User engagement in a randomised controlled trial for a digital health intervention for early psychosis (Actissist 2.0 trial)

Lamiece Hassan; Emily Eisner; Katherine Berry; Richard Emsley; John Ainsworth; Shôn Lewis; Gillian Haddock; Dawn Edge; Sandra Bucci

doi:10.1016/j.psychres.2023.115536

User engagement in a randomised controlled trial for a digital health intervention for early psychosis (Actissist 2.0 trial)

Lamiece Hassan, Emily Eisner, Katherine Berry, Richard Emsley, John Ainsworth, Shôn Lewis, Gillian Haddock, Dawn Edge, Sandra Bucci

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

Abstract

Digital Health Interventions (DHIs) can help support people with mental health problems. Achieving satisfactory levels of patient engagement is a crucial, yet often underexplored, pre-requisite for health improvement. Actissist is a co-produced DHI delivered via a smartphone app for people with early psychosis, based on Cognitive Behaviour Therapy principles. This study describes and compares engagement patterns among participants in the two arms of the Actissist 2.0 randomised controlled trial. Engagement frequency and duration were measured among participants using the Actissist app in the intervention arm (n = 87) and the ClinTouch symptom monitoring only app used as the control condition (n = 81). Overall, 47.1 % of Actissist and 45.7 % of ClinTouch users completed at least a third of scheduled alerts while active in the study. The mean frequency (77.1 versus 60.2 total responses) and the median duration (80 versus 75 days until last response) of engagement were not significantly higher among Actissist users compared to ClinTouch users. Older age, White ethnicity, using their own smartphone device and, among Actissist users, an increased sense of therapeutic alliance were significantly associated with increased engagement. Through exploiting detailed usage data, this study identifies possible participant-level and DHI-level predictors of engagement to inform the practical implementation of future DHIs.

Original language	English
Article number	115536
Journal	Psychiatry Research
Volume	329
Early online date	17 Oct 2023
DOIs	https://doi.org/10.1016/j.psychres.2023.115536
Publication status	Published - Nov 2023

Keywords

Humans
Psychotic Disorders/therapy
Cognitive Behavioral Therapy
Mobile Applications
Smartphone
Patient Participation

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10.1016/j.psychres.2023.115536Licence: CC BY

Cite this

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title = "User engagement in a randomised controlled trial for a digital health intervention for early psychosis (Actissist 2.0 trial)",

abstract = "Digital Health Interventions (DHIs) can help support people with mental health problems. Achieving satisfactory levels of patient engagement is a crucial, yet often underexplored, pre-requisite for health improvement. Actissist is a co-produced DHI delivered via a smartphone app for people with early psychosis, based on Cognitive Behaviour Therapy principles. This study describes and compares engagement patterns among participants in the two arms of the Actissist 2.0 randomised controlled trial. Engagement frequency and duration were measured among participants using the Actissist app in the intervention arm (n = 87) and the ClinTouch symptom monitoring only app used as the control condition (n = 81). Overall, 47.1 % of Actissist and 45.7 % of ClinTouch users completed at least a third of scheduled alerts while active in the study. The mean frequency (77.1 versus 60.2 total responses) and the median duration (80 versus 75 days until last response) of engagement were not significantly higher among Actissist users compared to ClinTouch users. Older age, White ethnicity, using their own smartphone device and, among Actissist users, an increased sense of therapeutic alliance were significantly associated with increased engagement. Through exploiting detailed usage data, this study identifies possible participant-level and DHI-level predictors of engagement to inform the practical implementation of future DHIs.",

keywords = "Humans, Psychotic Disorders/therapy, Cognitive Behavioral Therapy, Mobile Applications, Smartphone, Patient Participation",

author = "Lamiece Hassan and Emily Eisner and Katherine Berry and Richard Emsley and John Ainsworth and Sh{\^o}n Lewis and Gillian Haddock and Dawn Edge and Sandra Bucci",

note = "Funding Information: The work was supported by the Medical Research Council Developmental Pathway Funding Scheme (grant number MR/P026664/1 ) and was supported by the University of Manchester, Greater Manchester Mental Health NHS Foundation Trust , Pennine Care NHS Foundation Trust and the Clinical Research Network . Funding Information: Bucci is supported by a National Institute for Health Research (NIHR) Research Professorship. Bucci also reports research funding from the Wellcome Trust . Publisher Copyright: {\textcopyright} 2023",

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AU - Hassan, Lamiece

AU - Eisner, Emily

AU - Berry, Katherine

AU - Emsley, Richard

AU - Ainsworth, John

AU - Lewis, Shôn

AU - Haddock, Gillian

AU - Edge, Dawn

AU - Bucci, Sandra

N1 - Funding Information: The work was supported by the Medical Research Council Developmental Pathway Funding Scheme (grant number MR/P026664/1 ) and was supported by the University of Manchester, Greater Manchester Mental Health NHS Foundation Trust , Pennine Care NHS Foundation Trust and the Clinical Research Network . Funding Information: Bucci is supported by a National Institute for Health Research (NIHR) Research Professorship. Bucci also reports research funding from the Wellcome Trust . Publisher Copyright: © 2023

PY - 2023/11

Y1 - 2023/11

N2 - Digital Health Interventions (DHIs) can help support people with mental health problems. Achieving satisfactory levels of patient engagement is a crucial, yet often underexplored, pre-requisite for health improvement. Actissist is a co-produced DHI delivered via a smartphone app for people with early psychosis, based on Cognitive Behaviour Therapy principles. This study describes and compares engagement patterns among participants in the two arms of the Actissist 2.0 randomised controlled trial. Engagement frequency and duration were measured among participants using the Actissist app in the intervention arm (n = 87) and the ClinTouch symptom monitoring only app used as the control condition (n = 81). Overall, 47.1 % of Actissist and 45.7 % of ClinTouch users completed at least a third of scheduled alerts while active in the study. The mean frequency (77.1 versus 60.2 total responses) and the median duration (80 versus 75 days until last response) of engagement were not significantly higher among Actissist users compared to ClinTouch users. Older age, White ethnicity, using their own smartphone device and, among Actissist users, an increased sense of therapeutic alliance were significantly associated with increased engagement. Through exploiting detailed usage data, this study identifies possible participant-level and DHI-level predictors of engagement to inform the practical implementation of future DHIs.

AB - Digital Health Interventions (DHIs) can help support people with mental health problems. Achieving satisfactory levels of patient engagement is a crucial, yet often underexplored, pre-requisite for health improvement. Actissist is a co-produced DHI delivered via a smartphone app for people with early psychosis, based on Cognitive Behaviour Therapy principles. This study describes and compares engagement patterns among participants in the two arms of the Actissist 2.0 randomised controlled trial. Engagement frequency and duration were measured among participants using the Actissist app in the intervention arm (n = 87) and the ClinTouch symptom monitoring only app used as the control condition (n = 81). Overall, 47.1 % of Actissist and 45.7 % of ClinTouch users completed at least a third of scheduled alerts while active in the study. The mean frequency (77.1 versus 60.2 total responses) and the median duration (80 versus 75 days until last response) of engagement were not significantly higher among Actissist users compared to ClinTouch users. Older age, White ethnicity, using their own smartphone device and, among Actissist users, an increased sense of therapeutic alliance were significantly associated with increased engagement. Through exploiting detailed usage data, this study identifies possible participant-level and DHI-level predictors of engagement to inform the practical implementation of future DHIs.

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JO - Psychiatry Research

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ER -

User engagement in a randomised controlled trial for a digital health intervention for early psychosis (Actissist 2.0 trial)

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