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Porras-Segovia A, De Granda-Beltrán AM, Gallardo C, Abascal-Peiró S, Barrigón ML, Artés-Rodríguez A, López-Castroman J, Courtet P, Baca-García E. Smartphone-based safety plan for suicidal crisis: The SmartCrisis 2.0 pilot study. J Psychiatr Res 2024; 169:284-291. [PMID: 38065053 DOI: 10.1016/j.jpsychires.2023.11.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 11/17/2023] [Accepted: 11/22/2023] [Indexed: 01/15/2024]
Abstract
Here we present the findings of the pilot phase of the SmartCrisis 2.0 Randomized Clinical Trial. This pilot study aimed to explore the feasibility and acceptability of a safety plan contained in a smartphone app. Our sample consisted patients with a history of recent suicidal behaviour who installed a smartphone-based safety plan. To explore the satisfaction with of the safety plan, two patient satisfaction surveys were conducted: one qualitative and one quantitative. To explore the objective use of the safety plan, we gained access to texts contained in the safety plans completed by the patients. Participation rate was 77%, while 48.9% patients completed both satisfaction surveys at the end of the pilot phase. N = 105 successfully installed the safety plan. In a scale from 1 to 10, users rated the usefulness of the security plan at 7.4, the usability at 8.9, the degree to which they would recommend it to others at 8.6 and the overall satisfaction with the project including evaluations at 9.6. The most widely completed tab was warning signs. Feeling sad or lonely was the warning sign most commonly reported by patients. The second most completed tab was internal coping strategies. Walking or practicing any other exercise was the strategy most commonly resorted to. Our smartphone-based safety plan appears to be a feasible intervention. Data obtained from this pilot study showed high participation rates and high acceptability by patients. This, together with the general satisfaction with the project, supports its implementation in the clinical practice.
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Affiliation(s)
- Alejandro Porras-Segovia
- Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Departamento de Psiquiatría, Hospital Rey Juan Carlos Móstoles, Madrid, Spain
| | | | - Claudia Gallardo
- Facultad de Psicología General Sanitaria, Universidad de Villanueva, Madrid, Spain
| | - Sofía Abascal-Peiró
- Departamento de Psiquiatría, Hospital Rey Juan Carlos Móstoles, Madrid, Spain
| | - María Luisa Barrigón
- Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Antonio Artés-Rodríguez
- Department of Signal Theory and Communications, Universidad Carlos III de Madrid, Leganés, Madrid, Spain
| | | | - Philippe Courtet
- Department of Emergency Psychiatry and Acute Care, Centre Hospitalier Universitaire Montpellier, University of Montpellier, Montpellier, France
| | - Enrique Baca-García
- Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Departamento de Psiquiatría, Hospital Rey Juan Carlos Móstoles, Madrid, Spain; Departamento de Psiquiatría, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain; Department of Emergency Psychiatry and Acute Care, Centre Hospitalier Universitaire Montpellier, University of Montpellier, Montpellier, France; Departamento de Psiquiatría, Universidad Autónoma de Madrid, Madrid, Spain; Departamento de Psiquiatría, Hospital Central de Villalba Villalba, Madrid, Spain; Departamento de Psiquiatría, Hospital Universitario Infanta Elena Valdemoro, Madrid, Spain; CIBERSAM, Research Group CB/07/09/0025, Madrid, Spain.
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Shevchenko Y, Reips UD. Geofencing in location-based behavioral research: Methodology, challenges, and implementation. Behav Res Methods 2023:10.3758/s13428-023-02213-2. [PMID: 37626278 DOI: 10.3758/s13428-023-02213-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/30/2023] [Indexed: 08/27/2023]
Abstract
This manuscript presents a novel geofencing method in behavioral research. Geofencing, built upon geolocation technology, constitutes virtual fences around specific locations. Every time a participant crosses the virtual border around the geofenced area, an event can be triggered on a smartphone, e.g., the participant may be asked to complete a survey. The geofencing method can alleviate the problems of constant location tracking, such as recording sensitive geolocation information and battery drain. In scenarios where locations for geofencing are determined by participants (e.g., home, workplace), no location data need to be transferred to the researcher, so this method can ensure privacy and anonymity. Given the widespread use of smartphones and mobile Internet, geofencing has become a feasible tool in studying human behavior and cognition outside of the laboratory. The method can help advance theoretical and applied psychological science at a new frontier of context-aware research. At the same time, there is a lack of guidance on how and when geofencing can be applied in research. This manuscript aims to fill the gap and ease the adoption of the geofencing method. We describe the current challenges and implementations in geofencing and present three empirical studies in which we evaluated the geofencing method using the Samply application, a tool for mobile experience sampling research. The studies show that sensitivity and precision of geofencing were affected by the type of event, location radius, environment, operating system, and user behavior. Potential implications and recommendations for behavioral research are discussed.
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Affiliation(s)
- Yury Shevchenko
- Research Methods, Assessment, and iScience; Department of Psychology; University of Konstanz, Universitätsstraße 10, Fach 31, 78464, Konstanz, Germany.
| | - Ulf-Dietrich Reips
- Research Methods, Assessment, and iScience; Department of Psychology; University of Konstanz, Universitätsstraße 10, Fach 31, 78464, Konstanz, Germany
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Shevchenko Y, Kuhlmann T, Reips UD. Samply: A user-friendly smartphone app and web-based means of scheduling and sending mobile notifications for experience-sampling research. Behav Res Methods 2021; 53:1710-30. [PMID: 33528818 DOI: 10.3758/s13428-020-01527-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/15/2020] [Indexed: 11/08/2022]
Abstract
Undertaking an experience-sampling study via smartphones is complex. Scheduling and sending mobile notifications often requires the use of proprietary software that imposes limits on participants' operating systems (whether iOS or Android) or the types of questions that can be asked via the application. We have developed an open-source platform-Samply-which overcomes these limitations. Researchers can access the entire interface via a browser, manage studies, schedule and send notifications linking to online surveys or experiments created in any Internet-based service or software, and monitor participants' responses-all without the coding skills usually needed to program a native mobile application. Participants can download the Samply Research mobile application for free from Google Play or the App Store, join a specific study, receive notifications and web links to surveys or experiments, and track their involvement. The mobile application leverages the power of the React Native JavaScript library, which allows it to be rendered in the native code of Android and iOS mobile operating systems. We describe Samply, provide a step-by-step example of conducting an experience-sampling study, and present the results of two validation studies. Study 1 demonstrates how we improved the website's usability for researchers. Study 2 validates the mobile application's data recording ability by analyzing a survey's participation rate. The application's possible limitations and how mobile device settings might affect its reliability are discussed.
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von Stumm S, Latham RM. Early life experiences: Meaningful differences within and between families. Infant Behav Dev 2018; 53:56-63. [PMID: 30213512 DOI: 10.1016/j.infbeh.2018.09.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2018] [Revised: 08/05/2018] [Accepted: 09/04/2018] [Indexed: 11/17/2022]
Abstract
Previous research has focused on differences in early life experiences that occur between families and their impact on children's development. However, less is known about the variations in early life experiences that occur within families. Here, 53 British mothers (mean age = 34.46 years; SD = 4.35) of newborn infants (mean age = 1.68 months, SD = 0.96) used a smartphone application (app) to repeatedly rate their wellbeing and support and to report their baby's and their own dietary and sleeping patterns (4 app alerts per week for 3 weeks; 12 assessments in total). We found that the app was a practicable tool for observing early life experiences, and that early life experiences differed on average to a greater extent within, rather than between families (59% versus 41% of the total variance). We also found preliminary evidence for meaningful associations among contemporaneous within-family variations in early life experiences.
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Affiliation(s)
- Sophie von Stumm
- Psychological and Behavioural Science, London School of Economics and Political Science, Houghton Street, WC2A NAE, London, UK.
| | - Rachel M Latham
- Social, Genetic and Developmental Psychiatry Centre, King's College London, Institute of Psychiatry, De Crespigny Park, SE5 8AF London, UK
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Klipker K, Wrzus C, Rauers A, Boker SM, Riediger M. Within-person changes in salivary testosterone and physical characteristics of puberty predict boys' daily affect. Horm Behav 2017; 95:22-32. [PMID: 28754307 DOI: 10.1016/j.yhbeh.2017.07.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2016] [Revised: 07/23/2017] [Accepted: 07/24/2017] [Indexed: 01/30/2023]
Abstract
Recent investigations highlighted the role of within-person pubertal changes for adolescents' behavior. Yet, little is known about effects on adolescents' daily affect, particularly regarding the hormonal changes underlying physical changes during puberty. In a study with 148 boys aged 10 to 20years, we tested whether within-person physical and hormonal changes over eight months predicted everyday affect fluctuations, measured with experience sampling. As expected, greater within-person changes in testosterone (but not in dehydroepiandrosterone) were associated with higher affect fluctuations in daily life. Additionally, greater physical changes predicted higher affect fluctuations for individuals in the beginning of puberty. The findings demonstrate the relevance of physical and hormonal changes in boys' affective (in)stability.
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Affiliation(s)
- Kathrin Klipker
- Max Planck Research Group "Affect Across the Lifespan", Max Planck Institute (MPI) for Human Development, Berlin, Germany.
| | - Cornelia Wrzus
- Max Planck Research Group "Affect Across the Lifespan", Max Planck Institute (MPI) for Human Development, Berlin, Germany
| | - Antje Rauers
- Max Planck Research Group "Affect Across the Lifespan", Max Planck Institute (MPI) for Human Development, Berlin, Germany
| | - Steven M Boker
- Department of Psychology, University of Virginia, United States
| | - Michaela Riediger
- Max Planck Research Group "Affect Across the Lifespan", Max Planck Institute (MPI) for Human Development, Berlin, Germany
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