Effects on voice hearing distress and social functioning of unguided application of a smartphone app — A randomized controlled trial

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2024-01-26 DOI:10.1016/j.invent.2024.100717

Alyssa Jongeneel , Philippe Delespaul , Nynke Tromp , Dorien Scheffers , Berber van der Vleugel , Paul de Bont , Martijn Kikkert , Carlos F. Croes , Anton B.P. Staring , Heleen Riper , Mark van der Gaag , David van den Berg

{"title":"Effects on voice hearing distress and social functioning of unguided application of a smartphone app — A randomized controlled trial","authors":"Alyssa Jongeneel , Philippe Delespaul , Nynke Tromp , Dorien Scheffers , Berber van der Vleugel , Paul de Bont , Martijn Kikkert , Carlos F. Croes , Anton B.P. Staring , Heleen Riper , Mark van der Gaag , David van den Berg","doi":"10.1016/j.invent.2024.100717","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Temstem is a smartphone app developed with and for clinical voice hearing individuals with the aim to reduce their voice hearing distress and improve social functioning.</p></div><div><h3>Methods</h3><p>A randomized controlled trial with adult outpatients suffering from distressing and frequent auditory verbal hallucinations (AVH) was conducted. Participants were randomized to unguided ‘Temstem+AVH monitoring’ or unguided ‘AVH monitoring only’ (control condition). Assessments were performed at baseline, post-intervention (week 5–6), and follow-up (week 9–10). Primary outcomes were voice hearing distress and social functioning, as measured with Experience Sampling Method (ESM), consisting of multiple daily questionnaires during six days. In addition, voices and mood were self-monitored with help of a daily reflective questionnaire. Analyses were linear regression models (intention-to-treat).</p></div><div><h3>Results</h3><p>44 Participants were allocated to Temstem and 45 to the control condition. No significant differences between the groups were found on both primary outcomes.</p></div><div><h3>Conclusion</h3><p>Our results do not support the effectiveness of stand-alone use of Temstem versus symptom monitoring on voice hearing distress or social functioning in voice hearing individuals. In order to potentially improve effectiveness of an mHealth tool in a population of people with frequent and distressing voices, we recommend to involve persons with lived experience in all stages of development and research; to thoroughly test the (technological) usability before performing an RCT; to test whether guidance of a therapist is needed to optimize effectiveness; and to provide prompts to remind the user to actually use the tool.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":null,"pages":null},"PeriodicalIF":3.6000,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000101/pdfft?md5=fc896882ccdca17650d308d34bc10a66&pid=1-s2.0-S2214782924000101-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214782924000101","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Temstem is a smartphone app developed with and for clinical voice hearing individuals with the aim to reduce their voice hearing distress and improve social functioning.

Methods

A randomized controlled trial with adult outpatients suffering from distressing and frequent auditory verbal hallucinations (AVH) was conducted. Participants were randomized to unguided ‘Temstem+AVH monitoring’ or unguided ‘AVH monitoring only’ (control condition). Assessments were performed at baseline, post-intervention (week 5–6), and follow-up (week 9–10). Primary outcomes were voice hearing distress and social functioning, as measured with Experience Sampling Method (ESM), consisting of multiple daily questionnaires during six days. In addition, voices and mood were self-monitored with help of a daily reflective questionnaire. Analyses were linear regression models (intention-to-treat).

Results

44 Participants were allocated to Temstem and 45 to the control condition. No significant differences between the groups were found on both primary outcomes.

Conclusion

Our results do not support the effectiveness of stand-alone use of Temstem versus symptom monitoring on voice hearing distress or social functioning in voice hearing individuals. In order to potentially improve effectiveness of an mHealth tool in a population of people with frequent and distressing voices, we recommend to involve persons with lived experience in all stages of development and research; to thoroughly test the (technological) usability before performing an RCT; to test whether guidance of a therapist is needed to optimize effectiveness; and to provide prompts to remind the user to actually use the tool.

查看原文本刊更多论文

无指导应用智能手机应用程序对语音听力困扰和社交功能的影响--随机对照试验

背景Temstem是一款与临床嗓音听力患者共同开发的智能手机应用程序，旨在减轻他们的嗓音听力困扰并改善其社会功能。方法对患有令人痛苦和频繁的听觉言语幻觉（AVH）的成年门诊患者进行了随机对照试验。参与者被随机分配到无指导的 "Temstem+AVH 监测 "或无指导的 "仅AVH 监测"（对照条件）。评估分别在基线、干预后（第 5-6 周）和随访（第 9-10 周）进行。主要结果是嗓音听力困扰和社会功能，采用经验取样法（ESM）进行测量，包括在六天内每天进行多次问卷调查。此外，还通过每日反思问卷对嗓音和情绪进行自我监测。分析采用线性回归模型（意向治疗）。结果44名参与者被分配到Temstem组，45名参与者被分配到对照组。结论我们的研究结果并不支持单独使用 Temstem 与症状监测对嗓音听力者的嗓音听力困扰或社会功能的有效性。为了提高移动医疗工具在经常出现嗓音困扰的人群中的有效性，我们建议让有生活经验的人参与到开发和研究的各个阶段；在进行 RCT 之前彻底测试（技术）可用性；测试是否需要治疗师的指导以优化有效性；以及提供提示以提醒用户实际使用该工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions