ProVIA-Kids - outcomes of an uncontrolled study on smartphone-based behaviour analysis for challenging behaviour in children with intellectual and developmental disabilities or autism spectrum disorder.

Autor:	Meerson R; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital of Wuerzburg, Wuerzburg, Germany.; Department of Communication, University of Vienna, Vienna, Austria., Buchholz H; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital of Wuerzburg, Wuerzburg, Germany., Kammerer K; Institute of Clinical Epidemiology and Biometry (IKEB), University of Wuerzburg, Wuerzburg, Germany., Göster M; Institute of Clinical Epidemiology and Biometry (IKEB), University of Wuerzburg, Wuerzburg, Germany., Schobel J; DigiHealth Institute, Neu-Ulm University of Applied Sciences, Neu-Ulm, Germany., Ratz C; Chair of Special Education IV-Education for People with Intellectual and Developmental Disabilities, University of Wuerzburg, Wuerzburg, Germany.; German Centre of Prevention Research in Mental Health, University and University Hospital Wuerzburg, Wuerzburg, Germany., Pryss R; Institute of Clinical Epidemiology and Biometry (IKEB), University of Wuerzburg, Wuerzburg, Germany., Taurines R; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital of Wuerzburg, Wuerzburg, Germany., Romanos M; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital of Wuerzburg, Wuerzburg, Germany.; German Centre of Prevention Research in Mental Health, University and University Hospital Wuerzburg, Wuerzburg, Germany., Gamer M; Department of Psychology, University of Wuerzburg, Wuerzburg, Germany., Geissler J; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital of Wuerzburg, Wuerzburg, Germany.; German Centre of Prevention Research in Mental Health, University and University Hospital Wuerzburg, Wuerzburg, Germany.
Jazyk:	angličtina
Zdroj:	Frontiers in digital health [Front Digit Health] 2024 Sep 13; Vol. 6, pp. 1462682. Date of Electronic Publication: 2024 Sep 13 (Print Publication: 2024).
DOI:	10.3389/fdgth.2024.1462682
Abstrakt:	Introduction: Challenging behaviour (CB) is a common issue among children with autism spectrum disorder or intellectual and developmental disability. Mental health applications are low-threshold cost-effective tools to address the lack of resources for caregivers. This pre-post study evaluated the feasibility and preliminary effectiveness of the smartphone app ProVIA-Kids using algorithm-based behaviour analysis to identify causes of CB and provide individualized practical guidance to manage and prevent CB. Methods: A total of 18 caregivers ( M  = 38.9 ± 5.0) of children with a diagnosis of autism spectrum disorder (44%), intellectual and developmental disabilities (33%) or both (22%) aged 4-11 years ( M  = 7.6 ± 1.8) were included. Assessments were performed before and after an 8-week intervention period. The primary outcome was the change in parental stress. Caregiver stress experience due to CB was also rated daily via ecological momentary assessments within the app. Secondary outcomes included the intensity of the child's CB, dysfunctional parenting, feelings of parental competency as well as caregivers' mood (rated daily in the app) and feedback on the app collected via the Mobile Application Rating Scale. Results: We observed increases in parental stress in terms of conscious feelings of incompetence. However, we also saw improvements in parental stress experience due to CB and overreactive parenting, and descriptive improvements in CB intensity and caregiver mood. Discussion: ProVIA-Kids pioneers behaviour analysis in a digital and automated format, with participants reporting high acceptance. Pilot results highlight the potential of the ProVIA-Kids app to positively influence child behaviour and caregiver mental health over a longer intervention period. Registration: The study was registered at https://www.drks.de (ID = DRKS00029039) on May 31, 2022. Competing Interests: RP is a partner in Lenox UG, which has set itself the goal of translating scientific findings into digital health applications. Lenox UG holds shares in Health Study Club GmbH. RP received consulting fees, reimbursements for congress attendance and travel expenses as well as payments for lectures in the context of diabetes topics and in connection with mobile health and e–mental health topics. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision. (© 2024 Meerson, Buchholz, Kammerer, Göster, Schobel, Ratz, Pryss, Taurines, Romanos, Gamer and Geissler.)
Databáze:	MEDLINE
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