Evidence map›Paper›PMID 38246280›Full record

Trial reportJournal of affective disorders2024

LiveWell, a smartphone-based self-management intervention for bipolar disorder: Intervention participation and usability analysis.

Geneva K Jonathan, George Abitante, Alyssa McBride, Mary Bernstein-Sandler, Pamela Babington, Cynthia A Dopke, Rebecca C Rossom, David C Mohr, Evan H Goulding

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of affective disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
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

9 authors.

Geneva K JonathanDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, United States of America.
George AbitanteDepartment of Psychological Sciences, Vanderbilt University, Nashville, TN, United States of America.
Alyssa McBrideDepartment of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, United States of America.
Mary Bernstein-SandlerDepartment of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, United States of America.
Pamela BabingtonDepartment of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, United States of America.
Cynthia A DopkeDepartment of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, United States of America.
Rebecca C RossomHealthPartners Institute, Minneapolis, MN, United States of America.
David C MohrDepartment of Preventative Medicine, Feinberg School of Medicine, Northwestern University, United States of America.
Evan H GouldingDepartment of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, United States of America. Electronic address: evan.goulding@nm.org.

Funding

Career Development Program in Substance Use and Addiction MedicineK12DA043490 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI A EDEN EVINS, NANCY A RIGOTTI · 2017 to 2026
$4.7M
LiveWell: A Mobile Intervention for Bipolar DisorderR01MH110626 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GOULDING, EVAN H. · 2016 to 2019
$2.9M
NIDA NIH HHS K12 DA043490NIMH NIH HHS R01 MH110626
6 · The paper itself

Abstract

backgroundUnderstanding how individuals utilize and perceive digital mental health interventions may improve engagement and effectiveness. To support intervention improvement, participant feedback was obtained and app use patterns were examined for a randomized clinical trial evaluating a smartphone-based intervention for individuals with bipolar disorder.

methodsApp use and coaching engagement were examined (n = 124). Feedback was obtained via exit questionnaires (week 16, n = 81) and exit interviews (week 48, n = 17).

resultsOn average, over 48 weeks, participants used the app for 4.4 h and engaged with the coach for 3.9 h. Participants spent the most time monitoring target behaviors and receiving adaptive feedback and the least time viewing self-assessments and skills. Participants reported that the daily check in helped increase awareness of target behaviors but expressed frustration with repetitiveness of monitoring and feedback content. Participants liked personalizing their wellness plan, but its use did not facilitate skills practice. App use declined over time which participants attributed to clinical stability, content mastery, and time commitment. Participants found the coaching supportive and motivating for app use. LIMITATIONS: App engagement based on viewing time may overestimate engagement. The delay between intervention delivery and the exit interviews and low exit interview participation may introduce bias.

conclusionUtilization patterns and feedback suggest that digital mental health engagement and efficacy may benefit from adaptive personalization of targets monitored combined with adaptive monitoring and feedback to support skills practice and development. Increasing engagement with supports may also be beneficial.

Indexed as

Bipolar DisorderMobile ApplicationsSelf-ManagementHumansSmartphoneSurveys and QuestionnairesBehavior changeBipolar disorderDigital mental healthEngagementSelf-managementSmartphone

Identifiers

PMID38246280
PMCPMC10947155

What OpenQuestion holds

Textmetadata
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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.