de Thurah Lena, Kiekens Glenn, Weermeijer Jeroen, Uyttebroek Lotte, Wampers Martien, Bonnier Rafaël, Myin-Germeys Inez
Department of Neurosciences, Center for Contextual Psychiatry, KU Leuven, Herestraat 49 ON5B, bus 1029, Leuven, 3000, Belgium, 32 16 32 14 57.
Research Unit of Clinical Psychology, Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium.
JMIR Hum Factors. 2025 Mar 3;12:e60096. doi: 10.2196/60096.
Digital self-monitoring tools, such as the experience sampling method (ESM), enable individuals to collect detailed information about their mental health and daily life context and may help guide and support person-centered mental health care. However, similar to many digital interventions, the ESM struggles to move from research to clinical integration. To guide the implementation of self-monitoring tools in mental health care, it is important to understand why and how clinicians and clients adopted, adapted, and incorporated these tools in practice.
Therefore, this study examined how clinicians and clients within a psychiatric center appropriated an ESM-based self-monitoring tool within their therapy.
Twelve clinicians and 24 clients participated in the piloting of the ESM tool, IMPROVE. After utilizing the tool, 7 clinicians and 11 clients took part in semistructured interviews. A thematic framework analysis was performed focusing on participants' prior knowledge and expectations, actual use in practice, and potential future use of ESM tools.
Many participants experienced that the ESM tool provided useful information about clients' mental health, especially when clinicians and clients engaged in collaborative data interpretation. However, clinicians experienced several mismatches between system usability and their technical competencies, and many clients found it difficult to comply with the self-assessments. Importantly, most participants wanted to use digital self-monitoring tools in the future.
Clinicians' and clients' choice to adopt and integrate self-monitoring tools in their practice seems to depend upon the perceived balance between the added benefits and the effort required to achieve them. Enhancing user support or redesigning ESM tools to reduce workload and data burden could help overcome implementation barriers. Future research should involve end users in the development of ESM self-monitoring tools for mental health care and further investigate the perspectives of nonadopters.
数字自我监测工具，如经验取样法（ESM），使个人能够收集有关其心理健康和日常生活情境的详细信息，并可能有助于指导和支持以患者为中心的心理健康护理。然而，与许多数字干预措施类似，ESM难以从研究转向临床应用。为了指导自我监测工具在心理健康护理中的实施，了解临床医生和患者在实践中采用、调整和整合这些工具的原因及方式非常重要。
因此，本研究探讨了精神病中心的临床医生和患者在治疗过程中如何应用基于ESM的自我监测工具。
12名临床医生和24名患者参与了ESM工具IMPROVE的试点。在使用该工具后，7名临床医生和11名患者参加了半结构化访谈。进行了主题框架分析，重点关注参与者的先验知识和期望、在实践中的实际使用情况以及ESM工具未来的潜在用途。
许多参与者认为ESM工具提供了有关患者心理健康的有用信息，特别是当临床医生和患者共同进行数据解读时。然而，临床医生在系统可用性和他们的技术能力之间遇到了一些不匹配的情况，许多患者发现难以遵守自我评估。重要的是，大多数参与者希望在未来使用数字自我监测工具。
临床医生和患者在实践中选择采用和整合自我监测工具似乎取决于感知到的额外益处与实现这些益处所需努力之间的平衡。加强用户支持或重新设计ESM工具以减少工作量和数据负担可能有助于克服实施障碍。未来的研究应让最终用户参与心理健康护理中ESM自我监测工具的开发，并进一步调查未采用者的观点。
