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A mobile application for panic disorder and agoraphobia: Insights from a multi-methods feasibility study
Internet Interventions ( IF 5.358 ) Pub Date : 2020-03-01 , DOI: 10.1016/j.invent.2019.100296
Lara Ebenfeld 1 , Stefan Kleine Stegemann 1 , Dirk Lehr 1 , David Daniel Ebert 1, 2, 3 , Burkhardt Funk 1 , Heleen Riper 3, 4, 5 , Matthias Berking 1, 2
Affiliation  

Background Panic disorder with and without agoraphobia (PD) is a common psychological disorder. Internet-based interventions have the potential to offer highly scalable low-threshold evidence-based care to people suffering from PD. GET.ON Panic is a newly developed internet-based intervention addressing symptoms of PD. In order to transfer the training into the daily life of the individuals, we integrated mobile components in the training and created a so-called hybrid online training. The development and beta-testing of such a training requires a novel interdisciplinary approach between IT specialists and psychologists. From this point of view, we would like to share our experiences in this exploratory paper. Methods This initial feasibility study (N = 10) offers, on the one hand, a brief overview of the interdisciplinary development phase of the mobile application and on the other hand, provides first insights into the usage, usability and acceptance of this mobile application using qualitative interview data as well quantitative measures of 8 completing participants. For these reasons, we used a pre-posttest design without a control group. Furthermore, we present initial clinical outcomes of the intervention on e.g. panic symptom severity, depressive symptoms as well additional anxiety measures. Finally, we end with implications for further research in the relatively new field of mobile mental health. Results Overall, usability, user satisfaction, motivational value and technology acceptance of the app were perceived as high. The usage of app components was diverse: The use of interoceptive exposure exercises and daily summaries on anxiety and mood was highest while using in-vivo exposure exercises and monitoring panic symptoms was perceived as difficult. Furthermore, participants showed after the training less clinical symptoms as at baseline-assessment. Discussion The current feasibility study contributes to an in-depth understanding of the potential of mobile technology in e-mental health. Overall, the GET.ON Panic app appears to be an acceptable and motivational part of a CBT-based hybrid online training for PD that has the potential to promote training success. After some suggested adjustments have been made, the efficacy should be investigated in a randomized controlled trial.

中文翻译:

用于恐慌症和广场恐惧症的移动应用程序:来自多方法可行性研究的见解

背景恐慌症伴或不伴广场恐惧症(PD)是一种常见的心理障碍。基于互联网的干预措施有可能为 PD 患者提供高度可扩展的低门槛循证护理。GET.ON Panic 是一种新开发的基于互联网的干预措施,旨在解决 PD 症状。为了将培训转移到个人的日常生活中,我们在培训中集成了移动组件,并创建了所谓的混合在线培训。这种培训的开发和 Beta 测试需要 IT 专家和心理学家之间采用一种新颖的跨学科方法。从这个角度来看,我们想在这篇探索性论文中分享我们的经验。方法 这一初步可行性研究 (N = 10) 提供了,一方面,简要概述了移动应用程序的跨学科开发阶段,另一方面,使用定性访谈数据以及 8 名完成参与者的定量测量,提供了对该移动应用程序的使用、可用性和接受度的初步见解。由于这些原因,我们使用了没有对照组的前后测设计。此外,我们介绍了干预的初步临床结果,例如恐慌症状的严重程度、抑郁症状以及额外的焦虑措施。最后,我们以对移动心理健康这一相对较新的领域的进一步研究的启示结束。结果 总体而言,应用程序的可用性、用户满意度、激励价值和技术接受度都被认为很高。应用程序组件的使用是多种多样的:使用内感受暴露练习和焦虑和情绪的每日总结最高,而使用体内暴露练习和监测恐慌症状被认为是困难的。此外,与基线评估相比,参与者在训练后表现出较少的临床症状。讨论 当前的可行性研究有助于深入了解移动技术在电子心理健康方面的潜力。总体而言,GET.ON Panic 应用程序似乎是基于 CBT 的 PD 混合在线培训的可接受和激励部分,具有促进培训成功的潜力。在进行了一些建议的调整后,应在随机对照试验中研究疗效。
更新日期:2020-03-01
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