Self-monitoring and Personalized Feedback Based on the Experiencing Sampling Method As a Tool to Boost Depression Treatment: a Protocol of a Pragmatic Randomized Controlled Trial (ZELF-i)

Overview

Journal BMC Psychiatry

Publisher Biomed Central

Specialty Psychiatry

Date 2018 Sep 5

PMID 30176845

Citations 16

Authors

Jojanneke A Bastiaansen

Maaike Meurs

Renee Stelwagen

Lex Wunderink

Robert A Schoevers

Marieke Wichers

Albertine J Oldehinkel

Affiliations

Soon will be listed here.

Abstract

Background: Depression is a leading cause of disability worldwide. To reduce the societal burden and improve quality of life for individual patients, treatments for depression need to be optimized. There is a particular need for person-tailored interventions that reinforce self-management of patients. Systematic self-monitoring and personalized feedback through the Experience Sampling Method (ESM) could provide such a person-tailored, empowering intervention that enhances treatment outcomes. The primary aim of this study is to investigate the efficacy of self-monitoring and personalized feedback as an add-on tool in the treatment of depressive complaints in a natural setting.

Methods: The ZELF-i study is a pragmatic multi-site randomized controlled trial (RCT). We aim to recruit 150 individuals with depressive symptoms aged between 18 and 65 years, who have an intake for outpatient basic or specialized treatment at a mental health care organization in the North of the Netherlands. After the intake, participants will be randomly allocated to one of three study arms: two experimental groups engaging in 28 days of systematic self-monitoring (5 times per day) and receiving weekly personalized feedback on positive affect and activities ("Do"-module) or on negative affect and thinking patterns ("Think"-module), and a control group receiving no additional intervention. Self-report inventories of depressive symptoms, psychosocial functioning and feelings of empowerment will be administered before and after the intervention period, and at follow-up measurements at 1, 2, 3 and 6 months. The patient-experienced utility of the intervention will be investigated by a combination of quantitative and qualitative research methods.

Discussion: The present study is the first to examine the effects of add-on self-monitoring and personalized feedback on depressive complaints in clinical practice. It is also the first to evaluate two different ESM modules targeted at both of depression's core symptoms. Lastly, it is the first study that uses a combination of qualitative and quantitative methods to evaluate the patient-experienced utility of ESM with personalized feedback as an intervention for depression. Results of the present study may improve treatment for depression, if the intervention is found to be effective.

Trial Registration: Dutch Trial Register, NTR5707 , registered prospectively 1 February 2016.

Citing Articles

The Promise of Ecological Momentary Assessment to Improve Depression Management for Older Adults in Primary Care.

Mindlis I, Rodebaugh T, Kiosses D, Reid M Gerontol Geriatr Med. 2024; 10:23337214241278538.

PMID: 39193007 PMC: 11348361. DOI: 10.1177/23337214241278538.

Towards precision in the diagnostic profiling of patients: leveraging symptom dynamics as a clinical characterisation dimension in the assessment of major depressive disorder.

Ebrahimi O, Borsboom D, Hoekstra R, Epskamp S, Ostinelli E, Bastiaansen J Br J Psychiatry. 2024; 224(5):157-163.

PMID: 38584324 PMC: 11039556. DOI: 10.1192/bjp.2024.19.

Usability of the Experience Sampling Method in Specialized Mental Health Care: Pilot Evaluation Study.

Weermeijer J, Wampers M, de Thurah L, Bonnier R, Piot M, Kuppens P JMIR Form Res. 2023; 7:e48821.

PMID: 37988137 PMC: 10698657. DOI: 10.2196/48821.

Patient-reported outcome measures in functional dyspepsia: a systematic review and COSMIN analysis.

Wang X, Fei Y, Li W, Liu H, Xiao H, Wu Y BMC Gastroenterol. 2023; 23(1):316.

PMID: 37726672 PMC: 10507973. DOI: 10.1186/s12876-023-02935-9.

Practitioner and researcher perspectives on the utility of ecological momentary assessment in mental health care: A survey study.

Piot M, Mestdagh M, Riese H, Weermeijer J, Brouwer J, Kuppens P Internet Interv. 2022; 30:100575.

PMID: 36193339 PMC: 9526140. DOI: 10.1016/j.invent.2022.100575.

References

Burgers J, van Everdingen J . [Evidence-based guideline development in the Netherlands: the EBRO platform]. Ned Tijdschr Geneeskd. 2004; 148(42):2057-9. View

Chambers E, Cook S, Thake A, Foster A, Shaw S, Hutten R . The self-management of longer-term depression: learning from the patient, a qualitative study. BMC Psychiatry. 2015; 15:172. PMC: 4513949. DOI: 10.1186/s12888-015-0550-6. View

Telford C, McCarthy-Jones S, Corcoran R, Rowse G . Experience Sampling Methodology studies of depression: the state of the art. Psychol Med. 2011; 42(6):1119-29. DOI: 10.1017/S0033291711002200. View

Huber M, Knottnerus J, Green L, van der Horst H, Jadad A, Kromhout D . How should we define health?. BMJ. 2011; 343:d4163. DOI: 10.1136/bmj.d4163. View

Torous J, Chan S, Yee-Marie Tan S, Behrens J, Mathew I, Conrad E . Patient Smartphone Ownership and Interest in Mobile Apps to Monitor Symptoms of Mental Health Conditions: A Survey in Four Geographically Distinct Psychiatric Clinics. JMIR Ment Health. 2015; 1(1):e5. PMC: 4607390. DOI: 10.2196/mental.4004. View

Bagby R, Taylor G, Parker J . The Twenty-item Toronto Alexithymia Scale--II. Convergent, discriminant, and concurrent validity. J Psychosom Res. 1994; 38(1):33-40. DOI: 10.1016/0022-3999(94)90006-x. View

Pope C, Ziebland S, Mays N . Qualitative research in health care. Analysing qualitative data. BMJ. 2000; 320(7227):114-6. PMC: 1117368. DOI: 10.1136/bmj.320.7227.114. View

Kramer I, Simons C, Hartmann J, Menne-Lothmann C, Viechtbauer W, Peeters F . A therapeutic application of the experience sampling method in the treatment of depression: a randomized controlled trial. World Psychiatry. 2014; 13(1):68-77. PMC: 3918026. DOI: 10.1002/wps.20090. View

Ricciardi L, Demartini B, Fotopoulou A, Edwards M . Alexithymia in Neurological Disease: A Review. J Neuropsychiatry Clin Neurosci. 2015; 27(3):179-87. DOI: 10.1176/appi.neuropsych.14070169. View

10.

van Os J, Delespaul P, Wigman J, Myin-Germeys I, Wichers M . Beyond DSM and ICD: introducing "precision diagnosis" for psychiatry using momentary assessment technology. World Psychiatry. 2013; 12(2):113-7. PMC: 3683255. DOI: 10.1002/wps.20046. View

11.

Prieto L, Novick D, Sacristan J, Edgell E, Alonso J . A Rasch model analysis to test the cross-cultural validity of the EuroQoL-5D in the Schizophrenia Outpatient Health Outcomes Study. Acta Psychiatr Scand Suppl. 2003; (416):24-9. DOI: 10.1034/j.1600-0447.107.s416.6.x. View

12.

Driessen E, Van H, Don F, Peen J, Kool S, Westra D . The efficacy of cognitive-behavioral therapy and psychodynamic therapy in the outpatient treatment of major depression: a randomized clinical trial. Am J Psychiatry. 2013; 170(9):1041-50. DOI: 10.1176/appi.ajp.2013.12070899. View

13.

Myin-Germeys I, Klippel A, Steinhart H, Reininghaus U . Ecological momentary interventions in psychiatry. Curr Opin Psychiatry. 2016; 29(4):258-63. DOI: 10.1097/YCO.0000000000000255. View

14.

van Gils A, Burton C, Bos E, Janssens K, Schoevers R, Rosmalen J . Individual variation in temporal relationships between stress and functional somatic symptoms. J Psychosom Res. 2014; 77(1):34-9. DOI: 10.1016/j.jpsychores.2014.04.006. View

15.

Bagby R, Parker J, Taylor G . The twenty-item Toronto Alexithymia Scale--I. Item selection and cross-validation of the factor structure. J Psychosom Res. 1994; 38(1):23-32. DOI: 10.1016/0022-3999(94)90005-1. View

16.

Hoffmann T, Glasziou P, Boutron I, Milne R, Perera R, Moher D . Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014; 348:g1687. DOI: 10.1136/bmj.g1687. View

17.

Groot P . Patients can diagnose too: How continuous self-assessment aids diagnosis of, and recovery from, depression. J Ment Health. 2010; 19(4):352-62. DOI: 10.3109/09638237.2010.494188. View

18.

Simons C, Hartmann J, Kramer I, Menne-Lothmann C, Hohn P, van Bemmel A . Effects of momentary self-monitoring on empowerment in a randomized controlled trial in patients with depression. Eur Psychiatry. 2015; 30(8):900-6. DOI: 10.1016/j.eurpsy.2015.09.004. View

19.

Aan Het Rot M, Hogenelst K, Schoevers R . Mood disorders in everyday life: a systematic review of experience sampling and ecological momentary assessment studies. Clin Psychol Rev. 2012; 32(6):510-23. DOI: 10.1016/j.cpr.2012.05.007. View

20.

van Grieken R, Kirkenier A, Koeter M, Nabitz U, Schene A . [Patients' perspective on self-management during recovery from depression]. Ned Tijdschr Geneeskd. 2012; 156(19):A4337. View