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RegulEm, a smartphone app based on the unified protocol for the transdiagnostic treatment of emotional disorders: description of its application in blended format in a clinical case.

作者信息

Martínez-García Laura, Belaunzaran Mendizabal Jon, Santos Goñi María Asunción, Miralles Ignacio, Osma Jorge

机构信息

Department of Psychology and Sociology, University of Zaragoza, Teruel, Spain.

Aragón Health Research Institute, Zaragoza, Spain.

出版信息

Digit Health. 2025 Apr 29;11:20552076251334442. doi: 10.1177/20552076251334442. eCollection 2025 Jan-Dec.


DOI:10.1177/20552076251334442
PMID:40321891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12048758/
Abstract

OBJECTIVE: The Spanish national health system (SNHS) faces significant barriers to psychological care, such as long waiting lists and a lack of human resources. In addition, with emotional disorders being the most prevalent disorders worldwide, and less than half of those affected receiving proper treatment, there is an urgent need for new treatment alternatives for this group of disorders. The Unified Protocol (UP) is presented as a possible solution that has amply demonstrated its efficacy in different formats and contexts. Another promising alternative involves the use of blended formats, combining face-to-face UP sessions with a UP-based application. This manuscript focuses on the description of RegulEm, a UP-based application developed following a participatory design approach. In addition, a case example of receiving UP in a blended format in a specialized mental health unit of the SNHS is presented. METHODS: The following components of RegulEm are described: content and exercises of the modules; aesthetics and multimedia-based content; intervention delivery; testimonials section; emotional and motivation assessment; exposure hierarchy for guided in vivo and imaginal exposure; emergency button and Gamification. A case example of a 26-year-old male patient with anxiety and depressive symptoms receiving UP in a blended format in a specialized mental health unit of the SNHS is presented. RESULTS: The user showed improvements in emotional regulation skills, anxiety, and depressive symptoms over time, though stressors remained. RegulEm allowed independent progress between face-to-face UP sessions, but low internalization of some content emphasized the importance of therapist guidance in face-to-face sessions. User feedback highlighted satisfaction with the intervention but improvement proposals for RegulEm were identified, such as simplifying emotional exposure exercises. CONCLUSION: This manuscript describes in detail the first UP-based smartphone application's components and illustrates important implications, such as enabling users to progress at their own pace between sessions and advancing more quickly in the intervention.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56f6/12048758/c594a7fcf832/10.1177_20552076251334442-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56f6/12048758/085c7527986b/10.1177_20552076251334442-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56f6/12048758/f16280edb72a/10.1177_20552076251334442-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56f6/12048758/70370c60b025/10.1177_20552076251334442-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56f6/12048758/c594a7fcf832/10.1177_20552076251334442-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56f6/12048758/085c7527986b/10.1177_20552076251334442-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56f6/12048758/f16280edb72a/10.1177_20552076251334442-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56f6/12048758/70370c60b025/10.1177_20552076251334442-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56f6/12048758/c594a7fcf832/10.1177_20552076251334442-fig4.jpg

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[1]
RegulEm, a smartphone app based on the unified protocol for the transdiagnostic treatment of emotional disorders: description of its application in blended format in a clinical case.

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[2]
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[3]
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本文引用的文献

[1]
RegulEm, an unified protocol based-app for the treatment of emotional disorders: a parallel mixed methods usability and quality study.

BMC Med Inform Decis Mak. 2024-9-27

[2]
Multiplatform web app (My Way Up) plus motivational interviewing for improving treatment retention in patients with onset of alcohol-related liver disease and alcohol use disorder - an example of participatory research.

Digit Health. 2024-5-6

[3]
A systematic review and meta-analysis of transdiagnostic cognitive behavioural therapies for emotional disorders.

Nat Hum Behav. 2024-3

[4]
A participatory process to design an app to improve adherence to anti-osteoporotic therapies: A development and usability study.

Digit Health. 2023-12-11

[5]
Barriers to and Facilitators of a Blended Cognitive Behavioral Therapy Program for Depression and Anxiety Based on Experiences of University Students: Qualitative Interview Study.

JMIR Form Res. 2023-4-12

[6]
A Systematic Review of Mobile Apps as an Adjunct to Psychological Interventions for Emotion Dysregulation.

Int J Environ Res Public Health. 2023-1-12

[7]
Developing a smartphone App based on the Unified Protocol for the transdiagnostic treatment of emotional disorders: A qualitative analysis of users and professionals' perspectives.

Internet Interv. 2022-9-29

[8]
Multidimensional emotional disorders inventory: Reliability and validity in a Spanish clinical sample.

J Affect Disord. 2023-1-1

[9]
Effectiveness and Minimum Effective Dose of App-Based Mobile Health Interventions for Anxiety and Depression Symptom Reduction: Systematic Review and Meta-Analysis.

JMIR Ment Health. 2022-9-7

[10]
Implementation of Cognitive Behavioral Therapy in e-Mental Health Apps: Literature Review.

J Med Internet Res. 2022-3-10

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