Smartphone-based Interventions for Psychosis
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores how smartphones can manage early psychosis by using sensors to detect mood changes. When the smartphone detects a negative mood, it suggests short mental health exercises, such as mindfulness or educational tips. Individuals with a psychotic disorder who experience symptoms like anxiety or depression and own a smartphone might be suitable candidates for this trial. The goal is to determine if these timely interventions, known as Sensor-Informed Smartphone-based Mental Health Interventions, can improve mood and mental health. As an unphased trial, this study provides a unique opportunity to contribute to innovative research that could enhance mental health management through technology.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that these smartphone-based interventions are safe for individuals with early psychosis?
Research has shown that smartphone apps for mental health support are generally safe for people with psychosis. Studies have found that these digital tools do not worsen feelings of paranoia or delusions, which is crucial for mental health care.
One study examined the safety of these tools and found that risks, such as privacy and data security, are usually well-managed. Although privacy concerns are understandable, the technology is designed to protect user information.
Overall, these tools are well-tolerated, with no major reports of harmful effects directly linked to using smartphone apps for mental health monitoring and support.12345Why are researchers excited about this trial?
Researchers are excited about smartphone-based interventions for psychosis because these treatments offer a personalized, flexible approach not seen in traditional care like antipsychotic medications and in-person therapy. These interventions use smartphone sensors to gather real-time data and adapt the treatment to the user's current mood and symptoms, providing mindfulness exercises or psychoeducation when needed. This method empowers individuals with psychosis to manage their symptoms more effectively on-the-go, potentially leading to improved mental health outcomes.
What evidence suggests that these smartphone-based interventions are effective for psychosis?
This trial will evaluate the effectiveness of sensor-informed smartphone-based mental health interventions for managing symptoms of psychosis. Studies have shown that smartphone apps for mental health can help manage these symptoms. Research indicates that these apps, which include activities like mindfulness exercises and educational content about mental health, can reduce feelings of anxiety and stress. Smartphones can also use their sensors to detect mood changes and provide timely support, potentially improving mental health. A review of several studies found that mobile health tools can lead to a small but meaningful reduction in symptoms of severe mental illnesses. While more research is needed, early findings suggest that using smartphones in this way could be a promising option for people with early signs of psychosis.12467
Are You a Good Fit for This Trial?
This trial is for adults aged 18-50 who have been diagnosed with a psychotic disorder like schizophrenia, currently have mild or greater depression or anxiety symptoms, own a smartphone, speak English, and can give consent.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Phase 1
Participants engage in micro-randomized trials using smartphone-based interventions to assess feasibility and acceptability
Phase 2
Continuation of micro-randomized trials with focus on training machine learning models and assessing intervention effects
Follow-up
Participants are monitored for feedback and satisfaction through qualitative exit interviews
What Are the Treatments Tested in This Trial?
Interventions
- Sensor-Informed Smartphone-based Mental Health Interventions
Trial Overview
The study tests if using smartphone sensors to detect low mood and then sending brief mental health interventions—like mindfulness exercises or educational messages—can help people with early psychosis. Some participants get neutral messages as a control.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Each participant is randomized four times per day to receive one of four conditions with equal probability (33.3% each): a mindfulness exercise, psychoeducation, a neutral control message. A brief EMA is completed before and after each randomization event to measure proximal changes in mood (sadness, anxiety, irritability, stress, rumination).
Find a Clinic Near You
Who Is Running the Clinical Trial?
Mclean Hospital
Lead Sponsor
Citations
Smartphone-Based Self-Monitoring in First Episode Psychosis
Despite growing interest in smartphone technologies to monitor patient outcomes, only a limited number of studies have investigated the ...
Smartphone-based Interventions for Psychosis
The aim of this trial is to evaluate the feasibility and preliminary efficacy of using passive smartphone sensors to detect moments of ...
Smartphone digital phenotyping in mental health disorders ...
This review evaluates the different sensors and methods utilized in digital phenotyping research across 112 papers.
Investigating Smartphone-Based Sensing Features for ...
The aim of this study was to investigate various features based on the smartphone screen, app usage, and call sensor alongside EMA to infer depression severity.
Smartphone Apps and Digital Tools for Managing ...
There is increasing interest in smartphone digital mental health interventions (DMHIs) for managing schizophrenia.
Use of smartphone sensor data in detecting and predicting ...
However, it is unclear to what extent phone-based passive digital data can facilitate detection and prediction of youth anxiety and depression.
The Safety of Digital Mental Health Interventions - PMC - NIH
This study aims to review the literature to assess how DMHIs assess safety, what risks are reported, and how they are mitigated in both the research and ...
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