Background: People with schizophrenia and other serious mental illnesses often lack access to evidence-based interventions, particularly interventions that target meaningful recovery outcomes such as social functioning and quality of life. Mobile technologies, including smartphone apps, have the potential to provide scalable support that places elements of evidence-based interventions at the palm of patients’ hands. Objective: We aim to develop a smartphone app—called Motivation and Skills Support—to provide targeted social goal support (eg, making new friends and improving existing relationships) for people with schizophrenia enrolled in a stand-alone open trial. Methods: In this paper, we presented preliminary outcomes of 31 participants who used the Motivation and Skills Support app for 8 weeks, including social functioning pre- to postintervention, and momentary reports of treatment targets (eg, social motivation and appraisals) during the intervention. Results: The findings suggest that the intervention improved self-reported social functioning from baseline to treatment termination, particularly in female participants. Gains were not maintained at the 3-month follow-up. Furthermore, increased social functioning was predicted by momentary reports of social appraisals, including perceived social competence and the extent to which social interactions were worth the effort. Conclusions: The implications of these findings and future directions for addressing social functioning in schizophrenia using mobile technology have been discussed. Trial Registration: ClinicalTrials.gov NCT03404219; https://clinicaltrials.gov/ct2/show/NCT03404219

中文翻译：

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精神分裂症社会功能生态瞬时干预的初步结果：动机和技能支持应用程序的事前研究

背景：精神分裂症和其他严重精神疾病患者通常无法获得循证干预，尤其是针对有意义的康复结果（例如社会功能和生活质量）的干预。移动技术，包括智能手机应用程序，有可能提供可扩展的支持，将循证干预的要素置于患者的手中。目标：我们的目标是开发一款名为 Motivation and Skills Support 的智能手机应用程序，为参加独立公开试验的精神分裂症患者提供有针对性的社会目标支持（例如，结交新朋友和改善现有关系）。方法：在本文中，我们展示了使用动机和技能支持应用程序 8 周的 31 名参与者的初步结果，包括干预前后的社会功能，以及干预期间治疗目标（例如，社会动机和评估）的瞬时报告。结果：研究结果表明，从基线到治疗终止，干预改善了自我报告的社会功能，尤其是在女性参与者中。在 3 个月的随访中没有保持收益。此外，社会评价的瞬时报告预测了社会功能的增加，包括感知的社会能力和社会互动在多大程度上值得付出努力。结论：已经讨论了这些发现的意义和使用移动技术解决精神分裂症社会功能的未来方向。试验注册： ClinicalTrials.gov NCT03404219；https://clinicaltrials.gov/ct2/show/NCT03404219