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Use of ecological momentary assessment through a passive smartphone-based app (eB2) by patients with schizophrenia: Acceptability study

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dc.affiliation.dptoUC3M. Departamento de Teoría de la Señal y Comunicacioneses
dc.affiliation.grupoinvUC3M. Grupo de Investigación: Tratamiento de la Señal y Aprendizaje (GTSA)es
dc.contributor.authorLópez-Morinigo, Javier-David
dc.contributor.authorBarrigón Estévez, María Luisa
dc.contributor.authorPorras-Segovia, Alejandro
dc.contributor.authorGonzález Ruiz-Ruano, Verónica
dc.contributor.authorSánchez Escribano Martínez, Adela
dc.contributor.authorEscobedo-Aedo, Paula Jhoana
dc.contributor.authorSánchez Alonso, Sergio
dc.contributor.authorMata Iturralde, Laura
dc.contributor.authorMuñoz Lorenzo, Laura
dc.contributor.authorArtés Rodríguez, Antonio
dc.contributor.authorDavid, Anthony S
dc.contributor.authorBaca-García, Enrique
dc.contributor.funderComunidad de Madrides
dc.contributor.funderMinisterio de Ciencia, Innovación y Universidades (España)es
dc.date.accessioned2023-03-09T13:52:25Z
dc.date.available2023-03-09T13:52:25Z
dc.date.issued2021-07-26
dc.description.abstractBackground: Ecological momentary assessment (EMA) tools appear to be useful interventions for collecting real-time data on patients behavior and functioning. However, concerns have been voiced regarding the acceptability of EMA among patients with schizophrenia and the factors influencing EMA acceptability. Objective: The aim of this study was to investigate the acceptability of a passive smartphone-based EMA app, evidence-based behavior (eB2), among patients with schizophrenia spectrum disorders and the putative variables underlying their acceptance. Methods: The participants in this study were from an ongoing randomized controlled trial (RCT) of metacognitive training, consisting of outpatients with schizophrenia spectrum disorders (F20-29 of 10th revision of the International Statistical Classification of Diseases and Related Health Problems), aged 18-64 years, none of whom received any financial compensation. Those who consented to installation of the eB2 app (users) were compared with those who did not (nonusers) in sociodemographic, clinical, premorbid adjustment, neurocognitive, psychopathological, insight, and metacognitive variables. A multivariable binary logistic regression tested the influence of the above (independent) variables on being user versus nonuser (acceptability), which was the main outcome measure. Results: Out of the 77 RCT participants, 24 (31%) consented to installing eB2, which remained installed till the end of the study (median follow-up 14.50 weeks) in 14 participants (70%). Users were younger and had a higher education level, better premorbid adjustment, better executive function (according to the Trail Making Test), and higher cognitive insight levels (measured with the Beck Cognitive Insight Scale) than nonusers (univariate analyses) although only age (OR 0.93, 95% CI 0.86-0.99; P=048) and early adolescence premorbid adjustment (OR 0.75, 95% CI 0.61-0.93; P=01) survived the multivariable regression model, thus predicting eB2 acceptability. Conclusions: Acceptability of a passive smartphone-based EMA app among participants with schizophrenia spectrum disorders in this RCT where no participant received financial compensation was, as expected, relatively low, and linked with being young and good premorbid adjustment. Further research should examine how to increase EMA acceptability in patients with schizophrenia spectrum disorders, in particular, older participants and those with poor premorbid adjustment.en
dc.description.sponsorshipThis study was supported by the Universidad Autónoma de Madrid and European Union via the Intertalentum Project Grant-Marie Skodowska Curie Actions (GA 713366) to JDLM who is the principal investigator. This grant, therefore, funds both JDLM's salary and the consumable expenses related to the study. MLB, VGRR, ASEM, PJEA, SSA, LMI, LML, and EBG's salaries come from the Hospital Universitario Fundación Jiménez Díaz, where this study is currently being carried out, which therefore provides the necessary institutional/departmental support for its development. Additional departmental support concerning the use of EMA is provided by the Instituto de Salud Carlos III (Madrid, Spain) (ISCIII PI16/01852), the Madrid Regional Government (Madrid, Spain) (B2017/BMD-3740 AGES-CM 2CM; Y2018/TCS-4705 PRACTICO-CM), and the Spanish Ministerio de Ciencia, Innovación y Universidades (TEC2017-92552-EXP). ASD acknowledges funding support from University College London, which covers his salary. The funders had no role in hypothesis generation, study design, decision to publish, or the manuscript writing. No funder has a conflict of interest in relation to the study's results and findings. The funding bodies supported the peer review for this manuscript.en
dc.format.extent13
dc.identifier.bibliographicCitationLopez-Morinigo, J. D., et al. (2021). Use of Ecological Momentary Assessment Through a Passive Smartphone-Based App (eB2) by Patients With Schizophrenia: Acceptability Study. Journal of Medical Internet Research, 23(7), e26548.en
dc.identifier.doihttps://doi.org/10.2196/26548
dc.identifier.issn1439-4456
dc.identifier.publicationfirstpage1
dc.identifier.publicationissue7, e26548
dc.identifier.publicationlastpage13
dc.identifier.publicationtitleJournal of Medical Internet Researchen
dc.identifier.publicationvolume23
dc.identifier.urihttps://hdl.handle.net/10016/36800
dc.identifier.uxxiAR/0000028809
dc.language.isoeng
dc.publisherJMIR Publicationsen
dc.relation.projectIDGobierno de España. TEC2017-92552-EXPes
dc.relation.projectIDComunidad de Madrid. Y2018/TCS-4705es
dc.relation.projectIDComunidad de Madrid. B2017/BMD-3740es
dc.rights©Javier-David Lopez-Morinigo, María Luisa Barrigón, Alejandro Porras-Segovia, Verónica González Ruiz-Ruano, Adela Sánchez Escribano Martínez, Paula Jhoana Escobedo-Aedo, Sergio Sánchez Alonso, Laura Mata Iturralde, Laura Muñoz Lorenzo, Antonio Artés-Rodríguez, Anthony S David, Enrique Baca-García.en
dc.rightsAtribución 3.0 España*
dc.rights.accessRightsopen accessen
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/es/*
dc.subject.ecienciaBiología y Biomedicinaes
dc.subject.ecienciaEstadísticaes
dc.subject.ecienciaMedicinaes
dc.subject.ecienciaPsicologíaes
dc.subject.ecienciaTelecomunicacioneses
dc.subject.otherEcological momentary assessmenten
dc.subject.otherAcceptabilityen
dc.subject.otherSchizophrenia spectrum disordersen
dc.subject.otherEB2en
dc.subject.otherDigital toolsen
dc.subject.otherMental healthen
dc.subject.otherSchizophreniaen
dc.subject.otherReal-time dataen
dc.subject.otherPatientsen
dc.subject.otherDigital healthen
dc.subject.otherInterneten
dc.subject.otherMobile appsen
dc.titleUse of ecological momentary assessment through a passive smartphone-based app (eB2) by patients with schizophrenia: Acceptability studyen
dc.typeresearch article*
dc.type.hasVersionVoR*
dspace.entity.typePublication
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