Early psychosis service user views on digital remote monitoring: a qualitative study

Sarah Trelfa · Natalie Berry · Xiaolong Zhang · Shôn W. Lewis · John D. Ainsworth · Katherine Berry +4 more

4 citations0/0 files storedBMC Psychiatry

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Digital Mental Health Interventions Mobile Health and mHealth Applications Mental Health Research Topics

Abstract

BACKGROUND: Current approaches to mental healthcare for people with severe mental health problems are limited by sporadic monitoring and symptom recall bias. Emotional and behavioural markers generated by digital health technologies (DHTs) offer the potential to enhance quality of care and clinical decision-making. This study explored early psychosis service users' views and experiences of using a digital remote monitoring tool (ClinTouch app). METHODS: Qualitative framework analysis was undertaken with interview data collected from participants who took part in the Actissist proof-of-concept and subsequent randomised controlled trial studies to understand the experiences of participants using the ClinTouch app (n = 8). RESULTS: Data were summarised into four key themes. The following three themes were established a priori: (1) awareness of mood and symptoms; (2) acceptability of ClinTouch; and (3) improvements and recommendations. The fourth theme was established a posteriori: (4) integrating ClinTouch into clinical practice. More specifically, participants felt ClinTouch was an acceptable and useful tool for symptom monitoring. ClinTouch facilitated an increased awareness of mood and symptoms, which enabled participants to self-reflect and develop understanding of their own experiences. CONCLUSIONS: This study shed light on early psychosis service users' experiences with using the ClinTouch digital remote monitoring app. ClinTouch was viewed as acceptable for monitoring symptoms, safe and easy to use, showed potential of integration with clinical care, and facilitated increased awareness and understanding of symptoms. Improvements including personalised question items and interactive features were suggested. Future developments of digital remote monitoring apps should include a more refined item set and personalisation features. CLINICAL TRIAL NUMBER: ISRCTN34966555, Registration Date: 12/06/2014; ISRCTN76986679, Registration Date: 07/02/2018.

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2007Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups 2021The growing field of digital psychiatry: current evidence and the future of apps, social media, chatbots, and virtual reality 2012Ambulatory Assessment 2016(Mis)conceptualising themes, thematic analysis, and other problems with Fugard and Potts’ (2015) sample-size tool for thematic analysis 2016Acceptability of Interventions Delivered Online and Through Mobile Phones for People Who Experience Severe Mental Health Problems: A Systematic Review 2018Actissist: Proof-of-Concept Trial of a Theory-Driven Digital Intervention for Psychosis 2012The feasibility and validity of ambulatory self-report of psychotic symptoms using a smartphone software application 2017CrossCheck: Integrating self-report, behavioral sensing, and smartphone use to identify digital indicators of psychotic relapse.

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