Evidence map›Paper›PMID 35368207›Full record

ArticleInternational journal of bipolar disorders2022

Evaluating the quality, safety, and functionality of commonly used smartphone apps for bipolar disorder mood and sleep self-management.

Emma Morton, Jennifer Nicholas, Linda Yang, Laura Lapadat, Steven J Barnes, Martin D Provencher, Colin Depp, Michelle Chan, Rhea Kulur, Erin E Michalak

Abstract read
In one paragraph

Article in International journal of bipolar disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Bipolar disorder.Lancet (London, England) · 2025
    Review
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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

10 authors.

Emma MortonDepartment of Psychiatry, University of British Columbia, 420-5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada.
Jennifer NicholasOrygen, Parkville, VIC, Australia.
Linda YangDepartment of Psychiatry, University of British Columbia, 420-5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada.
Laura LapadatDepartment of Psychiatry, University of British Columbia, 420-5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada.
Steven J BarnesDepartment of Psychology, University of British Columbia, Vancouver, BC, Canada.
Martin D ProvencherÉcole de Psychologie, Université Laval, Québec, QC, Canada.
Colin DeppDepartment of Psychiatry, University of California, San Diego, CA, USA.
Michelle ChanDepartment of Psychology, University of British Columbia, Vancouver, BC, Canada.
Rhea KulurDepartment of Psychology, University of British Columbia, Vancouver, BC, Canada.
Erin E MichalakDepartment of Psychiatry, University of British Columbia, 420-5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada. erin.michalak@ubc.ca.

Funding

CIHR Project Grant: "Bipolar Bridges: A digital health innovation targeting quality of life in bipolar disorder".
6 · The paper itself

Abstract

backgroundIndividuals with bipolar disorder (BD) are increasingly turning to smartphone applications (apps) for health information and self-management support. While reviews have raised concerns regarding the effectiveness and safety of publicly available apps for BD, apps surveyed may not reflect what individuals with BD are using. The present study had two aims: first, to characterize the use of health apps to support mood and sleep amongst people with BD, and second, to evaluate the quality, safety and functionality of the most commonly used self-management apps.

methodsA web-based survey was conducted to explore which apps people with BD reported using to support self-management of mood and sleep. The characteristics of the most commonly nominated apps were described using a standardized framework, including their privacy policy, clinical foundations, and functionality.

resultsRespondents (n = 919) were 77.9% female with a mean age of 36.9 years. 41.6% of participants (n = 382) reported using a self-management app to support mood or sleep. 110 unique apps were nominated in relation to mood, and 104 unique apps nominated in relation to sleep; however, most apps were only mentioned once. The nine most frequently nominated apps related to mood and sleep were subject to further evaluation. All reviewed apps offered a privacy policy, however user control over data was limited and the complexity of privacy policies was high. Only one app was developed for BD populations. Half of reviewed apps had published peer-reviewed evidence to support their claims of efficacy, but little research was specific to BD.

conclusionFindings illustrate the potential of smartphone apps to increase the reach of psychosocial interventions amongst people with BD. Apps were largely created by commercial developers and designed for the general population, highlighting a gap in the development and dissemination of evidence-informed apps for BD. There may be risks in using generic health apps for BD self-management; clinicians should enquire about patients' app use to foster conversations about their particular benefits and limitations.

Indexed as

AppsBipolar disordermHealthSelf-managementSelf-monitoring

Identifiers

PMID35368207
PMCPMC8977125

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.