Résumé
Background: Smartphone-based monitoring constitutes a cost-effective instrument to assess and predict affective symptom trajectories. Large-scale transdiagnostic studies utilizing this methodology are yet lacking in psychiatric research. Thus, we introduce the Remote Monitoring Application in Psychiatry (ReMAP) and evaluate its feasibility and adherence in a large transdiagnostic sample. Methods: The ReMAP app was distributed among n = 997 healthy control participants and psychiatric patients, including affective, anxiety, and psychotic disorders. Passive sensor data (acceleration, geolocation, walking distance, steps), optional standardized self-reports on mood and sleep, and voice samples were assessed. Feasibility and adherence were evaluated based on frequency of transferred data, and participation duration. Preliminary results are presented while data collection is ongoing. Results: Retention rates of 90.25% for the minimum study duration of two weeks and 33.09% for one year were achieved (median participation 135 days, IQR=111). Participants transferred an average of 51.83 passive events per day. An average of 34.59 self-report events were transferred per user, with a considerable range across participants (0–552 events). Clinical and non-clinical subgroups did not differ in participation duration or rate of data transfer. The mean rate of days with passive data was higher and less heterogeneous in iOS (91.85%, SD=21.25) as compared to Android users (63.04%, SD=35.09). Limitations: Subjective user experience was not assessed limiting conclusions about app acceptance. Conclusions: ReMAP is a technically feasible tool to assess affective symptoms with high temporal resolution in large-scale transdiagnostic samples with good adherence. Future studies should account for differences between operating systems.
| Langue d'origine | English |
|---|---|
| Pages (de-à) | 652-660 |
| Nombre de pages | 9 |
| Journal | Journal of Affective Disorders |
| Volume | 294 |
| DOI | |
| Statut de publication | Published - nov. 1 2021 |
| Publié à l'externe | Oui |
Note bibliographique
Funding Information:Funding was provided by the Interdisciplinary Center for Clinical Research (IZKF) of the medical faculty of Münster (Grant Dan3/012/17 to Udo Dannlowski and SEED 11/19 to NO), as well as the “Innovative Medizinische Forschung” (IMF) of the medical faculty of Münster (Grants OP121710 to NO and TH).
Funding Information:
Principal investigators in the FOR2107 consortium that are not co-authors of the current paper are: Work package (WP) 6, multi-method data analytics: Bertram M?ller-Myhsok, Astrid Dempfle. Central project (CP) 1, biobank: Petra Pfefferle, Harald Renz. CP2, administration: Carsten Konrad. Further involvement by: Henrike Br?hl, Bruno Dietsche, Rozbeh Elahi, Jennifer Engelen, Sabine Fischer, Jessica Heinen, Svenja Klingel, Felicitas Meier, Torsten Sauder, Annette Tittmar, Dilara Y?ksel (Dept. of Psychiatry, Marburg University). Mechthild Wallnig, Rita Werner (Core-Facility Brainimaging, Marburg University). Carmen Schade-Brittinger, Maik Hahmann (Coordinating center for Clinical Trials, Marburg). Michael Putzke (Psychiatric Hospital, Friedberg). Rolf Speier, Lutz Lenhard (Psychiatric Hospital, Haina). Birgit K?hnlein (Psychiatric Practice, Marburg). Peter Wulf, J?rgen Kleebach, Achim Becker (Psychiatric Hospital Hephata, Schwalmstadt-Treysa). Ruth B?r (Care facility Bischoff, Neukirchen). Matthias M?ller, Michael Franz, Siegfried Scharmann, Anja Haag, Kristina Spenner, Ulrich Ohlenschl?ger (Psychiatric Hospital Vitos, Marburg). Matthias M?ller, Michael Franz, Bernd Kundermann (Psychiatric Hospital Vitos, Gie?en). Katharina F?rster, Kordula Vorspohl, Bettina Walden, Dario Zaremba, Lena Waltemate, Dominik Grotegerd, Joscha B?hnlein, Tiana Borgers, Verena Enneking, Stella Fingas, Marius Gruber, Carina H?lsmann, Hannah Lemke, Susanne Meinert, Maike Richter, Lisa Sindermann, Katharina Thiel, Melissa Klug, Elisabeth Schrammen, Alexandra Winter (Dept. of Psychiatry, University of M?nster). Harald Kugel, Walter Heindel, Birgit Vahrenkamp (Dept. of Clinical Radiology, University of M?nster). Gereon Heuft, Gudrun Schneider (Dept. of Psychosomatics and Psychotherapy, University of M?nster). Thomas Reker (LWL-Hospital M?nster). Gisela Bartling (IPP M?nster). Ulrike Buhlmann (Dept. of Clinical Psychology, University of M?nster). Helene Dukal, Christine Hohmeyer, Lennard St?tz, Viola Schwerdt, Fabian Streit, Josef Frank, Lea Sirignano (Dept. of Genetic Epidemiology, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University). Stefanie Heilmann-Heimbach, Stefan Herms, Per Hoffmann (Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn). Andreas J. Forstner (Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn; center for Human Genetics, Marburg University). Anastasia Benedyk, Miriam Bopp, Roman Ke?ler, Maximilian L?ckel, Verena Schuster, Christoph Vogelbacher (Dept. of Psychiatry, Marburg University). Jens Sommer, (Core-Facility Brainimaging, Marburg University). Thomas W.D. M?bius (Institute of Medical Informatics and Statistics, Kiel University). Julian Glandorf, Fabian Kormann, Arif Alkan, Fatana Wedi, Lea Henning, Alena Renker, Karina Schneider, Elisabeth Folwarczny, Dana Stenzel, Kai Wenk, Felix Picard, Alexandra Fischer, Sandra Blumenau, Beate Kleb, Doris Finholdt, Elisabeth Kinder, Tamara W?st, Elvira Przypadlo, Corinna Brehm (Comprehensive Biomaterial Bank Marburg, Marburg University). We are further deeply indebted to all participants of this study.
Publisher Copyright:
© 2021
ASJC Scopus Subject Areas
- Clinical Psychology
- Psychiatry and Mental health
PubMed: MeSH publication types
- Journal Article
- Research Support, Non-U.S. Gov't
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