A Mobile Self-control Training App to Improve Self-control and Physical Activity in People With Severe Mental Illness: Protocol for 2 Single-Case Experimental Designs.

Autor:	Dekkers T; Centre for eHealth and Wellbeing Research, Department of Technology, Human and Institutional Behaviour, University of Twente, Enschede, Netherlands., Heirbaut T; Centre for eHealth and Wellbeing Research, Department of Technology, Human and Institutional Behaviour, University of Twente, Enschede, Netherlands., Schouten SE; Centre for eHealth and Wellbeing Research, Department of Technology, Human and Institutional Behaviour, University of Twente, Enschede, Netherlands., Kelders SM; Centre for eHealth and Wellbeing Research, Department of Technology, Human and Institutional Behaviour, University of Twente, Enschede, Netherlands.; Optentia Research Unit, North-West University, Vanderbijlpark, South Africa., Beerlage-de Jong N; Technical Medical Centre, Section of Health Technology and Services Research, University of Twente, Enschede, Netherlands., Ludden GDS; Department of Design Production & Management, Faculty of Engineering Technology, University of Twente, Enschede, Netherlands., Deenik J; GGz Centraal, Amersfoort, Netherlands.; School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands., Bouman YHA; Department of Research, Stichting Transfore, Deventer, Netherlands., Kip H; Centre for eHealth and Wellbeing Research, Department of Technology, Human and Institutional Behaviour, University of Twente, Enschede, Netherlands.; Department of Research, Stichting Transfore, Deventer, Netherlands.
Jazyk:	angličtina
Zdroj:	JMIR research protocols [JMIR Res Protoc] 2023 May 05; Vol. 12, pp. e37727. Date of Electronic Publication: 2023 May 05.
DOI:	10.2196/37727
Abstrakt:	Background: Lack of physical activity is a common issue with detrimental consequences for the health of people with severe mental illness (SMI). Existing physical activity interventions show suboptimal effects as they require substantial cognitive skills, including goal setting and writing, whereas cognitive deficits are common in this population. To bolster the effectiveness of physical activity interventions, self-control training (SCT), in which users practice the ability to override unwanted thoughts and behaviors, can be used in addition. Recent research has demonstrated the initial effectiveness of a mobile SCT app, but this has not been studied in psychiatric clinical practice. Objective: This study aims to evaluate to what extent adding a mobile SCT app designed for and with people with SMI to a mobile lifestyle intervention aimed at increasing physical activity increases physical activity and self-control levels. Methods: A mixed methods approach incorporating 2 single-case experimental designs (SCEDs) and qualitative interviews was used to evaluate and optimize SCT. Overall, 12 participants with SMI will be recruited from 2 organizations offering outpatient and inpatient care to people with SMI. Each experiment will include 6 patients. SCED I is a concurrent multiple-baseline design across participants that explores initial effectiveness and optimal intervention duration. Using accelerometry and experience sampling questionnaires, participants' physical activity and self-control will be monitored for ≥5 days from baseline, followed by the sequential introduction of Google Fit, the physical activity intervention, for 7 days and the addition of SCIPP: Self-Control Intervention App for 28 days. SCED II is an introduction/withdrawal design in which optimized SCT will be introduced and withdrawn to validate the findings from SCED I. In both experiments, the daily average of total activity counts per hour and the state level of self-control will serve as the primary and secondary outcome measures. Data will be analyzed using visual analysis and piecewise linear regression models. Results: The study was designated as not subject to the Dutch Medical Research Involving Human Subjects Act by the Medical Research Ethical Committee Oost-Nederland and approved by the Ethics Committee/domain Humanities and Social Sciences of the Faculty of Behavioural, Management, and Social Sciences at the University of Twente. Participant recruitment started in January 2022, and we expect to publish the results in early 2023. Conclusions: The mobile SCT app is expected to be feasible and effective. It is self-paced and scalable and can increase patient motivation, making it a suitable intervention for people with SMI. SCED is a relatively novel yet promising method for gaining insights into whether and how mobile apps work that can handle heterogeneous samples and makes it possible to involve a diverse population with SMI without having to include a large number of participants. International Registered Report Identifier (irrid): PRR1-10.2196/37727. (©Tessa Dekkers, Tahnee Heirbaut, Stephanie E Schouten, Saskia M Kelders, Nienke Beerlage-de Jong, Geke D S Ludden, Jeroen Deenik, Yvonne H A Bouman, Hanneke Kip. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 05.05.2023.)
Databáze:	MEDLINE
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