Autor: |
Amy Cochran, Jacob M Maronge, Amanda Victory, Sydney Hoel, Melvin G McInnis, Emily BK Thomas |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
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Zdroj: |
JMIR Mental Health, Vol 10, p e43164 (2023) |
Druh dokumentu: |
article |
ISSN: |
2368-7959 |
DOI: |
10.2196/43164 |
Popis: |
BackgroundMobile interventions promise to fill in gaps in care with their broad reach and flexible delivery. ObjectiveOur goal was to investigate delivery of a mobile version of acceptance and commitment therapy (ACT) for individuals with bipolar disorder (BP). MethodsIndividuals with BP (n=30) participated in a 6-week microrandomized trial. Twice daily, participants logged symptoms in the app and were repeatedly randomized (or not) to receive an ACT intervention. Self-reported behavior and mood were measured as the energy devoted to moving toward valued domains or away from difficult emotions and with depressive d and manic m scores from the digital survey of mood in BP survey (digiBP). ResultsParticipants completed an average of 66% of in-app assessments. Interventions did not significantly impact the average toward energy or away energy but did significantly increase the average manic score m (P=.008) and depressive score d (P=.02). This was driven by increased fidgeting and irritability and interventions focused on increasing awareness of internal experiences. ConclusionsThe findings of the study do not support a larger study on the mobile ACT in BP but have significant implications for future studies seeking mobile therapy for individuals with BP. Trial RegistrationClinicalTrials.gov NCT04098497; https://clinicaltrials.gov/ct2/show/NCT04098497 |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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