H. Borkelmans · Jim van Os · Philippe Delespaul +1 more

68 citations0/0 files storedPsychiatry Research

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Digital Mental Health Interventions Schizophrenia research and treatment Mental Health Research Topics

Abstract

This study examined the feasibility and effectiveness of an interactive smartphone application that aimed to improve daily-life social functioning and symptoms in schizophrenia spectrum disorders (SZ) with Experience Sampling Method (ESM) derived personalised feedback.Two groups of outpatients with a diagnosis of SZ were included (one receiving ESM-derived personalised feedback (n = 27) and one without feedback (n = 23)) and used the interactive smartphone application for three weeks. Main outcomes were momentary symptoms and social functioning, as assessed by ESM questionnaires. Additionally, feasibility and user-friendliness of the application were assessed. The response rate was 64% for the ESM questionnaires. In the feedback group, participants indicated that on 49% of the ESM days they acted on at least one personalised feedback prompt per day. Momentary psychotic symptoms significantly decreased over time only in the feedback group. Momentary loneliness and questionnaire-assessed psychotic symptoms decreased over time, irrespective of feedback. Participants evaluated the app as user-friendly and understandable. Momentary personalised feedback may impact momentary psychosis in daily life. Feelings of loneliness and questionnaire-based measured psychotic symptoms may be more responsive to non-specific effects of daily-life self-monitoring, not requiring specific feedback. Ecological momentary interventions offer opportunities for accessible and effective interventions in SZ.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 2001Wechsler Adult Intelligence Scale-III 2009Experience sampling research in psychopathology: opening the black box of daily life 2014Feasibility, Acceptability, and Preliminary Efficacy of a Smartphone Intervention for Schizophrenia 2015Smartphone Apps for Schizophrenia: A Systematic Review 2016Ecological momentary interventions in psychiatry 2016The digital placebo effect: mobile mental health meets clinical psychiatry 2018Mobile Phone and Wearable Sensor-Based mHealth Approaches for Psychiatric Disorders and Symptoms: Systematic Review

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2025Barriers and Facilitators of User Engagement With Digital Mental Health Interventions for People With Psychosis or Bipolar Disorder: Systematic Review and Best-Fit Framework Synthesis 2022Ecological Momentary Interventions in Public Mental Health Provision 2022Accessibility and availability of smartphone apps for schizophrenia 2023User engagement in mobile apps for people with schizophrenia: A scoping review 2022Digital interventions for subjective and objective social isolation among individuals with mental health conditions: a scoping review

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