Evidence map›Paper›PMID 28801301›Full record

ArticleJMIR human factors2017

Exploring User Learnability and Learning Performance in an App for Depression: Usability Study.

Colleen Stiles-Shields, Enid Montague, Emily G Lattie, Stephen M Schueller, Mary J Kwasny, David C Mohr

Abstract read
In one paragraph

Article in JMIR human factors, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Colleen Stiles-ShieldsCenter for Behavioral Intervention Technologies, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID http://orcid.org/0000-0002-6759-8380
Enid MontagueCenter for Behavioral Intervention Technologies, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID http://orcid.org/0000-0001-6226-2266
Emily G LattieCenter for Behavioral Intervention Technologies, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID http://orcid.org/0000-0002-3069-5996
Stephen M SchuellerCenter for Behavioral Intervention Technologies, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID http://orcid.org/0000-0002-1003-0399
Mary J KwasnyCenter for Behavioral Intervention Technologies, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID http://orcid.org/0000-0003-3287-1903
David C MohrCenter for Behavioral Intervention Technologies, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID http://orcid.org/0000-0002-5443-7596

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Stepped Telemental Health Care Intervention for DepressionR01MH095753 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MOHR, DAVID CURTIS · 2012 to 2016
$3.4M
Artificial Intelligence in a Mobile Intervention for Depression (AIM)R01MH100482 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MOHR, DAVID CURTIS · 2013 to 2017
$3.1M
Connecting Patients and Therapists Using a Tech-Based Treatment Support SystemK08MH102336 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SCHUELLER, STEPHEN · 2014 to 2017
$678k
Mobile Applications for Depression: Comparing Cognitive and Behavioral ApproachesF31MH106321 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI STILES-SHIELDS, COLLEEN · 2014 to 2016
$71k
NCRR NIH HHS UL1 RR025780NIMH NIH HHS F31 MH106321NIMH NIH HHS K08 MH102336NIMH NIH HHS R01 MH095753NIMH NIH HHS R01 MH100482
6 · The paper itself

Abstract

backgroundMental health apps tend to be narrow in their functioning, with their focus mostly being on tracking, management, or psychoeducation. It is unclear what capability such apps have to facilitate a change in users, particularly in terms of learning key constructs relating to behavioral interventions. Thought Challenger (CBITs, Chicago) is a skill-building app that engages users in cognitive restructuring, a core component of cognitive therapy (CT) for depression.

objectiveThe purpose of this study was to evaluate the learnability and learning performance of users following initial use of Thought Challenger.

methodsTwenty adults completed in-lab usability testing of Thought Challenger, which comprised two interactions with the app. Learnability was measured via completion times, error rates, and psychologist ratings of user entries in the app; learning performance was measured via a test of CT knowledge and skills. Nonparametric tests were conducted to evaluate the difference between individuals with no or mild depression to those with moderate to severe depression, as well as differences in completion times and pre- and posttests.

resultsAcross the two interactions, the majority of completion times were found to be acceptable (5 min or less), with minimal errors (1.2%, 10/840) and successful completion of CT thought records. Furthermore, CT knowledge and skills significantly improved after the initial use of Thought Challenger (P=.009).

conclusionsThe learning objectives for Thought Challenger during initial uses were successfully met in an evaluation with likely end users. The findings therefore suggest that apps are capable of providing users with opportunities for learning of intervention skills.

Indexed as

appscognitive therapydepressionlearningusability testing

Identifiers

PMID28801301
PMCPMC5573426

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.