an ecological momentary intervention to improve social
TRANSCRIPT
An ecological momentary intervention to improve social functioning in schizophrenia spectrum disorders- a friend in your pocket?
Anne-Kathrin Fett, PhD
Social functioning and psychosis4
68
1012
1416
Childhood
Early adolescence
Late adolescence
Class1
Class2
Class3
Class4
Controls
PAS
46
810
1214
16
0 2 4 6 8 10 12 14 16 18 20
Time after onset (years)
QLS
0 10 20 30 40 50
pMDD
pBD
SZ
0 10 20 30 40 50
pMDD
pBD
SZ
0 10 20 30 40 50
pMDD
pBD
SZ
0 10 20 30 40 50
pMDD
pBD
SZ
Velthorst, Fett et al. (2016), Am J Psych
ControlsAIMS
Can an interactive app with personalized tailored prompts increase social contact?
Method
• Outpatients with a diagnosis of SZ
• Two groups• personalised
feedback (n = 27)• without feedback
(n = 23) - € 150
Disentangle monitoring from interactive feedback effects
Good morning…
How was your day?
I feel Lonely
Suggestion for contact with friends or family
Medication reminder
Personalisedcoping tips and activities
What participants saidGood initiative, I was very happy with the app and
hope that it will be further developed. I think that
people with psychosis really can benefit from it…
I realised how alone I wasIt was
“gezellig” –I felt less
lonely
A bit irritating, samey…
Always nice to get a
beep
Gave me structure
Gave me ideas about what I
could do
More attention to how I was feeling
put things into perspective
I would like more feedback and link to
calendar function
Interfered with my structure
I would like to see my responses
ResultsNo change• Questionnaire measures social
engagement• ESM social engagement• ESM positive/negative affect
Decrease• Both groups: ESM loneliness• Feedback group: ESM positive • Both groups: Cape positive
• 64 enrolled, 9 non-completers• 6 < 30% of ESM
• No smartphone 14%
• Easy to use 94%
• Design appealing 95%
• Reflects my experiences 68%
• I used coping tips 74%
• App annoyed me at some point• Feedback 73% vs. No feedback 38%
Discussion – a friend in your pocket?• Overall feasible
• Not for everyone• Embedded in treatment
• Pilot study: interactive vs. non-interactive app• No funding for waitlist control• Loneliness: Spending time with app? “Asks me how I am doing…”• Digital placebo or interaction with researchers?
• Feedback is annoying and does not help• Maybe too much/not enough (relevant) feedback? • Make it optional
• Social interaction – opportunities?• Future: connect people, long term use, video feedback and
mobile sensing
Thank you for your attention!
The team• Esther Hanssen• Sanne Balvert• Jim van Os• Phillipe Delespaul• Karel Borkelmans• Cristi-Janne van As• Marlie Eemers• Suzanne Robberegt• Niels den Daas• Natalie Castien• Margreet Oorschot
Sample characteristics