Van der Watt A S J, Roos T, Beyer C, Seedat S
1Department of Psychiatry, Stellenbosch University, PO Box 19063, Francie van Zijl Drive, Cape Town, 7505 South Africa.
2Department of Psychiatry, University of Cape Town, Anzio Rd, Cape Town, 7925 South Africa.
Pilot Feasibility Stud. 2018 Feb 22;4:56. doi: 10.1186/s40814-018-0245-0. eCollection 2018.
Mood and anxiety disorders have a high lifetime prevalence, and their chronicity adds to the management burden of already scarce and strained mental health care resources, particularly in developing countries. Non-professional-assisted interventions and technology (such as weekly telephonic mood monitoring) could assist in the early identification of symptoms of relapse and hospitalization prevention. The present study aimed to determine participants' perspectives and the feasibility of weekly telephonic mood monitoring in order to inform the development of the full study.
Semi-structured telephonic interviews ( = 37; 89.2% female; mean age = 33.1 years) were conducted as part of the full-scale feasibility study ( = 61; named the Bipolar Disorder Mood Monitoring (BDMM) Study). The BDMM Study was conducted to determine the viability of weekly telephonic mood monitoring, spanning 26 weeks and starting 1 week post-discharge. Frequency and descriptive statistical analyses (using SPSS version 24) were undertaken, and qualitative data were analyzed using thematic content analysis.
This article presents the findings from the semi-structured interview section of the BDMM Study. Participants generally expressed positive experiences and perceptions of weekly telephonic mood monitoring, stating that they would advise others to also take part in weekly telephonic mood monitoring. Nonetheless, some participants did make suggestions for improvement of mood monitoring while others expressed negative experiences of weekly telephonic mood monitoring.
The results of the semi-structured interviews of the BDMM Study indicated that participants perceived weekly telephonic mood monitoring to be helpful in lightening the burden of mood and anxiety disorders (e.g., having someone to talk to, providing insight into their disorders). Not only did it help them, but they also perceived mood monitoring to be potentially helpful to future participants. However, weekly mood monitoring was also burdensome in itself (including being too time consuming and having to answer questions when feeling down). Importantly, the findings highlighted that participants' and researchers' perceptions and experiences may not be congruent (especially in terms of therapeutic misconception). The current findings may inform researchers' future approach to study design and participant relationships.
情绪和焦虑障碍在一生中的患病率很高，其慢性特征增加了本就稀缺且紧张的精神卫生保健资源的管理负担，在发展中国家尤其如此。非专业人员辅助干预和技术（如每周一次的电话情绪监测）有助于早期识别复发症状并预防住院。本研究旨在确定参与者对每周电话情绪监测的看法及其可行性，以便为全面研究的开展提供信息。
作为全面可行性研究（n = 61；名为双相情感障碍情绪监测（BDMM）研究）的一部分，进行了半结构化电话访谈（n = 37；89.2%为女性；平均年龄 = 33.1岁）。BDMM研究旨在确定每周电话情绪监测的可行性，为期26周，出院后1周开始。进行了频率和描述性统计分析（使用SPSS 24版），并采用主题内容分析法对定性数据进行了分析。
本文展示了BDMM研究半结构化访谈部分的结果。参与者总体上对每周电话情绪监测表达了积极的体验和看法，表示会建议其他人也参与每周电话情绪监测。尽管如此，一些参与者确实对情绪监测的改进提出了建议，而另一些人则表达了每周电话情绪监测的负面体验。
BDMM研究半结构化访谈的结果表明，参与者认为每周电话情绪监测有助于减轻情绪和焦虑障碍的负担（例如，有人可以交谈、深入了解自己的疾病）。这不仅对他们有帮助，他们还认为情绪监测可能对未来的参与者有帮助。然而，每周的情绪监测本身也很繁琐（包括耗时过长以及在情绪低落时必须回答问题）。重要的是，研究结果突出表明参与者和研究人员的看法和体验可能不一致（尤其是在治疗误解方面）。目前的研究结果可为研究人员未来的研究设计方法和参与者关系提供参考。
