Evidence map›Paper›PMID 35227403›Full record

ArticleBehavior therapy2022

An Ecological Momentary Intervention Study of Emotional Responses to Smartphone-Prompted CBT Skills Practice and the Relationship to Clinical Outcomes.

Emily E Bernstein, Kate H Bentley, Matthew K Nock, Michelle B Stein, Stuart Beck, Evan M Kleiman

Open access · greenAbstract read
In one paragraph

Article in Behavior therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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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 at 4 institutions in 1 country.

Emily E BernsteinMassachusetts General Hospital/Harvard Medical School. Electronic address: eebernstein@mgh.harvard.edu.
Kate H BentleyMassachusetts General Hospital/Harvard Medical School; Harvard University.
Matthew K NockHarvard University.
Michelle B SteinMassachusetts General Hospital/Harvard Medical School.
Stuart BeckMassachusetts General Hospital/Harvard Medical School.
Evan M KleimanRutgers, The State University of New Jersey.
Massachusetts General Hospital · USHarvard University · USHarvard University Press · USRutgers, The State University of New Jersey · US

Funding

Digital Monitoring of Agitation for Short-Term Suicide Risk PredictionK23MH120436 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BENTLEY, KATE H. · 2019 to 2024
$1.0M
Telehealth Supplement to Realtime Intervention for Suicide Risk ReductionR34MH113757 · NIMH · RUTGERS, THE STATE UNIV OF N.J. · PI KLEIMAN, EVAN · 2018 to 2020
$815k
NIMH NIH HHS K23 MH120436NIMH NIH HHS R34 MH113757
6 · The paper itself

Abstract

The practice of therapeutic skills outside of sessions in which they are learned is one presumed key component of cognitive behavioral therapy (CBT). Yet, our understanding of how skills practice relates to clinical outcomes remains limited. Here, we explored patients' emotional responses to CBT skills practice in a pilot study pairing smartphone-app-delivered skills reminders and guided practice (ecological momentary intervention [EMI]) using ecological momentary assessment (EMA). Participants (n = 25) were adults recently hospitalized for a suicide attempt or severe suicidal thinking. They received brief inpatient CBT (1 to 3 sessions covering core CBT skills from the Unified Protocol), followed by 1 month of EMI and EMA after discharge. On average, participants reported modest reductions in negative affect after skills use (i.e., immediate responses; median time elapsed = 4.30 minutes). Additionally, participants tended to report less negative affect when the timepoint preceding the current assessment included EMI skills practice, rather than EMA alone (i.e., delayed responses; median time elapsed between prompts = 2.17 hours). Immediate effects were unrelated to longer-term clinical outcomes, whereas greater delayed effects were associated with lower symptom severity at follow-up. Future studies should further examine how CBT skills use in daily life may alleviate symptoms.

Indexed as

Cognitive Behavioral TherapyMobile ApplicationsEcological Momentary AssessmentEmotionsHumansPilot ProjectsSmartphonecognitive behavioral therapyecological momentary assessmentecological momentary interventionmHealthskills

Identifiers

PMID35227403
PMCPMC8891654
OpenAlexW4229081551

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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.