Can experience sampling self-monitoring tools promote the activation of clients in mental healthcare? A qualitative study.

IF 2.9 4区 医学 Q2 PSYCHIATRY
Lena de Thurah, Jeroen Weermeijer, Lotte Uyttebroek, Martien Wampers, Rafaël Bonnier, Inez Myin-Germeys, Glenn Kiekens
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引用次数: 0

Abstract

Background: Actively engaging clients in managing their health and care is crucial for person-centered mental healthcare. Self-monitoring tools such as the Experience Sampling Method (ESM) can help individuals collect information about their mental health and daily activities on their smartphones and share this with their clinicians.

Aims: This qualitative paper examines how ESM self-monitoring might enhance self-insight, self-management, self-efficacy, therapeutic alliance, and shared decision-making and this way facilitate the activation of clients in mental healthcare.

Methods: Twelve clinicians and 24 clients participated in the IMPROVE study. After using the IMPROVE ESM self-monitoring tool, seven clinicians and 11 clients were interviewed, and a thematic analysis examined participants' experiences of changes in processes related to client activation.

Results: Clients reported improvements in self-awareness, self-insight, and self-management. Only a few participants experienced enhanced self-efficacy, improved therapeutic alliances, and more client involvement. Self-awareness was mainly boosted via smartphone self-monitoring, while collaborative data interpretation between clients and clinicians was crucial for unlocking insights about clients' mental health and creating actionable therapy goals.

Conclusion: Our findings suggest that using ESM self-monitoring tools can help facilitate the activation of clients in mental healthcare. Future research should develop best practice guidelines for integrating these tools into clinical care.

体验抽样自我监测工具是否能促进心理保健客户的激活?定性研究。
背景:积极参与客户管理他们的健康和护理是至关重要的,以人为本的精神卫生保健。体验抽样法(ESM)等自我监控工具可以帮助个人在智能手机上收集有关心理健康和日常活动的信息,并与临床医生分享。目的:本定性研究探讨ESM自我监控如何增强自我洞察、自我管理、自我效能、治疗联盟和共同决策,并通过这种方式促进心理保健客户的激活。方法:12名临床医生和24名患者参与了改进研究。在使用改进ESM自我监测工具后,对7名临床医生和11名客户进行了访谈,并进行了主题分析,检查了参与者对客户激活相关流程变化的体验。结果:客户报告了自我意识、自我洞察和自我管理方面的改善。只有少数参与者经历了自我效能的增强、治疗联盟的改善和更多的来访者参与。自我意识主要通过智能手机自我监控来提高,而客户和临床医生之间的协作数据解释对于了解客户的心理健康状况和制定可行的治疗目标至关重要。结论:我们的研究结果表明,使用ESM自我监测工具有助于促进心理保健客户的激活。未来的研究应该制定将这些工具整合到临床护理中的最佳实践指南。
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来源期刊
Journal of Mental Health
Journal of Mental Health PSYCHOLOGY, CLINICAL-
CiteScore
6.40
自引率
3.00%
发文量
117
期刊介绍: The Journal of Mental Health is an international forum for the latest research in the mental health field. Reaching over 65 countries, the journal reports on the best in evidence-based practice around the world and provides a channel of communication between the many disciplines involved in mental health research and practice. The journal encourages multi-disciplinary research and welcomes contributions that have involved the users of mental health services. The international editorial team are committed to seeking out excellent work from a range of sources and theoretical perspectives. The journal not only reflects current good practice but also aims to influence policy by reporting on innovations that challenge traditional ways of working.
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