TY - JOUR
T1 - Exploring engagement with the CBT-informed Actissist smartphone application for early psychosis
AU - Eisner, Emily
AU - Berry, Natalie
AU - Morris, Rohan
AU - Emsley, Richard
AU - Haddock, Gillian
AU - Machin, Matthew
AU - Hassan, Lamiece
AU - Bucci, Sandra
N1 - Publisher Copyright:
© 2023 Informa UK Limited, trading as Taylor & Francis Group.
Funding Information:
This work is supported by the Medical Research Council (MRC) (MR/P026664/1) International Centre for Genomic Medicine in Neuromuscular Disease. The authors thanks to the service users, clinical teams, and our Expert Reference Group for their support, advice, and participation in the study.
Publisher Copyright:
© 2023 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2023
Y1 - 2023
N2 - Background: Individuals with psychosis report favourable attitudes towards psychological interventions delivered via smartphone apps. Evidence for acceptability, safety, feasibility and efficacy is promising but in-depth reporting of app engagement in trials is sparse. Aims: To examine how people with psychosis engaged with the cognitive behaviour therapy (CBT)-informed Actissist app over a 12-week intervention period, and to examine factors associated with app engagement. Methods: Secondary data from participants in the intervention arm (n = 24) of a proof-of-concept randomised controlled trial of the Actissist app were analysed. The app prompted participants to engage with app-based CBT-informed material in five domains (voices, socialization, cannabis use, paranoia, perceived criticism) at pseudo-random intervals (three notifications per day, six days per week). Participants could self-initiate use any time. App use was financially incentivised. Results: Participants responded to 47% of app notifications. Most app engagements (87%) were app-initiated rather than self-initiated. Participants engaged most with the voices domain, then paranoia. Age and employment status were significantly associated with overall app engagement. Conclusion: Individuals with psychosis engaged well with Actissist, particularly with areas focussing on voice-hearing and paranoia. App-generated reminders successfully prompted app engagement. As financial incentives may have increased app engagement, future studies of non-incentivized engagement in larger samples are needed.
AB - Background: Individuals with psychosis report favourable attitudes towards psychological interventions delivered via smartphone apps. Evidence for acceptability, safety, feasibility and efficacy is promising but in-depth reporting of app engagement in trials is sparse. Aims: To examine how people with psychosis engaged with the cognitive behaviour therapy (CBT)-informed Actissist app over a 12-week intervention period, and to examine factors associated with app engagement. Methods: Secondary data from participants in the intervention arm (n = 24) of a proof-of-concept randomised controlled trial of the Actissist app were analysed. The app prompted participants to engage with app-based CBT-informed material in five domains (voices, socialization, cannabis use, paranoia, perceived criticism) at pseudo-random intervals (three notifications per day, six days per week). Participants could self-initiate use any time. App use was financially incentivised. Results: Participants responded to 47% of app notifications. Most app engagements (87%) were app-initiated rather than self-initiated. Participants engaged most with the voices domain, then paranoia. Age and employment status were significantly associated with overall app engagement. Conclusion: Individuals with psychosis engaged well with Actissist, particularly with areas focussing on voice-hearing and paranoia. App-generated reminders successfully prompted app engagement. As financial incentives may have increased app engagement, future studies of non-incentivized engagement in larger samples are needed.
KW - cognitive behavior therapy
KW - digital
KW - m-health
KW - mobile
KW - Psychosis
KW - schizophrenia
UR - http://www.scopus.com/inward/record.url?scp=85149401575&partnerID=8YFLogxK
U2 - 10.1080/09638237.2023.2182429
DO - 10.1080/09638237.2023.2182429
M3 - Article
C2 - 36850040
AN - SCOPUS:85149401575
SN - 0963-8237
VL - 32
SP - 643
EP - 654
JO - Journal of Mental Health
JF - Journal of Mental Health
IS - 3
ER -