Evidence map›Paper›PMID 37700334›Full record

ArticleTrials2023

The effect of smartphone-based monitoring and treatment including clinical feedback versus smartphone-based monitoring without clinical feedback in bipolar disorder: the SmartBipolar trial-a study protocol for a randomized controlled parallel-group trial.

Maria Faurholt-Jepsen, Natacha Blauenfeldt Kyster, Malene Schwarz Dyreholt, Ellen Margrethe Christensen, Pernille Bondo-Kozuch, Anna Skovgaard Lerche, Birte Smidt, Ulla Knorr, Kim Brøndmark, Anne-Marie Bangsgaard Cardoso and 14 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04230421 (Effects of Smartphone-based Treatment for Bipolar Disorder - the Smart Bipolar RCT), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 26% 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.

NCT04230421 naunknown statusnot on this map

Effects of Smartphone-based Treatment for Bipolar Disorder - the Smart Bipolar RCT

TypeinterventionalSponsorMental Health Centre Copenhagen, Bispebjerg and Frederiksberg HospitalRan2021 to 2026Enrolled200ConditionsBipolar DisorderArmsThe Monsenso system with feedback, The Monsenso system without feedback, CAG Bipola and mood monitoring only
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 4 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

24 authors at 7 institutions in 1 country.

Maria Faurholt-JepsenCopenhagen Affective Disorder Research Center (CADIC), Psychiatric Center Copenhagen, Hovedvejen 17, 1. Floor, 2000, Frederiksberg, Denmark. maria@faurholt-jepsen.dk.ORCID http://orcid.org/0000-0002-0462-6444
Natacha Blauenfeldt KysterCopenhagen Affective Disorder Research Center (CADIC), Psychiatric Center Copenhagen, Hovedvejen 17, 1. Floor, 2000, Frederiksberg, Denmark.
Malene Schwarz DyreholtCopenhagen Affective Disorder Research Center (CADIC), Psychiatric Center Copenhagen, Hovedvejen 17, 1. Floor, 2000, Frederiksberg, Denmark.
Ellen Margrethe ChristensenCopenhagen Affective Disorder Research Center (CADIC), Psychiatric Center Copenhagen, Hovedvejen 17, 1. Floor, 2000, Frederiksberg, Denmark.
Pernille Bondo-KozuchCopenhagen Affective Disorder Research Center (CADIC), Psychiatric Center Copenhagen, Hovedvejen 17, 1. Floor, 2000, Frederiksberg, Denmark.
Anna Skovgaard LercheCopenhagen Affective Disorder Research Center (CADIC), Psychiatric Center Copenhagen, Hovedvejen 17, 1. Floor, 2000, Frederiksberg, Denmark.
Birte SmidtCopenhagen Affective Disorder Research Center (CADIC), Psychiatric Center Copenhagen, Hovedvejen 17, 1. Floor, 2000, Frederiksberg, Denmark.
Ulla KnorrCopenhagen Affective Disorder Research Center (CADIC), Psychiatric Center Copenhagen, Hovedvejen 17, 1. Floor, 2000, Frederiksberg, Denmark.
Kim BrøndmarkCopenhagen Affective Disorder Research Center (CADIC), Psychiatric Center Copenhagen, Hovedvejen 17, 1. Floor, 2000, Frederiksberg, Denmark.
Anne-Marie Bangsgaard CardosoThe Early Multimodular Prevention and Intervention Research Institution (EMPIRI), Mental Health Centre, Northern Zealand, Copenhagen University Hospital - Mental Health Services CPH, Copenhagen, Denmark.
Anja MathiesenThe Early Multimodular Prevention and Intervention Research Institution (EMPIRI), Mental Health Centre, Northern Zealand, Copenhagen University Hospital - Mental Health Services CPH, Copenhagen, Denmark.
Rene SjællandPsychiatric Center Amager, Copenhagen, Denmark.
Henrik Nørbak-EmigPsychiatric Center Amager, Copenhagen, Denmark.
Lotte Linnemann SponsorPsychiatric Center Amager, Copenhagen, Denmark.
Darius MardosasPsychiatric Center Glostrup, Glostrup, Denmark.
Ida Palmblad Sarauw-NielsenPsychiatric Center Glostrup, Glostrup, Denmark.
Jens Drachmann BukhPsychiatric Center Ballerup, Ballerup, Denmark.
Trine Vøgg HellerPsychiatric Center Ballerup, Ballerup, Denmark.
Mads FrostMonsenso A/S, Copenhagen, Denmark.
Nanna IversenMonsenso A/S, Copenhagen, Denmark.
Jakob Eyvind BardramDepartment of Health Technology, Technical University of Denmark, Lyngby, Denmark.
Jonas BuskDepartment of Energy Conversion and Storage, Technical University of Denmark, Lyngby, Denmark.
Maj VinbergDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Lars Vedel KessingCopenhagen Affective Disorder Research Center (CADIC), Psychiatric Center Copenhagen, Hovedvejen 17, 1. Floor, 2000, Frederiksberg, Denmark.
Frederiksberg Hospital · DKUniversity of Copenhagen · DKAmager Hospital · DKCenter for Clinical & Basic Research · DKGlostrup Hospital · DKMental Health Services · DKTechnical University of Denmark · DK

Funding

Independent research Fund Denmark 0134-00027BMental Health Services, Denmark A6508
6 · The paper itself

Abstract

introductionA substantial proportion of patients with bipolar disorder experience daily subsyndromal mood swings, and the term "mood instability" reflecting the variability in mood seems associated with poor prognostic factors, including impaired functioning, and increased risk of hospitalization and relapse. During the last decade, we have developed and tested a smartphone-based system for monitoring bipolar disorder. The present SmartBipolar randomized controlled trial (RCT) aims to investigate whether (1) daily smartphone-based outpatient monitoring and treatment including clinical feedback versus (2) daily smartphone-based monitoring without clinical feedback or (3) daily smartphone-based mood monitoring only improves mood instability and other clinically relevant patient-related outcomes in patients with bipolar disorder. METHODS AND ANALYSIS: The SmartBipolar trial is a pragmatic randomized controlled parallel-group trial. Patients with bipolar disorder are invited to participate as part of their specialized outpatient treatment for patients with bipolar disorder in Mental Health Services in the Capital Region of Denmark. The included patients will be randomized to (1) daily smartphone-based monitoring and treatment including a clinical feedback loop (intervention group) or (2) daily smartphone-based monitoring without a clinical feedback loop (control group) or (3) daily smartphone-based mood monitoring only (control group). All patients receive specialized outpatient treatment for bipolar disorder in the Mental Health Services in the Capital Region of Denmark. The trial started in March 2021 and has currently included 150 patients. The outcomes are (1) mood instability (primary), (2) quality of life, self-rated depressive symptoms, self-rated manic symptoms, perceived stress, satisfaction with care, cumulated number and duration of psychiatric hospitalizations, and medication (secondary), and (3) smartphone-based measures per month of stress, anxiety, irritability, activity, and sleep as well as the percentage of days with presence of mixed mood, days with adherence to medication and adherence to smartphone-based self-monitoring. A total of 201 patients with bipolar disorder will be included in the SmartBipolar trial. ETHICS AND DISSEMINATION: The SmartBipolar trial is funded by the Capital Region of Denmark and the Independent Research Fund Denmark. Ethical approval has been obtained from the Regional Ethical Committee in The Capital Region of Denmark (H-19067248) as well as data permission (journal number: P-2019-809). The results will be published in peer-reviewed academic journals, presented at scientific meetings, and disseminated to patients' organizations and media outlets.

trial registrationTrial registration number: NCT04230421. Date March 1, 2021. Version 1.

Indexed as

Bipolar DisorderAmbulatory CareFeedbackHumansMood DisordersPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicSmartphoneBipolar disorderRandomized controlled trialSmartphone-based monitoring

Identifiers

PMID37700334
PMCPMC10496351
OpenAlexW4386690850

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.