A systematic review of dialectical behavior therapy mobile apps for content and usability.

IF 4 2区医学 Q1 PSYCHIATRY

Borderline Personality Disorder and Emotion Dysregulation Pub Date : 2021-12-03 DOI:10.1186/s40479-021-00167-5

Chelsey R Wilks, Kyrill Gurtovenko, Kevin Rebmann, James Williamson, Josh Lovell, Akash R Wasil

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引用次数: 3

Abstract

Background: The gap between treatment need and treatment availability is particularly wide for individuals seeking Dialectical Behavior Therapy (DBT), and mobile apps based on DBT may be useful in increasing access to care and augmenting in-person DBT. This review examines DBT based apps, with a specific focus on content quality and usability.

Methods: All apps referring to DBT were identified in Google Play and iOS app stores and were systematically reviewed for app content and quality. The Mobile App Rating Scale (MARS) was used to evaluate app usability and engagement.

Results: A total of 21 free to download apps were identified. The majority of apps (71%) included a component of skills training, five apps included a diary card feature. Most (76.19%) apps were designed to function without help from a therapist. The average user "star" rating was 4.39 out of 5. The mean overall MARS score was 3.41, with a range of 2.15 to 4.59, and 71.43% were considered minimally 'acceptable,' as defined by a score of 3 or higher. The average star rating was correlated with the total MARS score (r = .51, p = .02). Estimates of app usage differed substantially between popular and unpopular apps, with the three most popular apps accounting for 89.3% of monthly active users.

Conclusions: While the present study identified many usable and engaging apps in app stores designed based on DBT, there are limited apps for clinicians. DBT based mobile apps should be carefully developed and clinically evaluated.

Abstract Image

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辩证行为治疗手机应用程序的内容和可用性的系统回顾。

背景：对于寻求辩证行为疗法（DBT）的个人来说，治疗需求和治疗可用性之间的差距尤其大，基于DBT的移动应用程序可能有助于增加获得护理的机会和增强面对面的DBT。这篇综述考察了基于DBT的应用程序，特别关注内容质量和可用性。方法：在Google Play和iOS应用商店中识别所有提及DBT的应用程序，并对其应用程序内容和质量进行系统审查。移动应用评分量表（MARS）用于评估应用的可用性和参与度。结果：共发现21个免费下载的应用程序。大多数应用程序（71%）包含技能培训的组成部分，五个应用程序包含日记卡功能。大多数（76.19%）的应用程序都是在没有治疗师帮助的情况下运行的。用户的平均“星级”评分为4.39分（满分5分）。平均总体MARS评分为3.41，范围为2.15至4.59，71.43%被认为是最低限度的“可接受”，定义为3分或更高。平均星级与MARS总分相关（r = .51，p = .02）。热门和不受欢迎的应用程序对应用程序使用情况的估计存在很大差异，最受欢迎的三款应用程序占月活跃用户的89.3%。结论：虽然本研究在基于DBT设计的应用商店中发现了许多可用且引人入胜的应用程序，但临床医生使用的应用程序有限。应仔细开发基于DBT的移动应用程序并进行临床评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Borderline Personality Disorder and Emotion Dysregulation Psychology-Clinical Psychology

CiteScore

6.00

自引率

9.80%

发文量

审稿时长

28 weeks

期刊介绍： Borderline Personality Disorder and Emotion Dysregulation provides a platform for researchers and clinicians interested in borderline personality disorder (BPD) as a currently highly challenging psychiatric disorder. Emotion dysregulation is at the core of BPD but also stands on its own as a major pathological component of the underlying neurobiology of various other psychiatric disorders. The journal focuses on the psychological, social and neurobiological aspects of emotion dysregulation as well as epidemiology, phenomenology, pathophysiology, treatment, neurobiology, genetics, and animal models of BPD.