Newton Elizabeth, Matharu Gurvir, Jones Christopher A, Kaufman Arielle, Yagnik Radha, McDonald Sarona, Makepeace Jessica, Dwyer Melissa, Copello Alex
Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham, UK.
University of Birmingham, Birmingham, UK.
Int J Bipolar Disord. 2025 Jun 9;13(1):22. doi: 10.1186/s40345-025-00385-8.
Despite evidence that psychological interventions improve recovery for bipolar disorder, access to these in the United Kingdom is limited; online delivery provides opportunities to increase this. Mood on Track is a psychological therapy programme for bipolar disorder combining a Cognitive Behavioural Therapy group intervention with individual relapse prevention. The present study reports on a feasibility and acceptability trial of Mood on Track online, implemented within a routine clinical service, in preparation for a Randomised Controlled Trial. The online version retains the therapeutic elements of the face-to-face intervention, but is delivered via Zoom over more sessions and includes online exercises and breakout rooms.
A within-groups non-randomised longitudinal interventional study of feasibility and acceptability. Participants completed psychometric questionnaires at four time points from baseline to six months post-group intervention to evaluate change in recovery. Feasibility and acceptability of the intervention and a future study were assessed by measuring recruitment, intervention attendance and outcome measure completion.
Rates of recruitment, intervention completion and outcome measure completion demonstrate that Mood on Track online and a larger future trial are feasible and acceptable. Analysis of efficacy found that the primary outcome measure of personal recovery on the Bipolar Recovery Questionnaire significantly increased between the start and end of the group intervention and continued to significantly increase at follow-up. Scores on the secondary outcome measure of the Generalised Anxiety Disorder-7 questionnaire decreased significantly between the start and end of the group intervention.
The present study provides quantitative evidence that a future RCT of Mood on Track online is feasible in terms of recruitment, delivery procedures and data collection. The findings provide promising evidence that Mood on Track online is an acceptable intervention to service users and shows signs of efficacy through significantly increased recovery and reduced anxiety. This adds to literature demonstrating that online psychological interventions are effective and provide an innovative method for delivery. Provision of digital therapies could increase offer and take-up of therapy for people with bipolar disorder and improve recovery.
尽管有证据表明心理干预可改善双相情感障碍的康复情况，但在英国，获得此类干预的机会有限；在线提供方式为增加机会提供了可能。“情绪追踪”是一项针对双相情感障碍的心理治疗项目，将认知行为疗法小组干预与个体复发预防相结合。本研究报告了在常规临床服务中实施的“情绪追踪”在线版的可行性和可接受性试验，为随机对照试验做准备。在线版本保留了面对面干预的治疗要素，但通过Zoom平台在更多疗程中进行，包括在线练习和分组讨论室。
一项关于可行性和可接受性的组内非随机纵向干预研究。参与者在从基线到小组干预后六个月的四个时间点完成心理测量问卷，以评估康复情况的变化。通过测量招募情况、干预参与率和结果测量完成情况，评估干预措施及未来研究的可行性和可接受性。
招募率、干预完成率和结果测量完成率表明，“情绪追踪”在线版及更大规模的未来试验是可行且可接受的。疗效分析发现，双相情感障碍康复问卷中个人康复的主要结果测量指标在小组干预开始和结束之间显著增加，并在随访时继续显著增加。广泛性焦虑障碍-7问卷的次要结果测量指标得分在小组干预开始和结束之间显著下降。
本研究提供了定量证据，表明“情绪追踪”在线版未来的随机对照试验在招募、实施程序和数据收集方面是可行的。研究结果提供了有前景的证据，表明“情绪追踪”在线版对服务使用者来说是一种可接受的干预措施，并通过显著提高康复率和减轻焦虑显示出疗效迹象。这为文献增添了证据，证明在线心理干预是有效的，并提供了一种创新的实施方法。提供数字疗法可以增加双相情感障碍患者获得治疗的机会并提高治疗接受度，从而改善康复情况。
