Department of Psychiatry and Behavioral Sciences, University of California, Davis, United States.
Department of Psychiatry and Behavioral Sciences, University of California, Davis, United States.
J Psychiatr Res. 2018 Jan;96:239-246. doi: 10.1016/j.jpsychires.2017.10.017. Epub 2017 Oct 21.
Smartphone applications that promote symptom tracking and self-management may improve treatment of serious mental illness (SMI). Although feasibility has been established in chronic adult outpatient or inpatient SMI samples, no data exist regarding implementation of smartphone technology in adolescent and young adult populations as part of early psychosis (EP) outpatient care. We implemented a smartphone "app" plus clinician Dashboard as an add-on treatment tool in the University of California, Davis Early Psychosis Program. Participants completed daily and weekly surveys examining mood, symptoms, and treatment relevant factors via the app for up to 14 months. Clinicians discussed symptom ratings and surveys during regular treatment sessions using the Dashboard. We report methodological details of the study, feasibility metrics, and analyses of the validity of measuring symptoms via self-report using mobile health (mHealth) technology in comparison to gold-standard clinician-rated interviews based on a comprehensive longitudinal analysis of within-person data. Results demonstrate that integrating mHealth technology into EP care is feasible and self-report assessment of symptoms via smartphone provides symptom data comparable to that obtained via gold-standard clinician-rated assessments.
智能手机应用程序促进症状跟踪和自我管理可能会改善严重精神疾病（SMI）的治疗。虽然在慢性成年门诊或住院 SMI 样本中已经确定了可行性，但在青少年和年轻成人人群中作为早期精神病（EP）门诊护理的一部分实施智能手机技术的数据尚不存在。我们在加利福尼亚大学戴维斯分校的早期精神病计划中实施了智能手机“应用程序”加临床医生仪表板作为附加治疗工具。参与者通过应用程序完成了每天和每周的调查，通过应用程序检查情绪、症状和与治疗相关的因素，最长可达 14 个月。临床医生在使用仪表板进行的定期治疗会议上讨论症状评分和调查。我们报告了该研究的方法细节、可行性指标，以及通过移动健康（mHealth）技术进行自我报告与基于全面纵向个体内数据分析的黄金标准临床医生评定访谈来衡量症状的有效性分析。结果表明，将 mHealth 技术整合到 EP 护理中是可行的，通过智能手机进行症状自我报告可提供与通过黄金标准临床医生评定评估获得的症状数据相当的症状数据。
