An Emotion Regulation Tablet App for Middle-Aged and Older Adults at High Suicide Risk: Feasibility, Acceptability, and Two Case Studies

Kiosses, Dimitris N.; Monkovic, Jody; Stern, Amy; Czaja, Sara J.; Alexopoulos, George S.; Arslanoglou, Elizabeth; Ebo, Theresa; Pantelides, Joanna; Yu, Huaian; Dunefsky, Jacob; Smeragliuolo, Anna H.; Putrino, David

doi:10.1016/j.jagp.2021.08.015

Cited by 10 publications

(21 citation statements)

References 30 publications

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“…The 32 publications included in the review consisted of 16 studies that examined the feasibility and acceptability of mobile apps for suicide prevention [ 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ], 10 studies that analyzed the efficacy of mobile apps in managing suicide risk [ 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ], of which 7 studies were randomized control trials (RCTs) [ 43 , 44 , 46 , 47 , 49 , 52 ], and 6 studies that described protocols of randomized control trials not yet implemented [ 53 , 54 , 55 , 56 , 57 , 58 ]. Publication dates ranged from 2013 to 2022.…”

Section: Resultsmentioning

confidence: 99%

“…Table 1 , Table 2 , Table 3 and Table 4 report selected study characteristics. The majority of studies took place in Europe ( n = 13) [ 31 , 32 , 33 , 34 , 35 , 39 , 41 , 42 , 43 , 45 , 49 , 53 , 54 ] and the USA ( n = 9) [ 27 , 28 , 30 , 37 , 38 , 40 , 43 , 44 , 47 ].…”

Section: Resultsmentioning

confidence: 99%

“…Sixteen studies analyzed the feasibility and acceptability of mobile apps that aim to prevent suicidality ( Table 1 ). The samples recruited for each study were heterogenous and consisted of psychiatric patients [ 30 , 33 , 34 , 40 , 41 , 42 ], adolescents with suicidal ideation or behaviors [ 28 , 31 , 32 , 39 ], Australian Aboriginals [ 29 , 36 ], students and expert clinicians [ 35 ], and transgender individuals [ 37 ]. Most of the apps presented the opportunity to create a safety plan [ 31 , 33 , 35 ], provided tools for improving coping skills [ 27 , 28 , 30 , 34 , 40 ], consisted of ecological momentary assessments (EMAs) [ 38 , 41 ], or allowed daily monitoring of the state of mind through a mood diary [ 33 , 37 , 41 ].…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the feasibility and acceptability of these apps, researchers conducted different assessments: focus groups [ 29 , 31 , 35 , 37 ], clinical field testing [ 27 ], qualitative analysis [ 33 , 34 , 37 , 39 , 41 ], estimates of interactions with the app [ 28 , 30 , 33 , 34 , 36 , 38 , 41 ], semi-structured interviews [ 32 , 35 , 36 , 37 , 38 , 39 , 42 ] and self-report satisfaction questionnaires [ 28 , 30 , 38 , 40 , 41 ].…”

Section: Resultsmentioning

confidence: 99%

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The Effectiveness of Mobile Apps for Monitoring and Management of Suicide Crisis: A Systematic Review of the Literature

Sarubbi

Rogante

Erbuto

et al. 2022

JCM

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Suicide risk is a multifaceted phenomenon, and many risk factors are involved in its complexity. In the last few decades, mental health apps have spread, providing economic and affordable strategies to prevent suicide. Therefore, the aim of this review is to identify original studies on mobile apps that target suicidal crises. The review follows PRISMA guidelines, searching through four major electronic databases (PubMed/MEDLINE, Scopus, PsycInfo and Web of Science) for relevant titles/abstracts published from January 2010 to May 2022. It includes original studies that explicitly analyze mobile apps for suicide prevention. A total of 32 studies met the inclusion criteria. Sixteen studies assessed the feasibility and acceptability of mobile apps, ten studies assessed the efficacy of mobile apps in preventing suicide, and six studies described randomized control trial protocols not yet implemented. Generally, the apps were judged by participants to be acceptable and helpful, and several improvements to enhance the functionality of apps were suggested. The efficacy of mobile apps, although limited and assessed with very heterogenous methods, was confirmed by most of the studies. Mobile apps could represent a helpful supplement to traditional prevention tactics, providing real-time monitoring of at-risk persons, personalized tools to cope with suicidal crises, and immediate access to specific support.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The Effectiveness of Mobile Apps for Monitoring and Management of Suicide Crisis: A Systematic Review of the Literature

Sarubbi

Rogante

Erbuto

et al. 2022

JCM

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“…Using Alight to deliver personalized remote music interventions to patients at home could thus serve as an example of telemedicine, by bringing the therapy to the patient outside the health care system. Applications as an adjunctive element of care are increasingly used in the gerontopsychiatric field ( 37 ) and exemplified by a recent study on suicidal behavior in older adults in which a multicomponent intervention included an application that reinforced cognitive strategies for emotion regulation developed with a therapist in inpatient sessions ( 38 ).…”

Section: Discussionmentioning

confidence: 99%

The acceptability, adoption, and feasibility of a music application developed using participatory design for home-dwelling persons with dementia and their caregivers. The “Alight” app in the LIVE@Home.Path trial

Berge

Gedde²,

Vidal³

et al. 2022

Front. Psychiatry

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BackgroundMusic interventions for persons with dementia can improve health and interaction with caregivers, yet the reach is often restricted to institutions. We describe the participatory design process of a prototype music application for patients affiliated with a gerontopsychiatric hospital and evaluate the acceptability, adoption, and feasibility of use for dyads of home-dwelling persons with dementia and their informal caregivers.MethodsThe application “Alight” was developed following an iterative, expert-driven participatory design approach, which includes a requirement elicitation phase and two rounds of prototyping and testing in real-world settings. End users and stakeholders were involved in all steps, that is, workshops, interviews, field observation, ethnographic inquiries, and beta testing sessions with music therapists, patients, and caregivers in collaboration with a commercial music and technology company. The last prototyping and testing took place in the LIVE@Home.Path trial, a stepped-wedge multicomponent randomized controlled trial to improve resource utilization and caregiver burden in municipal dementia care during 2019–2021.ResultsMean age of the person with dementia in the LIVE@Home.Path trial was 82 years, 62% were female, and the majority had Alzheimer's dementia (44%) of mild severity (71%). Sixty-three dyads were offered Alight in the multicomponent intervention, of which 13% (n = 8) accepted use. The dyads accepting Alight did not differ in demographic and clinical characteristics compared to those not interested. The feasibility was high among those accepting Alight, 75% (n = 6) reported a positive impact on mood, 50% (n = 4) experienced a positive impact on activity, and 50% (n = 4) gooduser-friendliness. The adoption was high with daily use or use several times a week reported by 63% (n = 5). Obstacles emerged when updating the application in homes without wireless Wi-Fi, and some participants were unfamiliar with using touchscreens.ConclusionThe feasibility and adoption of the application were high and accepting dyads did not differ on demographic and clinical variables from those not reached. This suggests a high potential for utilization in dementia care. This study contributes methodologically to the field of participatory design and mHealth interventions by demonstrating a specific design approach that throughout the process successfully involved researchers, industry partners, health care practitioners, and end users.Clinical trial registrationClinicalTrials.gov, NCT04043364.

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Are Mobile Apps in Geriatric Mental Health Worth the Effort?

Vahia

Dickinson

Trueba

2022

The American Journal of Geriatric Psychiatry

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An Emotion Regulation Tablet App for Middle-Aged and Older Adults at High Suicide Risk: Feasibility, Acceptability, and Two Case Studies

Cited by 10 publications

References 30 publications

The Effectiveness of Mobile Apps for Monitoring and Management of Suicide Crisis: A Systematic Review of the Literature

The Effectiveness of Mobile Apps for Monitoring and Management of Suicide Crisis: A Systematic Review of the Literature

The acceptability, adoption, and feasibility of a music application developed using participatory design for home-dwelling persons with dementia and their caregivers. The “Alight” app in the LIVE@Home.Path trial

Are Mobile Apps in Geriatric Mental Health Worth the Effort?

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