User perspectives on long-term remote active electronic self-monitoring of mood symptoms in bipolar spectrum disorders.

Bipolar spectrum disorders Longitudinal Mood monitoring Online data collection User perspective

Journal

Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073

Informations de publication

Date de publication:
01 03 2023
Historique:
received: 06 07 2022
revised: 20 12 2022
accepted: 22 12 2022
pubmed: 31 12 2022
medline: 24 1 2023
entrez: 30 12 2022
Statut: ppublish

Résumé

User feedback is crucial in the development of electronic self-monitoring tools for bipolar spectrum disorders (BSD). Previous studies have examined user experiences in small samples self-monitoring over relatively short time periods. We aimed to explore the experiences of a large sample of individuals with BSD engaged in long-term remote active electronic self-monitoring. An online survey, containing closed and open questions, was sent to participants with BSD enrolled on the Bipolar Disorder Research Network (BDRN) True Colours mood-monitoring system. Questions related to experiences of using True Colours, including viewing mood graphs, and sharing data with healthcare professionals (HCPs) and/or family/friends. Response rate was 62.7 % (n = 362). 88.4 % reported finding using True Colours helpful. Commonly reported benefits were having a visual record of mood changes, patterns/triggers and identifying early warning signs. Limitations included questions not being comprehensive or revealing anything new. One third had shared their graphs, with 89.9 % finding it helpful to share with HCPs and 78.7 % helpful to share with family/friends. Perceived benefits included aiding communication and limitations included lack of interest/understanding from others. Responder bias may be present. Findings may not be generalisable to all research cohorts. The majority of participants valued long-term self-monitoring. Personalisation and ease of use were important. A potential challenge is continued use when mood is long-term stable, highlighting the need for measures to be sensitive to small changes. Sharing self-monitoring data with HCPs may enhance communication of the lived experience of those with BSD. Future research should examine HCPs' perspectives.

Sections du résumé

BACKGROUND
User feedback is crucial in the development of electronic self-monitoring tools for bipolar spectrum disorders (BSD). Previous studies have examined user experiences in small samples self-monitoring over relatively short time periods. We aimed to explore the experiences of a large sample of individuals with BSD engaged in long-term remote active electronic self-monitoring.
METHODS
An online survey, containing closed and open questions, was sent to participants with BSD enrolled on the Bipolar Disorder Research Network (BDRN) True Colours mood-monitoring system. Questions related to experiences of using True Colours, including viewing mood graphs, and sharing data with healthcare professionals (HCPs) and/or family/friends.
RESULTS
Response rate was 62.7 % (n = 362). 88.4 % reported finding using True Colours helpful. Commonly reported benefits were having a visual record of mood changes, patterns/triggers and identifying early warning signs. Limitations included questions not being comprehensive or revealing anything new. One third had shared their graphs, with 89.9 % finding it helpful to share with HCPs and 78.7 % helpful to share with family/friends. Perceived benefits included aiding communication and limitations included lack of interest/understanding from others.
LIMITATIONS
Responder bias may be present. Findings may not be generalisable to all research cohorts.
CONCLUSIONS
The majority of participants valued long-term self-monitoring. Personalisation and ease of use were important. A potential challenge is continued use when mood is long-term stable, highlighting the need for measures to be sensitive to small changes. Sharing self-monitoring data with HCPs may enhance communication of the lived experience of those with BSD. Future research should examine HCPs' perspectives.

Identifiants

pubmed: 36584706
pii: S0165-0327(22)01451-3
doi: 10.1016/j.jad.2022.12.090
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

325-333

Subventions

Organisme : Department of Health
Pays : United Kingdom

Informations de copyright

Copyright © 2022 The Authors. Published by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Conflict of interest None.

Auteurs

Katherine Gordon-Smith (K)

Psychological Medicine, University of Worcester, UK.

Kate E A Saunders (KEA)

Department of Psychiatry, Oxford University, Warneford Hospital, Oxford, UK; Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford, UK.

Thomas Morton (T)

Psychological Medicine, University of Worcester, UK.

Julia Savage (J)

Expert by Lived Experience, Worcester, UK.

Matthew South (M)

Department of Psychiatry, Oxford University, Warneford Hospital, Oxford, UK; Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford, UK.

John Geddes (J)

Department of Psychiatry, Oxford University, Warneford Hospital, Oxford, UK; Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford, UK.

Nick Craddock (N)

National Centre for Mental Health, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK.

Ian Jones (I)

National Centre for Mental Health, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK.

Lisa Jones (L)

Psychological Medicine, University of Worcester, UK. Electronic address: lisa.jones@worc.ac.uk.

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Classifications MeSH