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

Esther Hanssen; Sanne Balvert; Margreet Oorschot; Karel Borkelmans; Jim van Os; Philippe Delespaul; Anne-Kathrin Fett

doi:10.1016/j.psychres.2019.112695

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

Esther Hanssen^*, Sanne Balvert, Margreet Oorschot, Karel Borkelmans, Jim van Os, Philippe Delespaul, Anne-Kathrin Fett

^*Corresponding author for this work

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

21 Citations (Web of Science)

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.

Original language	English
Article number	112695
Number of pages	8
Journal	Psychiatry Research
Volume	284
DOIs	https://doi.org/10.1016/j.psychres.2019.112695
Publication status	Published - Feb 2020

Keywords

Psychoses
Experience sampling method
Mobile health
Treatment
Intervention
Social contact
QUALITY-OF-LIFE
MOBILE ASSESSMENT
BEHAVIOR
EXPERIENCE
PSYCHOSIS
HEALTH
TECHNOLOGY
COGNITION
VALIDITY
THERAPY

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10.1016/j.psychres.2019.112695Licence: CC BY

Cite this

@article{b8ecf7c1340d48e2b4904d8db206ef50,

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

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.",

keywords = "Psychoses, Experience sampling method, Mobile health, Treatment, Intervention, Social contact, QUALITY-OF-LIFE, MOBILE ASSESSMENT, BEHAVIOR, EXPERIENCE, PSYCHOSIS, HEALTH, TECHNOLOGY, COGNITION, VALIDITY, THERAPY",

author = "Esther Hanssen and Sanne Balvert and Margreet Oorschot and Karel Borkelmans and {van Os}, Jim and Philippe Delespaul and Anne-Kathrin Fett",

note = "Funding Information: We would like to express our gratitude to all patients for providing valuable feedback during application development and study participation. We would like to thank Simpel for providing us with five smartphones including a 1GB, unrestricted calling and texting data plans in support of this research. We would like to thank Catherine van Zelst for providing feedback on the study concept. We are grateful for Natalie Castien, Suzanne Robberegt, Christi-Janne van As, Marlie Eemers, Niels den Daas and Reena Luijten for data collection and project support. This work was supported by funding of the Netherlands Organization for Scientific Research (NWO) VENI grant ( 451-13-035 ) and a NARSAD Young Investigator Grant from the Brain & Behaviour Research Foundation ( 24138 ) to Anne-Kathrin Fett. The funding sources had no involvement in the study design, collection, analysis or interpretation of the data, writing of the manuscript or the decision to submit the paper for publication. Publisher Copyright: {\textcopyright} 2019 Elsevier B.V.",

year = "2020",

month = feb,

doi = "10.1016/j.psychres.2019.112695",

language = "English",

volume = "284",

journal = "Psychiatry Research",

issn = "0165-1781",

publisher = "Elsevier Ireland Ltd",

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TY - JOUR

T1 - An ecological momentary intervention incorporating personalised feedback to improve symptoms and social functioning in schizophrenia spectrum disorders

AU - Hanssen, Esther

AU - Balvert, Sanne

AU - Oorschot, Margreet

AU - Borkelmans, Karel

AU - van Os, Jim

AU - Delespaul, Philippe

AU - Fett, Anne-Kathrin

N1 - Funding Information: We would like to express our gratitude to all patients for providing valuable feedback during application development and study participation. We would like to thank Simpel for providing us with five smartphones including a 1GB, unrestricted calling and texting data plans in support of this research. We would like to thank Catherine van Zelst for providing feedback on the study concept. We are grateful for Natalie Castien, Suzanne Robberegt, Christi-Janne van As, Marlie Eemers, Niels den Daas and Reena Luijten for data collection and project support. This work was supported by funding of the Netherlands Organization for Scientific Research (NWO) VENI grant ( 451-13-035 ) and a NARSAD Young Investigator Grant from the Brain & Behaviour Research Foundation ( 24138 ) to Anne-Kathrin Fett. The funding sources had no involvement in the study design, collection, analysis or interpretation of the data, writing of the manuscript or the decision to submit the paper for publication. Publisher Copyright: © 2019 Elsevier B.V.

PY - 2020/2

Y1 - 2020/2

N2 - 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.

AB - 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.

KW - Psychoses

KW - Experience sampling method

KW - Mobile health

KW - Treatment

KW - Intervention

KW - Social contact

KW - QUALITY-OF-LIFE

KW - MOBILE ASSESSMENT

KW - BEHAVIOR

KW - EXPERIENCE

KW - PSYCHOSIS

KW - HEALTH

KW - TECHNOLOGY

KW - COGNITION

KW - VALIDITY

KW - THERAPY

U2 - 10.1016/j.psychres.2019.112695

DO - 10.1016/j.psychres.2019.112695

M3 - Article

C2 - 31831201

SN - 0165-1781

VL - 284

JO - Psychiatry Research

JF - Psychiatry Research

M1 - 112695

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