CALMA, a Mobile Health Application, as an Accessory to Therapy for Reduction of Suicidal and Non-Suicidal Self-Injured Behaviors: A Pilot Cluster Randomized Controlled Trial

Rodante, Demián; Kaplan, M.; Fedi, Ramiro H Olivera; Gagliesi, Pablo; Pascali, Agustina; Quintero, Paula S José; Compte, Emilio J.; Pérez, Ana Isabel García; Weinstein, Melina; Chiapella, Luciana; Daray, Federico Manuel

doi:10.1080/13811118.2020.1834476

Cited by 24 publications

(34 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Follow up was 1 week later. In the experimental video Marsha Linehan taught ‘opposite action’, part of the emotion regulation module of DBT [ 78 ]. Twenty percent of the participants dropped out.…”

Section: Resultsmentioning

confidence: 99%

“…We did not find a trial that investigated the added value of standard DBT + telepsychology in comparison to standard DBT. However, smartphone apps are experienced as an acceptable facilitator in access and implantation of DBT skills and led to decrease of a broad range of psychopathology [ 46 – 48 , 78 – 80 ]. One patient described how usage of an application could help to minimalize stigma, as the use of a smartphone is experienced as a common habit [ 72 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Reviewing the availability, efficacy and clinical utility of Telepsychology in dialectical behavior therapy (Tele-DBT)

Leeuwen

Sinnaeve

Witteveen

et al. 2021

bord personal disord emot dysregul

View full text Add to dashboard Cite

Background Telepsychology is increasingly being implemented in mental health care. We conducted a scoping review on the best available research evidence regarding availability, efficacy and clinical utility of telepsychology in DBT. The review was performed using PRISMA-ScR guidelines. Our aim was to help DBT-therapists make empirically supported decisions about the use of telepsychology during and after the current pandemic and to anticipate the changing digital needs of patients and clinicians. Methods A search was conducted in PubMed, Embase, PsycARTICLES and Web of Science. Search terms for telepsychology were included and combined with search terms that relate to DBT. Results Our search and selection procedures resulted in 41 articles containing information on phone consultation, smartphone applications, internet delivered skills training, videoconferencing, virtual reality and computer- or video-assisted interventions in DBT. Conclusions The majority of research about telepsychology in DBT has focused on the treatment mode of between-session contact. However, more trials using sophisticated empirical methodologies are needed. Quantitative data on the efficacy and utility of online and blended alternatives to standard (i.e. face-to-face) individual therapy, skills training and therapist consultation team were scarce. The studies that we found were designed to evaluate feasibility and usability. A permanent shift to videoconferencing or online training is therefore not warranted as long as face-to-face is an option. In all, there is an urgent need to compare standard DBT to online or blended DBT. Smartphone apps and virtual reality (VR) are experienced as an acceptable facilitator in access and implantation of DBT skills. In addition, we have to move forward on telepsychology applications by consulting our patients, younger peers and experts in adjacent fields if we want DBT to remain effective and relevant in the digital age.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Reviewing the availability, efficacy and clinical utility of Telepsychology in dialectical behavior therapy (Tele-DBT)

Leeuwen

Sinnaeve

Witteveen

et al. 2021

bord personal disord emot dysregul

View full text Add to dashboard Cite

show abstract

“…We hypothesize that with the app, users feel more encouragement or support (from the notifications they receive) and greater satisfaction than with the manual, and they continue to use it over time due to its interactivity, its many more dynamic and updated contents, and the alert reminders that make it easier to remember to use it. Previous studies have shown that several apps for people with BPD can improve their symptomatology and generalize skills to their natural context (Frias et al, 2020; Helweg-Joergensen et al, 2019 , Helweg-Jørgensen et al, 2020 ; Prada et al, 2017 ; Rizvi et al, 2011 , Rizvi et al, 2016 ; Rodante et al, 2020 ; Schroeder et al, 2018 ; Suñol et al, 2017 ). In addition, an EMA-based app for family members of people with physical and/or mental disabilities decreased stress and depressive symptoms and increased emotional well-being, optimism, self-esteem, support from family and significant others, and subjective well-being ( Fuller-Tyszkiewicz et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…Some apps for people with BPD help to improve their symptomatology, generalize the skills learned to their daily context, keep daily records, and receive feedback from health professionals. Some examples are DBT-Coach ( Rizvi et al, 2011 , Rizvi et al, 2016 ), EMOTEO ( Prada et al, 2017 ), mDiary app ( Helweg-Joergensen et al, 2019 , Helweg-Jørgensen et al, 2020 ), B.RIGHT ( Frías et al, 2021 ), Medtep DBT ( Suñol et al, 2017 ), Pocket Skills ( Schroeder et al, 2018 ), and CALMA ( Rodante et al, 2020 ). However, to the best of our knowledge, there is no smartphone app specifically for family members of people with BPD.…”

Section: Introductionmentioning

confidence: 99%

A smartphone application of “Family Connections” to increase the use of skills and improve psychological symptoms in relatives of people with borderline personality disorder: A study protocol for a randomized controlled trial

Fernández-Felipe

Guillén

Castilla

et al. 2022

Internet Interventions

View full text Add to dashboard Cite

“…Mobile apps have the potential to reduce barriers and increase engagement in treatment [ 21 , 22 ]. Mobile apps can automatically provide an overview of the patients' progress and enable therapists to monitor the present emotional stage of patients during treatment [ 21 , 24 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

Mobile Diary App Versus Paper-Based Diary Cards for Patients With Borderline Personality Disorder: Economic Evaluation

Laursen¹,

Helweg-Jørgensen²,

Langergaard³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

Background The cost-effectiveness of using a mobile diary app as an adjunct in dialectical behavior therapy (DBT) in patients with borderline personality disorder is unknown. Objective This study aims to perform an economic evaluation of a mobile diary app compared with paper-based diary cards in DBT treatment for patients with borderline personality disorder in a psychiatric outpatient facility. Methods This study was conducted alongside a pragmatic, multicenter, randomized controlled trial. The participants were recruited at 5 Danish psychiatric outpatient facilities and were randomized to register the emotions, urges, and skills used in a mobile diary app or on paper-based diary cards. The participants in both groups received DBT delivered by the therapists. A cost-consequence analysis with a time horizon of 12 months was performed. Consequences included quality-adjusted life years (QALYs), depression severity, borderline severity, suicidal behavior, health care use, treatment compliance, and system usability. All relevant costs were included. Focus group interviews were conducted with patients, therapists, researchers, and industry representatives to discuss the potential advantages and disadvantages of using a mobile diary app. Results A total of 78 participants were included in the analysis. An insignificantly higher number of participants in the paper group dropped out before the start of treatment (P=.07). Of those starting treatment, participants in the app group had an average of 37.1 (SE 27.55) more days of treatment and recorded an average of 3.16 (SE 5.10) more skills per week than participants in the paper group. Participants in both groups had a QALY gain and a decrease in depression severity, borderline severity, and suicidal behavior. Significant differences were found in favor of the paper group for both QALY gain (adjusted difference −0.054; SE 0.03) and reduction in depression severity (adjusted difference −1.11; SE 1.57). The between-group difference in total costs ranged from US $107.37 to US $322.10 per participant during the 12 months. The use of services in the health care sector was similar across both time points and groups (difference: psychiatric hospitalization <5 and <5; general practice −1.32; SE 3.68 and 2.02; SE 3.19). Overall, the patients showed high acceptability and considered the app as being easy to use. Therapists worried about potential negative influences on the therapist-patient interaction from new work tasks accompanying the introduction of the new technology but pointed at innovation potential from digital database registrations. Conclusions This study suggests both positive and negative consequences of mobile diary apps as adjuncts to DBT compared with paper diary cards. More research is needed to draw conclusions regarding its cost-effectiveness. Trial Registration ClinicalTrials.gov NCT03191565; http://clinicaltrials.gov/ct2/show/NCT03191565 International Registered Report Identifier (IRRID) RR2-10.2196/17737

show abstract

CALMA, a Mobile Health Application, as an Accessory to Therapy for Reduction of Suicidal and Non-Suicidal Self-Injured Behaviors: A Pilot Cluster Randomized Controlled Trial

Cited by 24 publications

References 45 publications

Reviewing the availability, efficacy and clinical utility of Telepsychology in dialectical behavior therapy (Tele-DBT)

Reviewing the availability, efficacy and clinical utility of Telepsychology in dialectical behavior therapy (Tele-DBT)

A smartphone application of “Family Connections” to increase the use of skills and improve psychological symptoms in relatives of people with borderline personality disorder: A study protocol for a randomized controlled trial

Mobile Diary App Versus Paper-Based Diary Cards for Patients With Borderline Personality Disorder: Economic Evaluation

Contact Info

Product

Resources

About