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    Users' experiences of an online intervention for bipolar disorder: Important lessons for design and evaluation

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    Author
    Morriss, Richard K.
    Keyword
    Mood disorders
    Mental health
    Depression
    Date
    2017
    
    Metadata
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    DOI
    10.1136/eb-2017-102754
    Publisher's URL
    http://ebmh.bmj.com/content/20/4/133
    Abstract
    BACKGROUNDThe evidence base for digital interventions for physical and mental health, including severe and enduring mental health difficulties, is increasing. In a feasibility trial, web-based Enhanced Relapse Prevention (ERPonline) for bipolar disorder demonstrated high recruitment and retention rates. Relative to participants in the waitlist control group, those who received ERPonline showed increased monitoring for early warning signs of relapse and had developed more positive illness models.OBJECTIVETo understand users' motivations and barriers for taking part in an online/telephone-based trial, and for engagement with ERPonline.METHODSParticipants from the trial who had been allocated to receive ERPonline were purposively sampled to participate in telephone-based, in-depth qualitative interviews about their experiences. Interviews (n=19) were analysed using framework analysis to identify themes relevant to study aims.FINDINGSParticipants took part due to the convenient, flexible and rewarding aspects of the trial design, as well as a desire to improve the mental health of themselves and others. Barriers included extensive assessments, practical difficulties and mood. ERPonline was was generally considered to be accessible, relevant and straightforward, but there were individual preferences regarding design, content and who it was for. Several participants reported positive changes, but there was a sense that digital interventions should not replace routine care.CONCLUSIONSThere are a number of barriers and facilitators to consider when evaluating and implementing digital interventions. Individual preferences and human contact were key factors for both trial design and engagement with an online intervention.CLINICAL IMPLICATIONSDigital interventions should be co-produced, personalised, interactive and embedded as one component in a broader package of care.TRIAL REGISTRATION NUMBERISRCTN56908625; Post-results.
    Citation
    Dodd, A. L., Mallinson, S., Griffiths, M., Morriss, R. K., Jones, S. H. & Lobban, F. (2017). Users' experiences of an online intervention for bipolar disorder: Important lessons for design and evaluation. Evidence-Based Mental Health, 20 (4), pp.133-139.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/12216
    Note
    This article has been published in Dodd, A. L., Mallinson, S., Griffiths, M., Morriss, R. K., Jones, S. H. & Lobban, F. (2017). Users' experiences of an online intervention for bipolar disorder: Important lessons for design and evaluation. Evidence-Based Mental Health, 20 (4), pp.133-139 following peer review and can be viewed on the journal's website at http://dx.doi.org/10.1136/eb-2017-102754
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