Evidence map›Paper›PMID 40762443›Full record

Trial reportEarly intervention in psychiatry2025

Perspectives of Patients With Early Psychosis on the Use of an App in Acceptance and Commitment Therapy: A Qualitative Study.

Jara Bouws, Lotte Uyttebroek, Joanne R Beames, Mariken de Koning, Frederike Schirmbeck, An Henrard, Ulrich Reininghaus, Lieuwe de Haan, Inez Myin-Germeys

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Early intervention in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Trial
  2. Article
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.

Jara BouwsArkin, Centre for Mental Health Care, Amsterdam, the Netherlands.
Lotte UyttebroekDepartment of Neurosciences, Psychiatry Research Group, Centre for Contextual Psychiatry, KU Leuven, Leuven, Belgium.
Joanne R BeamesDepartment of Neurosciences, Psychiatry Research Group, Centre for Contextual Psychiatry, KU Leuven, Leuven, Belgium.
Mariken de KoningArkin, Centre for Mental Health Care, Amsterdam, the Netherlands.
Frederike SchirmbeckDepartment of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
An HenrardZ.ORG KUL, Academic Psychiatric Centre KULeuven, Kortenberg, Belgium.
Ulrich ReininghausDepartment of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Lieuwe de HaanArkin, Centre for Mental Health Care, Amsterdam, the Netherlands.
Inez Myin-GermeysDepartment of Neurosciences, Psychiatry Research Group, Centre for Contextual Psychiatry, KU Leuven, Leuven, Belgium.

Funding

Deutsche Forschungsgemeinschaft 389624707European Research Council 309767European Research Council 842501Fonds Wetenschappelijk Onderzoek H2020 945263H2020 Marie Skłodowska-Curie Actions 101063326Nederlandse Organisatie voor Wetenschappelijk Onderzoek 451-13-022
6 · The paper itself

Abstract

introductionIndividuals with early psychosis received Acceptance and Commitment Therapy in daily life (ACT-DL), consisting of 8 face-to-face sessions and use of a mobile app at home, as part of a randomised controlled trial (INTERACT). Those receiving ACT-DL showed improvement in negative symptoms and global functioning compared to the control condition. The current study qualitatively explores patients' perspectives on the ACT-DL app and perceived areas for improvement.

methodsThe ACT-DL app prompted individuals randomly multiple times a day between therapy sessions to complete questionnaires (Ecological Momentary Assessments, EMA) and ACT metaphors or exercises (Ecological Momentary Interventions, EMI). User experiences with the ACT-DL app were explored in 17 semi-structured interviews within 6 months after the intervention and analysed using template thematic analysis.

resultsThree themes were formed: 1. App functionalities and usability; consisting mainly of perceived practical obstacles. 2. Additional value of the app; on how the EMAs raised levels of awareness for feelings, thoughts, and behaviour, and the positive evaluation of the ACT exercises in the EMI part of the app. 3. Improving applicability and effect of the ACT-DL app; with practical feedback from participants.

conclusionsIndividuals with early psychosis were generally positive about the effects of the ACT-DL app, attributing benefits to increased awareness via EMAs and to the ACT exercises. However, they experienced difficulties using the app during work and social activities. Participants provided valuable suggestions to improve the app's effectiveness and applicability.

Indexed as

Acceptance and Commitment TherapyMobile ApplicationsPsychotic DisordersAdultFemaleHumansMaleQualitative ResearchYoung Adultacceptance and commitment therapyecological momentary assessmentfirst episode psychosismental healthqualitative studysmartphone app

Identifiers

PMID40762443
PMCPMC12323565

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.