Using a Mobile Diary App in the Treatment of Borderline Personality Disorder: Mixed Methods Feasibility Study

Research output: Contribution to journalJournal articleResearchpeer-review

39 Downloads (Pure)

Abstract

BACKGROUND: Borderline personality disorder (BPD) is a disorder characterized by difficulties with regulating emotions and impulsive behavior. Long-term monitoring of progress during BPD psychotherapy constitutes a challenge using paper and pencil registration. Hence, a mobile app assessing emotions and progress in treatment may be useful.

OBJECTIVE: The aim of this study was to examine the feasibility of using the mDiary app as an adjunct to dialectical behavior therapy (DBT) for the treatment of BPD.

METHODS: A total of 9 focus group interviews were conducted and analyzed according to the grounded theory approach. Furthermore, the usability of the mDiary app was examined using the System Usability Scale (SUS). The app was implemented in a standard DBT program as an adjunct to DBT. In total, 16 patients (age range 19-41 years) and 23 therapists (age range 25-64 years) from 5 Danish public outpatient psychiatric treatment facilities participated in the study.

RESULTS: Overall, patients were satisfied with the mDiary app, as it was "easy to use" and "always there." Inside-out innovation, meaning new work tasks generated during implementation and communication of modifications needed in the app, was found to influence the perceived usability negatively among the interviewed therapists. The patients rated the usability as high (mean SUS score 81.2, SD 9.9), whereas therapists rated the mDiary app at an average level (mean 68.3, SD 14.3). Older age of the users correlated with lower usability ratings on the SUS score (Pearson r=-0.60).

CONCLUSIONS: The mDiary app was considered as an acceptable and relevant way of registering DBT diary data for both patients and therapists generating increased long-term overview. Older users were overall more reluctant to accept this new technology in clinical practice. Time to align expectations among involved parties needs to be set aside when implementing this new approach to patient monitoring. Here, the focus should be on the realistic use of resources and expected impact on present clinical work.

Original languageEnglish
Article numbere12852
JournalJMIR Formative Research
Volume3
Issue number3
Number of pages12
ISSN2561-326X
DOIs
Publication statusPublished - 30. Sep 2019

Fingerprint

Mobile Applications
Feasibility Studies
Impulsive Behavior
Physiologic Monitoring
Focus Groups
Psychotherapy
Outpatients
Communication
Interviews

Bibliographical note

©Stig Helweg-Joergensen, Thomas Schmidt, Mia Beck Lichtenstein, Susanne S Pedersen. Originally published in JMIR Formative Research (http://formative.jmir.org), 30.09.2019.

Cite this

@article{5086a4d000f04837890fb59d73d1f20d,
title = "Using a Mobile Diary App in the Treatment of Borderline Personality Disorder: Mixed Methods Feasibility Study",
abstract = "BACKGROUND: Borderline personality disorder (BPD) is a disorder characterized by difficulties with regulating emotions and impulsive behavior. Long-term monitoring of progress during BPD psychotherapy constitutes a challenge using paper and pencil registration. Hence, a mobile app assessing emotions and progress in treatment may be useful.OBJECTIVE: The aim of this study was to examine the feasibility of using the mDiary app as an adjunct to dialectical behavior therapy (DBT) for the treatment of BPD.METHODS: A total of 9 focus group interviews were conducted and analyzed according to the grounded theory approach. Furthermore, the usability of the mDiary app was examined using the System Usability Scale (SUS). The app was implemented in a standard DBT program as an adjunct to DBT. In total, 16 patients (age range 19-41 years) and 23 therapists (age range 25-64 years) from 5 Danish public outpatient psychiatric treatment facilities participated in the study.RESULTS: Overall, patients were satisfied with the mDiary app, as it was {"}easy to use{"} and {"}always there.{"} Inside-out innovation, meaning new work tasks generated during implementation and communication of modifications needed in the app, was found to influence the perceived usability negatively among the interviewed therapists. The patients rated the usability as high (mean SUS score 81.2, SD 9.9), whereas therapists rated the mDiary app at an average level (mean 68.3, SD 14.3). Older age of the users correlated with lower usability ratings on the SUS score (Pearson r=-0.60).CONCLUSIONS: The mDiary app was considered as an acceptable and relevant way of registering DBT diary data for both patients and therapists generating increased long-term overview. Older users were overall more reluctant to accept this new technology in clinical practice. Time to align expectations among involved parties needs to be set aside when implementing this new approach to patient monitoring. Here, the focus should be on the realistic use of resources and expected impact on present clinical work.",
author = "Stig Helweg-Joergensen and Thomas Schmidt and Lichtenstein, {Mia Beck} and Pedersen, {Susanne S}",
note = "{\circledC}Stig Helweg-Joergensen, Thomas Schmidt, Mia Beck Lichtenstein, Susanne S Pedersen. Originally published in JMIR Formative Research (http://formative.jmir.org), 30.09.2019.",
year = "2019",
month = "9",
day = "30",
doi = "10.2196/12852",
language = "English",
volume = "3",
journal = "JMIR Formative Research",
issn = "2561-326X",
publisher = "JMIR Publications",
number = "3",

}

TY - JOUR

T1 - Using a Mobile Diary App in the Treatment of Borderline Personality Disorder

T2 - Mixed Methods Feasibility Study

AU - Helweg-Joergensen, Stig

AU - Schmidt, Thomas

AU - Lichtenstein, Mia Beck

AU - Pedersen, Susanne S

N1 - ©Stig Helweg-Joergensen, Thomas Schmidt, Mia Beck Lichtenstein, Susanne S Pedersen. Originally published in JMIR Formative Research (http://formative.jmir.org), 30.09.2019.

PY - 2019/9/30

Y1 - 2019/9/30

N2 - BACKGROUND: Borderline personality disorder (BPD) is a disorder characterized by difficulties with regulating emotions and impulsive behavior. Long-term monitoring of progress during BPD psychotherapy constitutes a challenge using paper and pencil registration. Hence, a mobile app assessing emotions and progress in treatment may be useful.OBJECTIVE: The aim of this study was to examine the feasibility of using the mDiary app as an adjunct to dialectical behavior therapy (DBT) for the treatment of BPD.METHODS: A total of 9 focus group interviews were conducted and analyzed according to the grounded theory approach. Furthermore, the usability of the mDiary app was examined using the System Usability Scale (SUS). The app was implemented in a standard DBT program as an adjunct to DBT. In total, 16 patients (age range 19-41 years) and 23 therapists (age range 25-64 years) from 5 Danish public outpatient psychiatric treatment facilities participated in the study.RESULTS: Overall, patients were satisfied with the mDiary app, as it was "easy to use" and "always there." Inside-out innovation, meaning new work tasks generated during implementation and communication of modifications needed in the app, was found to influence the perceived usability negatively among the interviewed therapists. The patients rated the usability as high (mean SUS score 81.2, SD 9.9), whereas therapists rated the mDiary app at an average level (mean 68.3, SD 14.3). Older age of the users correlated with lower usability ratings on the SUS score (Pearson r=-0.60).CONCLUSIONS: The mDiary app was considered as an acceptable and relevant way of registering DBT diary data for both patients and therapists generating increased long-term overview. Older users were overall more reluctant to accept this new technology in clinical practice. Time to align expectations among involved parties needs to be set aside when implementing this new approach to patient monitoring. Here, the focus should be on the realistic use of resources and expected impact on present clinical work.

AB - BACKGROUND: Borderline personality disorder (BPD) is a disorder characterized by difficulties with regulating emotions and impulsive behavior. Long-term monitoring of progress during BPD psychotherapy constitutes a challenge using paper and pencil registration. Hence, a mobile app assessing emotions and progress in treatment may be useful.OBJECTIVE: The aim of this study was to examine the feasibility of using the mDiary app as an adjunct to dialectical behavior therapy (DBT) for the treatment of BPD.METHODS: A total of 9 focus group interviews were conducted and analyzed according to the grounded theory approach. Furthermore, the usability of the mDiary app was examined using the System Usability Scale (SUS). The app was implemented in a standard DBT program as an adjunct to DBT. In total, 16 patients (age range 19-41 years) and 23 therapists (age range 25-64 years) from 5 Danish public outpatient psychiatric treatment facilities participated in the study.RESULTS: Overall, patients were satisfied with the mDiary app, as it was "easy to use" and "always there." Inside-out innovation, meaning new work tasks generated during implementation and communication of modifications needed in the app, was found to influence the perceived usability negatively among the interviewed therapists. The patients rated the usability as high (mean SUS score 81.2, SD 9.9), whereas therapists rated the mDiary app at an average level (mean 68.3, SD 14.3). Older age of the users correlated with lower usability ratings on the SUS score (Pearson r=-0.60).CONCLUSIONS: The mDiary app was considered as an acceptable and relevant way of registering DBT diary data for both patients and therapists generating increased long-term overview. Older users were overall more reluctant to accept this new technology in clinical practice. Time to align expectations among involved parties needs to be set aside when implementing this new approach to patient monitoring. Here, the focus should be on the realistic use of resources and expected impact on present clinical work.

U2 - 10.2196/12852

DO - 10.2196/12852

M3 - Journal article

C2 - 31573910

VL - 3

JO - JMIR Formative Research

JF - JMIR Formative Research

SN - 2561-326X

IS - 3

M1 - e12852

ER -