scholarly journals Preliminary outcomes of the Motivation and Skills Support (MASS) mobile app: An Ecological Momentary Intervention for social functioning in schizophrenia (Preprint)

10.2196/27475 ◽  
2021 ◽  
Author(s):  
Daniel Fulford ◽  
David E. Gard ◽  
Kim T. Mueser ◽  
Jasmine Mote ◽  
Kathryn Gill ◽  
...  
Keyword(s):  
Social Functioning ◽  
Mobile App ◽  
Ecological Momentary Intervention ◽  
Ecological Momentary

scholarly journals Preliminary outcomes of the Motivation and Skills Support (MASS) mobile app: An Ecological Momentary Intervention for social functioning in schizophrenia (Preprint)

2021 ◽  
Author(s):  
Daniel Fulford ◽  
David E. Gard ◽  
Kim T. Mueser ◽  
Jasmine Mote ◽  
Kathryn Gill ◽  
...  
Keyword(s):  
Social Functioning ◽  
Mobile App ◽  
Mental Illnesses ◽  
Mobile Technologies ◽  
Evidence Based ◽  
Post Intervention ◽  
Treatment Termination ◽  
Serious Mental Illnesses ◽  
Ecological Momentary

BACKGROUND People with schizophrenia and other serious mental illnesses often lack access to evidence-based interventions, particularly interventions that target meaningful recovery outcomes, such as social functioning and quality of life. Mobile technologies, including smartphone applications, have the potential to provide scalable supports that place elements of evidence-based interventions at the palm of patients’ hands. OBJECTIVE We developed a smartphone app to provide targeted social goal support (e.g., making new friends, improving existing relationships) for people with schizophrenia, called Motivation and Skills Support (MASS), in a standalone open trial. METHODS In this study we present preliminary outcomes in 31 participants who used the MASS app for a period of eight weeks, including social functioning pre- to post-intervention, and momentary reports of treatment targets (social motivation, appraisals) during the intervention. RESULTS Findings suggest the intervention improved self-reported social functioning from baseline to treatment termination, particularly in women participants. Gains were not maintained at three-month follow-up. Furthermore, increased social functioning was predicted by momentary reports of social appraisals, including perceived social competence and the extent to which social interactions were worth the effort. CONCLUSIONS We discuss implications of these findings and future directions for addressing social functioning in schizophrenia using mobile technology. CLINICALTRIAL NCT03404219

Smartphone sensing of social interactions in people with and without schizophrenia

2020 ◽  
Author(s):  
Daniel Fulford ◽  
Jasmine Mote ◽  
Rachel Gonzalez ◽  
Samuel Abplanalp ◽  
Yuting Zhang ◽  
...  
Keyword(s):  
Social Behavior ◽  
Social Functioning ◽  
Social Activity ◽  
Network Size ◽  
Social Impairment ◽  
Schizophrenia Spectrum Disorders ◽  
Social Network Size ◽  
Digital Phenotyping ◽  
Ecological Momentary

Social impairment is a cardinal feature of schizophrenia spectrum disorders (SZ). Smaller social network size, diminished social skills, and loneliness are highly prevalent. Existing, gold-standard assessments of social impairment in SZ often rely on self-reported information that depends on retrospective recall and detailed accounts of complex social behaviors. This is particularly problematic in people with SZ given characteristic cognitive impairments and reduced insight. Ecological Momentary Assessment (EMA; repeated self-reports completed in the context of daily life) allows for the measurement of social behavior as it occurs in vivo, yet still relies on participant input. Momentary characterization of behavior using smartphone sensors (e.g., GPS, microphone) may also provide ecologically valid indicators of social functioning. In the current study we tested associations between both active (e.g., EMA-reported number of interactions) and passive (GPS-based mobility, conversations captured by microphone) smartphone-based measures of social activity and measures of social functioning and loneliness to examine the promise of such measures for understanding social impairment in SZ. Our results indicate that passive markers of mobility were more consistently associated with EMA measures of social behavior in controls than in people with SZ. Furthermore, dispositional loneliness showed associations with mobility metrics in both groups, while general social functioning was less related to these metrics. Finally, interactions detected in the ambient audio were more tied to social functioning in SZ than in controls. Findings speak to the promise of smartphone-based digital phenotyping as an approach to understanding objective markers of social activity in people with and without schizophrenia.

scholarly journals An Ecological Momentary Intervention for Smoking Cessation: Evaluation of Feasibility and Effectiveness

2016 ◽  
Vol 18 (12) ◽  
pp. e321 ◽  
Author(s):  
Michael S Businelle ◽  
Ping Ma ◽  
Darla E Kendzor ◽  
Summer G Frank ◽  
Damon J Vidrine ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Ecological Momentary Intervention ◽  
Ecological Momentary

A pilot implementation-effectiveness trial of a single-session telehealth workshop and smartphone-based cognitive behavioral intervention for managing emotions among college students

2021 ◽  
Author(s):  
Evan Kleiman ◽  
Kate Bentley ◽  
Annmarie Wacha-Montes ◽  
Madison Taylor ◽  
Kaileigh Conti ◽  
...  
Keyword(s):  
College Students ◽  
Mental Health Treatment ◽  
Low Cost ◽  
Effectiveness Trial ◽  
Single Session ◽  
Ecological Momentary Intervention ◽  
Center Staff ◽  
Positive Attitudes ◽  
Treatment Package ◽  
Ecological Momentary

The number of college students who need mental health treatment outpaces the resources available to counseling centers to provide these needed services, presenting a need for low-cost, scalable interventions for college populations. We conducted a pilot effectiveness trial of a scalable treatment package that consisted of a single (telehealth) workshop plus a companion app that provided ecological momentary intervention. Participants (n=177) received a workshop provided by counseling center staff and trainees. We were interested in (1) engagement with the app, (2) acceptability of the treatment, and (3) initial effectiveness of the treatment. Regarding engagement, we found that participants preferred two reminder prompts per day and identified two key inflection points where engagement fluctuated: at day 15, where just over half of the sample practiced a skill on the app at least once during the day and at day 41, where just over one third of people practiced a skill on the app each day. Regarding acceptability, students generally reported positive attitudes about the single-session workshop and app, but also noted that the content and assessments in the app needed to be more dynamic to improve how engaging it is. Regarding effectiveness, we found that about 75% of the sample experienced a significant reduction in negative affect from pre- to post-ecological momentary intervention. The results of this study are promising in terms of providing initial support for this novel treatment package and provide useful information for researchers planning to develop and test similar interventions.

GamblingLess: Curb Your Urge: Development and usability testing of a smartphone-delivered ecological momentary intervention for problem gambling

2020 ◽  
Vol 20 (3) ◽  
pp. 515-538 ◽  
Author(s):  
Stephanie S. Merkouris ◽  
Chloe O. Hawker ◽  
Simone N. Rodda ◽  
George J. Youssef ◽  
Nicki A. Dowling
Keyword(s):  
Problem Gambling ◽  
Usability Testing ◽  
Ecological Momentary Intervention ◽  
Ecological Momentary
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