2024
González-Pérez, Alberto; Díaz-Sanahuja, Laura; Matey-Sanz, Miguel; Osma, Jorge; Granell-Canut, Carlos; Bretón-López, Juana; Casteleyn, Sven
Towards a self-applied, mobile-based geolocated exposure therapy software for anxiety disorders: SyMptOMS-ET app Journal Article
In: Digital Health, vol. 10, pp. 1-17, 2024, ISBN: 2055-2076.
Abstract | Links | BibTeX | Tags: exposure therapy, mental health, mHealth, smartphone app
@article{Gonzalez-Perez2024a,
title = {Towards a self-applied, mobile-based geolocated exposure therapy software for anxiety disorders: SyMptOMS-ET app},
author = {Alberto González-Pérez and Laura Díaz-Sanahuja and Miguel Matey-Sanz and Jorge Osma and Carlos Granell-Canut and Juana Bretón-López and Sven Casteleyn},
doi = {https://doi.org/10.1177/20552076241283942},
isbn = {2055-2076},
year = {2024},
date = {2024-10-28},
urldate = {2024-10-28},
journal = {Digital Health},
volume = {10},
pages = {1-17},
abstract = {Objective
While exposure therapy (ET) has the potential to help people tolerate intense situation-specific emotions and change avoidance behaviours, no smartphone solution exists to guide the process of in-vivo ET. A geolocation-based smartphone software component was designed and developed to instrumentalize patient guidance in in-vivo ET and its psychological validity was assessed by a group of independent psychology experts.
Methods
A team of computer scientists and psychologists developed the ET Component for in-vivo ET using geolocation-based technology, following the process-centred design methodology. The ET Component was integrated into the SyMptOMS-ET Android application, which was developed following the co-design methodology. Next, nine independent psychology experts tested and evaluated the ET Component and the SyMptOMS-ET app in the field, following the think-aloud methodology. Participants also completed the Mobile Application Rating Scale (MARS) instrument to quantitatively evaluate the solutions.
Results
We present the SyMptOMS-ET app’s main features and the ET Component exposure workflow. Next, we discuss the feedback obtained and the results of the MARS instrument. Participants who tested the app were satisfied with the ET Component during exposure scenarios (score of mu4.32 out of 5 [mu 0.28] on MARS quality aspects), agreed on the soundness of the theoretical foundations of the solutions developed (score of mu4.57 [mu0.48] on MARS treatment support aspects), and provided minor think-a-loud comments to improve them.
Conclusions
The results of the expert evaluation demonstrate the psychological validity of the ET Component and the SyMptOMS-ET app. However, further studies are needed to discern the acceptability and efficacy of the mHealth tool in the target population.},
keywords = {exposure therapy, mental health, mHealth, smartphone app},
pubstate = {published},
tppubtype = {article}
}
While exposure therapy (ET) has the potential to help people tolerate intense situation-specific emotions and change avoidance behaviours, no smartphone solution exists to guide the process of in-vivo ET. A geolocation-based smartphone software component was designed and developed to instrumentalize patient guidance in in-vivo ET and its psychological validity was assessed by a group of independent psychology experts.
Methods
A team of computer scientists and psychologists developed the ET Component for in-vivo ET using geolocation-based technology, following the process-centred design methodology. The ET Component was integrated into the SyMptOMS-ET Android application, which was developed following the co-design methodology. Next, nine independent psychology experts tested and evaluated the ET Component and the SyMptOMS-ET app in the field, following the think-aloud methodology. Participants also completed the Mobile Application Rating Scale (MARS) instrument to quantitatively evaluate the solutions.
Results
We present the SyMptOMS-ET app’s main features and the ET Component exposure workflow. Next, we discuss the feedback obtained and the results of the MARS instrument. Participants who tested the app were satisfied with the ET Component during exposure scenarios (score of mu4.32 out of 5 [mu 0.28] on MARS quality aspects), agreed on the soundness of the theoretical foundations of the solutions developed (score of mu4.57 [mu0.48] on MARS treatment support aspects), and provided minor think-a-loud comments to improve them.
Conclusions
The results of the expert evaluation demonstrate the psychological validity of the ET Component and the SyMptOMS-ET app. However, further studies are needed to discern the acceptability and efficacy of the mHealth tool in the target population.
Gómez-Cambronero, Águeda; Mann, Anna-Lisa; Mira, Adriana; Doherty, Gavin; Casteleyn, Sven
Smartphone-based serious games for mental health: a scoping review Journal Article
In: Multimedia Tools and Applications, vol. 83, pp. 84047–84094, 2024, ISSN: 1573-7721.
Abstract | Links | BibTeX | Tags: mental health, serious games, symptoms, Systematic mapping
@article{GomezCambronero2024a,
title = {Smartphone-based serious games for mental health: a scoping review},
author = {Águeda Gómez-Cambronero and Anna-Lisa Mann and Adriana Mira and Gavin Doherty and Sven Casteleyn},
doi = {https://doi.org/10.1007/s11042-024-18971-w},
issn = {1573-7721},
year = {2024},
date = {2024-04-01},
urldate = {2024-04-01},
journal = {Multimedia Tools and Applications},
volume = {83},
pages = {84047–84094},
abstract = {The use of smartphone-based Serious Games in mental health care is an emerging and promising research field. Combining the intrinsic characteristics of games (e.g., interactiveness, immersiveness, playfulness, user-tailoring and engaging nature) with the capabilities of smartphones (e.g., versatility, ubiquitous connectivity, built-in sensors and anywhere–anytime nature) yields great potential to deliver innovative psychological treatments, which are engaging, effective, fun and always available. This article presents a scoping review, based on the PRISMA (scoping review extension) guidelines, of the field of smartphone-based serious games for mental health care. The review combines an analysis of the technical characteristics, including game design, smartphone and game-specific features, with psychological dimensions, including type and purpose of use, underlying psychological frameworks and strategies. It also explores the integration of psychological features into Serious Games and summarizes the findings of evaluations performed. A systematic search identified 40 smartphone-based Serious Games for mental health care. The majority consist of standalone and self-administrable interventions, applying a myriad of psychological strategies to address a wide range of psychological symptoms and disorders. The findings explore the potential of Serious Games as treatments and for enhancing patient engagement; we conclude by proposing several avenues for future research in order to identify best practices and success factors.},
keywords = {mental health, serious games, symptoms, Systematic mapping},
pubstate = {published},
tppubtype = {article}
}
2023
Gómez-Cambronero, Águeda
"Horizon: Resilience": A Smartphone-based Serious Game Intervention for Depressive Symptoms PhD Thesis
Universitat Jaume I. INIT, 2023.
Abstract | Links | BibTeX | Tags: mental health, Mobile apps, mobile computing, serious games, symptoms
@phdthesis{GomezCambronero2023b,
title = {"Horizon: Resilience": A Smartphone-based Serious Game Intervention for Depressive Symptoms},
author = {Águeda Gómez-Cambronero},
url = {http://hdl.handle.net/10803/689528},
doi = {http://dx.doi.org/10.6035/14101.2023.544418},
year = {2023},
date = {2023-12-11},
school = {Universitat Jaume I. INIT},
abstract = {Depression is the most prevalent mental issue in our society, leading to disability and suicide deaths. The COVID-19 pandemic has intensified the need for depression treatment and prevention. While effective, evidence-based psychological treatments for depression exists, only a small percentage of those in need actually receive them. Technology, particularly smartphone-based interventions, can help maximize the reach of these treatments while ensuring their effectiveness, although it comes with challenges, such as high dropout rates. Despite the potential
of this therapy, this is a field that requires considerably more research to fully explore the benefits that smartphones have to offer. Specifically, serious games, designed with a purpose beyond entertainment, have emerged as a promising treatment tool, leveraging advance smartphone capabilities, aligning with psychological treatment principles, and enhancing user engagement.
This dissertation introduces “Horizon: Resilience”, a smartphone-based Serious Game for depressive symptoms. It is a city builder game with a decision making narrative, in which the player (patient) manages a town. The objective is to make the town progress, ensuring the steady inflow of resources and fostering the psychological resilience of its inhabitants. The game is based on the Cognitive Behavioral Therapy (CBT) framework and includes Positive Psychology (PP) techniques. These psychological techniques are woven into the game’s gameplay, feedback, economy system, quests, graphics, and story. Noteworthy is the integration of promoting Physical Activity, detected using the phone’s motion sensors, as part of gameplay. The game draws on the findings of a scoping review on smartphone-based serious games in mental health, and was informed by consultations with therapists as part of a user-centered design. Therapists and patients furthermore provided a qualitative and quantitative evaluation of a Minimum Viable Product (MVP) of the game. Their positive impressions indicate high acceptance and positive expectation regarding the use of the game as an
intervention. Lastly, a pilot randomized controlled trial protocol is outlined to assess its preliminary effectiveness-},
keywords = {mental health, Mobile apps, mobile computing, serious games, symptoms},
pubstate = {published},
tppubtype = {phdthesis}
}
of this therapy, this is a field that requires considerably more research to fully explore the benefits that smartphones have to offer. Specifically, serious games, designed with a purpose beyond entertainment, have emerged as a promising treatment tool, leveraging advance smartphone capabilities, aligning with psychological treatment principles, and enhancing user engagement.
This dissertation introduces “Horizon: Resilience”, a smartphone-based Serious Game for depressive symptoms. It is a city builder game with a decision making narrative, in which the player (patient) manages a town. The objective is to make the town progress, ensuring the steady inflow of resources and fostering the psychological resilience of its inhabitants. The game is based on the Cognitive Behavioral Therapy (CBT) framework and includes Positive Psychology (PP) techniques. These psychological techniques are woven into the game’s gameplay, feedback, economy system, quests, graphics, and story. Noteworthy is the integration of promoting Physical Activity, detected using the phone’s motion sensors, as part of gameplay. The game draws on the findings of a scoping review on smartphone-based serious games in mental health, and was informed by consultations with therapists as part of a user-centered design. Therapists and patients furthermore provided a qualitative and quantitative evaluation of a Minimum Viable Product (MVP) of the game. Their positive impressions indicate high acceptance and positive expectation regarding the use of the game as an
intervention. Lastly, a pilot randomized controlled trial protocol is outlined to assess its preliminary effectiveness-
2022
Osma, Jorge; Martínez-García, Laura; Prado-Abril, Javier; Perís-Baquero, Óscar; González-Pérez, Alberto
In: Internet Interventions, vol. 30, pp. 100577, 2022, ISSN: 2214-7829.
Abstract | Links | BibTeX | Tags: emotional disorders, mental health, smartphone app, thematic content analysis
@article{Osma2022a,
title = {Developing a smartphone App based on the Unified Protocol for the transdiagnostic treatment of emotional disorders: A qualitative analysis of users and professionals' perspectives},
author = {Jorge Osma and Laura Martínez-García and Javier Prado-Abril and Óscar Perís-Baquero and Alberto González-Pérez},
doi = {https://doi.org/10.1016/j.invent.2022.100577},
issn = {2214-7829},
year = {2022},
date = {2022-12-01},
journal = {Internet Interventions},
volume = {30},
pages = {100577},
abstract = {Emotional Disorders have become the most prevalent mental disorders in the world. In relation to their high prevalence, mental health care from public health services faces major challenges. Consequently, finding solutions to deliver cost-effective evidence-based treatments has become a main goal of today's clinical psychology. Smartphone apps for mental health have emerged as a potential tool to deal with it. However, despite their effectiveness and advantages, several studies suggest the need to involve patients and professionals in the design of these apps from the first stage of the development process. Thus, this study aimed to identify, from both a group of users and professionals, the needs, opinions, expectations and design aspects of a future smartphone app based in the Unified Protocol (UP), that will allow to develop the subsequent technical work of the app engineers. Two focus groups were conducted, one with 7 professionals and the other with 9 users, both groups familiar with the UP. A thematic content analysis based in grounded theory was performed in order to define emergent categories of analysis derived from the interview data. The results revealed 8 common topics in both focus groups and 5 specific key topics were identified in the professionals' focus group. Of the total proposals, 93 % of the professionals' and 78 % of the users' are implemented in the preliminary version of the app.},
keywords = {emotional disorders, mental health, smartphone app, thematic content analysis},
pubstate = {published},
tppubtype = {article}
}
Díaz-Sanahuja, Laura; Miralles, Ignacio; Granell-Canut, Carlos; Mira, Adriana; González-Pérez, Alberto; Casteleyn, Sven; García-Palacios, Azucena; Bretón-López, Juana
Client’s Experiences Using a Location-Based Technology ICT System during Gambling Treatments’ Crucial Components: A Qualitative Study Journal Article
In: International Journal of Environmental Research and Public Health, vol. 19, no. 7, pp. 3769, 2022, ISSN: 1660-4601.
Abstract | Links | BibTeX | Tags: gambling, geolocation, mental health, symptoms
@article{diazsanchez2022a,
title = {Client’s Experiences Using a Location-Based Technology ICT System during Gambling Treatments’ Crucial Components: A Qualitative Study},
author = {Laura Díaz-Sanahuja and Ignacio Miralles and Carlos Granell-Canut and Adriana Mira and Alberto González-Pérez and Sven Casteleyn and Azucena García-Palacios and Juana Bretón-López
},
doi = {https://doi.org/10.3390/ijerph19073769},
issn = {1660-4601},
year = {2022},
date = {2022-03-22},
journal = {International Journal of Environmental Research and Public Health},
volume = {19},
number = {7},
pages = {3769},
abstract = {Cognitive Behavioral Therapy is the treatment of choice for Gambling Disorder (GD), with stimulus control (SC) and exposure with response prevention (ERP) being its two core components. Despite their efficacy, SC and ERP are not easy to deliver, so it is important to explore new ways to enhance patient compliance regarding SC and ERP. The aim of this study is to describe and assess the opinion of two patients diagnosed with problem gambling and GD that used the Symptoms app, a location-based ICT system, during SC and ERP. A consensual qualitative research study was conducted. We used a semi-structured interview, developed ad-hoc based on the Expectation and Satisfaction Scale and System Usability Scale. A total of 20 categories were identified within six domains: usefulness, improvements, recommendation to other people, safety, usability, and opinion regarding the use of the app after completing the intervention. The patients considered the app to be useful during the SC and ERP components and emphasized that feeling observed and supported at any given time helped them avoid lapses. This work can offer a starting point that opens up new research paths regarding psychological interventions for gambling disorder, such as assessing whether location-based ICT tools enhance commitment rates.},
keywords = {gambling, geolocation, mental health, symptoms},
pubstate = {published},
tppubtype = {article}
}
2021
Osma, Jorge; Martínez-García, Laura; Perís-Baquero, Óscar; Navarro-Haro, María Vicenta; González-Pérez, Alberto; Suso-Ribera, Carlos
In: BMJ Open, vol. 11, no. e054286, 2021, ISSN: 2044-6055.
Abstract | Links | BibTeX | Tags: mental health, symptoms
@article{Osma2021,
title = {Implementation, efficacy and cost effectiveness of the unified protocol in a blended format for the transdiagnostic treatment of emotional disorders: a study protocol for a multicentre, randomised, superiority controlled trial in the Spanish National Health System },
author = {Jorge Osma and Laura Martínez-García and Óscar Perís-Baquero and María Vicenta Navarro-Haro and Alberto González-Pérez and Carlos Suso-Ribera},
doi = {10.1136/bmjopen-2021-054286},
issn = {2044-6055},
year = {2021},
date = {2021-12-31},
journal = {BMJ Open},
volume = {11},
number = {e054286},
abstract = {Introduction: Emotional disorders (EDs) have become the most prevalent psychological disorders in the general population, which has boosted the economic burden associated with their management. Approximately half of the individuals do not receive adequate treatment. Consequently, finding solutions to deliver cost-effective treatments for EDs has become a key goal of today’s clinical psychology. Blended treatments, a combination of face-to-face and online interventions, have emerged as a potential solution to the previous. The Unified Protocol for the Transdiagnostic Treatment of EDs (UP) might serve this purpose, as it can be applied to a variety of disorders simultaneously and its manualised format makes it suitable for blended interventions.
Methods and analysis: The study is a multicentre, randomised, superiority, clinical trial. Participants will be 310 individuals with a diagnosis of an ED. They will be randomised to a treatment as usual (individual cognitive behavioural therapy) or a UP condition in a blended format (face-to-face individual UP +online, app-based UP). Primary outcomes will be ED diagnostic criteria and depression and anxiety symptoms. Cost efficiency of the intervention, app usability, as well as opinion and confidence in the treatment will also be evaluated. Assessment points will include baseline and 3 months, 6 months and 12 months after UP treatment.
Ethics and dissemination: The study has received approvals by the Ethics Research Committee of Navarra, Castellón, Euskadi, Castilla y León, Extremadura, Lleida and Aragón. The study is currently under an approval process by the Ethics Research Committees of all the remaining collaborating centres. Outcomes will be disseminated through publication in peer-reviewed journals and presentations at international conference meetings.},
keywords = {mental health, symptoms},
pubstate = {published},
tppubtype = {article}
}
Methods and analysis: The study is a multicentre, randomised, superiority, clinical trial. Participants will be 310 individuals with a diagnosis of an ED. They will be randomised to a treatment as usual (individual cognitive behavioural therapy) or a UP condition in a blended format (face-to-face individual UP +online, app-based UP). Primary outcomes will be ED diagnostic criteria and depression and anxiety symptoms. Cost efficiency of the intervention, app usability, as well as opinion and confidence in the treatment will also be evaluated. Assessment points will include baseline and 3 months, 6 months and 12 months after UP treatment.
Ethics and dissemination: The study has received approvals by the Ethics Research Committee of Navarra, Castellón, Euskadi, Castilla y León, Extremadura, Lleida and Aragón. The study is currently under an approval process by the Ethics Research Committees of all the remaining collaborating centres. Outcomes will be disseminated through publication in peer-reviewed journals and presentations at international conference meetings.
Gómez-Cambronero, Águeda
A Serious Game to Battle Depression Proceedings Article
In: Extended Abstracts of the 2021 Annual Symposium on Computer-Human Interaction in Play (CHI PLAY '21), pp. 401-402, ACM, 2021, ISBN: 9781450383561.
Abstract | Links | BibTeX | Tags: depression, mental health, serious games, symptoms
@inproceedings{GomezCambronero2021b,
title = {A Serious Game to Battle Depression},
author = {Águeda Gómez-Cambronero},
doi = {https://doi.org/10.1145/3450337.3483520},
isbn = {9781450383561},
year = {2021},
date = {2021-10-01},
booktitle = {Extended Abstracts of the 2021 Annual Symposium on Computer-Human Interaction in Play (CHI PLAY '21)},
pages = {401-402},
publisher = {ACM},
abstract = {This multidisciplinary project aims to develop a mobile serious game – Horizon: Resilience – as an intervention for patient suffering from depression, the most common mental disorder globally. The game is based on Cognitive Behavioral Therapy (CBT), and intends to map therapeutic principles – such as Behavioral Activation (BA), motivation for change and cognitive flexibility – to game mechanics and gameplay. As such, as players progress in the game, they undergo an ecological momentary intervention in a playful way, which teaches them coping strategies, stimulates behavioral change and an active lifestyle. Once the game is fully developed, a validation with real patients under guidance of a therapist is foreseen.},
keywords = {depression, mental health, serious games, symptoms},
pubstate = {published},
tppubtype = {inproceedings}
}
Gómez-Cambronero, Águeda; Casteleyn, Sven; Mira, Adriana
Horizon: Resilience – Design of a Serious Game for Ecological Momentary Intervention for Depression Proceedings Article
In: Extended Abstracts of the 2021 Annual Symposium on Computer-Human Interaction in Play (CHI PLAY '21), pp. 236–241, ACM, 2021, ISBN: 9781450383561.
Abstract | Links | BibTeX | Tags: depression, mental health, serious games, symptoms
@inproceedings{GomezCambronero2021a,
title = {Horizon: Resilience – Design of a Serious Game for Ecological Momentary Intervention for Depression},
author = {Águeda Gómez-Cambronero and Sven Casteleyn and Adriana Mira},
doi = {https://doi.org/10.1145/3450337.3483500},
isbn = {9781450383561},
year = {2021},
date = {2021-10-01},
booktitle = {Extended Abstracts of the 2021 Annual Symposium on Computer-Human Interaction in Play (CHI PLAY '21)},
pages = {236–241},
publisher = {ACM},
abstract = {Depression is the world’s most prevalent mental disorder and the primary source of disability adjusted life years (DALY). While traditional face-to-face therapies have been shown to be effective, alternative delivery methods, e.g. internet-based therapies, have been investigated to overcome barriers to access, such as lack of availability of therapists and infrastructure. This article presents the design of a mobile serious game as a novel psychological momentary ecological intervention for depressive symptoms. We discuss how selected principles and techniques of common psychological frameworks used to tackle depression, namely Cognitive Behavioral Therapy (including Behavioral Activation) and Positive Psychotherapy, were integrated in the game concept, gameplay and game mechanics of ”Horizon: Resilience”, a City Building and Decision Making serious game. The selected techniques are put central in the game design by introducing ”the Power R(esilience)”, which groups the psychological principles of motivation for change, cognitive flexibility, activation and positivity. While identifying with game characters and maintaining high levels of the Power R, the players are introduced to and learn to use Cognitive Behavioral Therapy and Positive Psychotherapy strategies, which they can ultimately apply in their real-life depressive symptomatology},
keywords = {depression, mental health, serious games, symptoms},
pubstate = {published},
tppubtype = {inproceedings}
}
2020
Alema, Senait Meles
Using location-based services to improve mental health interventions Masters Thesis
INIT, UJI, Castellón, 2020.
Abstract | Links | BibTeX | Tags: geolocation, Mastergeotech, mental health
@mastersthesis{Alema2020,
title = {Using location-based services to improve mental health interventions },
author = {Senait Meles Alema},
editor = {Sven Casteleyn and Carlos Granell-Canut and Roberto Henriques (Supervisors)},
url = {http://hdl.handle.net/10362/95143 },
year = {2020},
date = {2020-03-05},
address = {Castellón},
school = {INIT, UJI},
abstract = {The rapid developments in the functionalities of smartphones and technological innovations play a vital role in providing location-based services in healthcare. A mental health sensor-based software platform has been developed by the Geospatial Technologies research group (Geotec), consisting of an application generation framework that offers basic geospatial building blocks (location tracking, trajectory recording, geo-fencing), communication building blocks (notifications) and a basic visualization of collected data for therapists. The framework has been successfully tested for building an application to treat agoraphobia, addiction, and depression, using location-based notifications. However, defining the places of interest for a patient is addressed to a limited extent only. Thus, therapists have difficulties of identifying and defining multiple places of interest, and the generated apps were therefore mostly limited to single places of interest, which were manually defined. Hence, they are difficult to use in larger areas. This thesis aims to use a location-based service to support therapists in defining places of interest, based on location and place categories. The work is carried out as an extension of the SYMPTOMS platform, and it allows therapists to define multiple places of interest automatically and for larger areas. The added value of the approach (in terms of automation, ease of use, and universally usable of therapies) by the location-based services in improving mental health interventions is evaluated. As a result, the application was found to be usable with SUS score of 91.875 and useful for therapists to define multiple places of interest at the same time which simplifies the configuration process and makes therapies universally usable. Reproducibility self-assessment (https://osf.io/j97zp/): 2, 2, 1, 2, 2 (input data, pre-processing, methods, computational environment, results).},
keywords = {geolocation, Mastergeotech, mental health},
pubstate = {published},
tppubtype = {mastersthesis}
}
Miralles-Tena, Ignacio; Granell-Canut, Carlos; Díaz-Sanahuja, Laura; Woensel, William Van; Bretón-López, Juana; Mira, Adriana; Castilla, Diana; Casteleyn, Sven
Smartphone apps for the treatment of mental disorders: a systematic review Journal Article
In: JMIR mHealth and uHealth, vol. 8, no. 3, pp. e14897, 2020, ISSN: 2291-5222, (IF).
Abstract | Links | BibTeX | Tags: Health applications, mental health, Mobile apps, symptoms
@article{Miralles-Tena2020b,
title = {Smartphone apps for the treatment of mental disorders: a systematic review},
author = {Ignacio Miralles-Tena and Carlos Granell-Canut and Laura Díaz-Sanahuja and William Van Woensel and Juana Bretón-López and Adriana Mira and Diana Castilla and Sven Casteleyn},
doi = {10.2196/14897},
issn = {2291-5222},
year = {2020},
date = {2020-03-04},
journal = {JMIR mHealth and uHealth},
volume = {8},
number = {3},
pages = {e14897},
abstract = {Background: Smartphone apps are an increasingly popular means for delivering psychological interventions to patients suffering from a mental disorder. In line with this popularity, there is a need to analyze and summarize the state of the art, both from a psychological and technical perspective.
Objective: This study aimed to systematically review the literature on the use of smartphones for psychological interventions. Our systematic review has the following objectives: (1) analyze the coverage of mental disorders in research articles per year; (2) study the types of assessment in research articles per mental disorder per year; (3) map the use of advanced technical features, such as sensors, and novel software features, such as personalization and social media, per mental disorder; (4) provide an overview of smartphone apps per mental disorder; and (5) provide an overview of the key characteristics of empirical assessments with rigorous designs (ie, randomized controlled trials [RCTs]).
Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews were followed. We performed searches in Scopus, Web of Science, American Psychological Association PsycNET, and Medical Literature Analysis and Retrieval System Online, covering a period of 6 years (2013-2018). We included papers that described the use of smartphone apps to deliver psychological interventions for known mental disorders. We formed multidisciplinary teams, comprising experts in psychology and computer science, to select and classify articles based on psychological and technical features.
Results: We found 158 articles that met the inclusion criteria. We observed an increasing interest in smartphone-based interventions over time. Most research targeted disorders with high prevalence, that is, depressive (31/158,19.6%) and anxiety disorders (18/158, 11.4%). Of the total, 72.7% (115/158) of the papers focused on six mental disorders: depression, anxiety, trauma and stressor-related, substance-related and addiction, schizophrenia spectrum, and other psychotic disorders, or a combination of disorders. More than half of known mental disorders were not or very scarcely (<3%) represented. An increasing number of studies were dedicated to assessing clinical effects, but RCTs were still a minority (25/158, 15.8%). From a technical viewpoint, interventions were leveraging the improved modalities (screen and sound) and interactivity of smartphones but only sparingly leveraged their truly novel capabilities, such as sensors, alternative delivery paradigms, and analytical methods.
Conclusions: There is a need for designing interventions for the full breadth of mental disorders, rather than primarily focusing on most prevalent disorders. We further contend that an increasingly systematic focus, that is, involving RCTs, is needed to improve the robustness and trustworthiness of assessments. Regarding technical aspects, we argue that further exploration and innovative use of the novel capabilities of smartphones are needed to fully realize their potential for the treatment of mental health disorders.},
note = {IF},
keywords = {Health applications, mental health, Mobile apps, symptoms},
pubstate = {published},
tppubtype = {article}
}
Objective: This study aimed to systematically review the literature on the use of smartphones for psychological interventions. Our systematic review has the following objectives: (1) analyze the coverage of mental disorders in research articles per year; (2) study the types of assessment in research articles per mental disorder per year; (3) map the use of advanced technical features, such as sensors, and novel software features, such as personalization and social media, per mental disorder; (4) provide an overview of smartphone apps per mental disorder; and (5) provide an overview of the key characteristics of empirical assessments with rigorous designs (ie, randomized controlled trials [RCTs]).
Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews were followed. We performed searches in Scopus, Web of Science, American Psychological Association PsycNET, and Medical Literature Analysis and Retrieval System Online, covering a period of 6 years (2013-2018). We included papers that described the use of smartphone apps to deliver psychological interventions for known mental disorders. We formed multidisciplinary teams, comprising experts in psychology and computer science, to select and classify articles based on psychological and technical features.
Results: We found 158 articles that met the inclusion criteria. We observed an increasing interest in smartphone-based interventions over time. Most research targeted disorders with high prevalence, that is, depressive (31/158,19.6%) and anxiety disorders (18/158, 11.4%). Of the total, 72.7% (115/158) of the papers focused on six mental disorders: depression, anxiety, trauma and stressor-related, substance-related and addiction, schizophrenia spectrum, and other psychotic disorders, or a combination of disorders. More than half of known mental disorders were not or very scarcely (<3%) represented. An increasing number of studies were dedicated to assessing clinical effects, but RCTs were still a minority (25/158, 15.8%). From a technical viewpoint, interventions were leveraging the improved modalities (screen and sound) and interactivity of smartphones but only sparingly leveraged their truly novel capabilities, such as sensors, alternative delivery paradigms, and analytical methods.
Conclusions: There is a need for designing interventions for the full breadth of mental disorders, rather than primarily focusing on most prevalent disorders. We further contend that an increasingly systematic focus, that is, involving RCTs, is needed to improve the robustness and trustworthiness of assessments. Regarding technical aspects, we argue that further exploration and innovative use of the novel capabilities of smartphones are needed to fully realize their potential for the treatment of mental health disorders.
Miralles-Tena, Ignacio; Granell-Canut, Carlos; García-Palacios, Azucena; Castilla, Diana; González-Pérez, Alberto; Casteleyn, Sven; Bretón-López., Juana
Enhancing in vivo exposure in the treatment of panic disorder and agoraphobia using location-based technologies: A case report Journal Article
In: Clinical case studies, vol. 19, no. 2, pp. 145-159, 2020, ISBN: 1534-6501.
Abstract | BibTeX | Tags: Health applications, LBS, mental health, symptoms
@article{Miralles-Tena2020,
title = {Enhancing in vivo exposure in the treatment of panic disorder and agoraphobia using location-based technologies: A case report},
author = {Ignacio Miralles-Tena and Carlos Granell-Canut and Azucena García-Palacios and Diana Castilla and Alberto González-Pérez and Sven Casteleyn and Juana Bretón-López.},
isbn = {1534-6501},
year = {2020},
date = {2020-03-01},
journal = {Clinical case studies},
volume = {19},
number = {2},
pages = {145-159},
abstract = {Panic disorder (PD) is quite prevalent and often appears along with agoraphobia (PD/A). The treatment of choice is cognitive behavioral therapy (CBT). Transdiagnostic intervention, an emotion-focused, cognitive behavioral intervention that has led to the Unified Protocol (UP), emphasizes the common underlying mechanisms that contribute to the development and maintenance of emotional disorders such as PD/A. A core feature of this treatment approach is in vivo exposure (IVE) to feared situations, which aims to prevent avoidance behaviors and encourages the patient to confront feared situations gradually. It is a difficult component for patients, especially when implementing the exposure on their own. Different feedback formats can be used to increase adequate IVE and reduce overt or subtle avoidance. The use of smartphones is a very useful option to initiate and sustain exposure behavior. The purpose of this study is to describe the use of location-based technologies (LBTs) during the IVE component of the UP treatment of a 47-year-old patient with PD/A. The acceptability and usability of the system were assessed. The Symptoms platform was employed during the exposure module, using LBT with a smartphone app. The patient reported positive expectations, high satisfaction scores, and an overall satisfactory experience. Enhancing key therapeutic components during treatment through the development of media-based tools is a very promising future research aim, and the possibility of using advanced smartphone features should be explored.},
keywords = {Health applications, LBS, mental health, symptoms},
pubstate = {published},
tppubtype = {article}
}
2019
Miralles-Tena, Ignacio
Analysis and development of a platfom for generating context-aware apps for mental health PhD Thesis
Universitat Jaume I. INIT,, 2019.
BibTeX | Tags: context-aware computing, mental health, Mobile apps, symptoms
@phdthesis{Miralles-Tena2019b,
title = {Analysis and development of a platfom for generating context-aware apps for mental health},
author = {Ignacio Miralles-Tena},
editor = {Carlos Granell-Canut and Joaquín Huerta-Guijarro (supervisors)},
year = {2019},
date = {2019-12-19},
address = { Castellón},
school = {Universitat Jaume I. INIT,},
keywords = {context-aware computing, mental health, Mobile apps, symptoms},
pubstate = {published},
tppubtype = {phdthesis}
}
Castilla, Diana; Miralles-Tena, Ignacio; Bretón-López, Juana
Aplicación del PU en un caso de trastorno de pánico con agorafobia utilizando TICs Conference
XI Congreso nacional y I Internacional de la Asociación española de Psicología clínica y Psicopatología: Psicopatología y tratamientos transdiagnósticos 24-26 Octubre 2019 Campus Universitario de Teruel (Universidad de Zaragoza), Servicio de publicaciones, Universidad de Zaragoza, Teruel, 2019, ISBN: 978-84-16723-84-3.
Links | BibTeX | Tags: Health applications, mental health, symptoms
@conference{Castilla2019,
title = {Aplicación del PU en un caso de trastorno de pánico con agorafobia utilizando TICs},
author = {Diana Castilla and Ignacio Miralles-Tena and Juana Bretón-López},
doi = {10.26754/uz.978-84-16723-84-3 },
isbn = {978-84-16723-84-3},
year = {2019},
date = {2019-10-24},
booktitle = {XI Congreso nacional y I Internacional de la Asociación española de Psicología clínica y Psicopatología: Psicopatología y tratamientos transdiagnósticos 24-26 Octubre 2019 Campus Universitario de Teruel (Universidad de Zaragoza)},
pages = {90},
publisher = {Servicio de publicaciones, Universidad de Zaragoza},
address = {Teruel},
keywords = {Health applications, mental health, symptoms},
pubstate = {published},
tppubtype = {conference}
}
Granell-Canut, Carlos; Miralles-Tena, Ignacio; González-Pérez, Alberto; Casteleyn, Sven
En: XI Congreso nacional y I Internacional de la Asociación española de Psicología clínica y Psicopatología: Psicopatología y tratamientos transdiagnósticos 24-26 Octubre 2019 Campus Universitario de Teruel (Universidad de Zaragoza), Servicio de publicaciones, Universidad de Zaragoza, Teruel, 2019, ISBN: 978-84-16723-84-3 .
Links | BibTeX | Tags: Health applications, mental health, Mobile apps, symptoms
@conference{Granell-Canut2019,
title = {Consideraciones en el desarrollo de aplicaciones móviles conscientes del contexto para el soporte a los tratamientos psicológicos},
author = {Carlos Granell-Canut and Ignacio Miralles-Tena and Alberto González-Pérez and Sven Casteleyn},
doi = {10.26754/uz.978-84-16723-84-3 },
isbn = {978-84-16723-84-3 },
year = {2019},
date = {2019-10-24},
booktitle = {En: XI Congreso nacional y I Internacional de la Asociación española de Psicología clínica y Psicopatología: Psicopatología y tratamientos transdiagnósticos 24-26 Octubre 2019 Campus Universitario de Teruel (Universidad de Zaragoza)},
pages = {28},
publisher = {Servicio de publicaciones, Universidad de Zaragoza},
address = {Teruel},
keywords = {Health applications, mental health, Mobile apps, symptoms},
pubstate = {published},
tppubtype = {conference}
}
Miralles-Tena, Ignacio; Granell-Canut, Carlos; Casteleyn, Sven; González-Pérez, Alberto
XI Congreso nacional y I Internacional de la Asociación española de Psicología clínica y Psicopatología: Psicopatología y tratamientos transdiagnósticos 24-26 Octubre 2019 Campus Universitario de Teruel (Universidad de Zaragoza), Servicio de publicaciones, Universidad de Zaragoza, Teruel, 2019, ISBN: 978-84-16723-84-3.
Links | BibTeX | Tags: Health applications, mental health, symptoms
@conference{Miralles-Tena2019c,
title = {SyMptOMS: una plataforma web y móvil para la creación de aplicaciones con geolocalización para dar soporte a los tratamientos psicológicos},
author = {Ignacio Miralles-Tena and Carlos Granell-Canut and Sven Casteleyn and Alberto González-Pérez},
doi = {10.26754/uz.978-84-16723-84-3},
isbn = {978-84-16723-84-3},
year = {2019},
date = {2019-10-24},
booktitle = {XI Congreso nacional y I Internacional de la Asociación española de Psicología clínica y Psicopatología: Psicopatología y tratamientos transdiagnósticos 24-26 Octubre 2019 Campus Universitario de Teruel (Universidad de Zaragoza)},
pages = {32},
publisher = {Servicio de publicaciones, Universidad de Zaragoza},
address = {Teruel},
keywords = {Health applications, mental health, symptoms},
pubstate = {published},
tppubtype = {conference}
}
Díaz-Sanahuja, Laura; Miralles-Tena, Ignacio; Granell-Canut, Carlos; Bretón-López, Juana; González-Pérez, Alberto; Casteleyn, Sven; Castilla, Diana; Gacía-Palacios, Azucena
Enhancing stimulus control in the treatment of gambling disorder using location-based technologies Proceedings Article
In: ESRII 2019 Abstract book 6th Scientific meeting 2019 September 5-6, Copenhagen, pp. 63-64, 2019.
BibTeX | Tags: Health applications, mental health, symptoms
@inproceedings{Díaz-Sanahuja2019,
title = {Enhancing stimulus control in the treatment of gambling disorder using location-based technologies},
author = {Laura Díaz-Sanahuja and Ignacio Miralles-Tena and Carlos Granell-Canut and Juana Bretón-López and Alberto González-Pérez and Sven Casteleyn and Diana Castilla and Azucena Gacía-Palacios},
year = {2019},
date = {2019-10-10},
booktitle = {ESRII 2019 Abstract book 6th Scientific meeting 2019 September 5-6, Copenhagen},
pages = {63-64},
keywords = {Health applications, mental health, symptoms},
pubstate = {published},
tppubtype = {inproceedings}
}
González-Pérez, Alberto; Miralles-Tena, Ignacio; Granell-Canut, Carlos; Casteleyn, Sven
Challenges to Deliver Sensor-based Psychological Interventions using Smartphones Proceedings Article
In: Adjunct Proceedings of the 2019 ACM International Joint Conference on Pervasive and Ubiquitous Computing and the 2019 International Symposium on Wearable Computers , pp. 915-920, ACM, New York, 2019, ISBN: 978-1-4503-6869-8.
Links | BibTeX | Tags: FPU_Miralles, FPU-González, mental health, Mobile apps, RyC-Casteleyn, RyC-Granell, symptoms
@inproceedings{González-Pérez2019,
title = {Challenges to Deliver Sensor-based Psychological Interventions using Smartphones},
author = {Alberto González-Pérez and Ignacio Miralles-Tena and Carlos Granell-Canut and Sven Casteleyn},
doi = {10.1145/1122445.1122456},
isbn = {978-1-4503-6869-8},
year = {2019},
date = {2019-09-10},
booktitle = {Adjunct Proceedings of the 2019 ACM International Joint Conference on Pervasive and Ubiquitous Computing and the 2019 International Symposium on Wearable Computers },
pages = {915-920},
publisher = {ACM},
address = {New York},
keywords = {FPU_Miralles, FPU-González, mental health, Mobile apps, RyC-Casteleyn, RyC-Granell, symptoms},
pubstate = {published},
tppubtype = {inproceedings}
}
Gebreegziabihe, Fana Gebremeskel
Connecting addicted patients and therapists based on GPS for providing context-aware notification Masters Thesis
INIT, Castellón, 2019.
BibTeX | Tags: Health applications, Mastergeotech, mental health, symptoms
@mastersthesis{Gebreegziabihe2019,
title = {Connecting addicted patients and therapists based on GPS for providing context-aware notification},
author = {Fana Gebremeskel Gebreegziabihe},
editor = {Sven Casteleyn and Carlos Granell-Canut and Roberto André Pereira Henriques (supervisors)},
year = {2019},
date = {2019-03-04},
address = {Castellón},
school = {INIT},
keywords = {Health applications, Mastergeotech, mental health, symptoms},
pubstate = {published},
tppubtype = {mastersthesis}
}
2018
González-Pérez, Alberto
Symptoms: Una plataforma de analíticas para dar soporte a tratamientos psicológicos Masters Thesis
Departamento de Lenguajes y Sistemas Informáticos, Castellón, 2018.
BibTeX | Tags: Health applications, mental health, symptoms
@mastersthesis{González-Pérez2018,
title = { Symptoms: Una plataforma de analíticas para dar soporte a tratamientos psicológicos},
author = {Alberto González-Pérez},
editor = {Joaquín Huerta-Guijarro and Sven Casteleyn (supervisors)},
year = {2018},
date = {2018-09-14},
address = {Castellón},
school = {Departamento de Lenguajes y Sistemas Informáticos},
keywords = {Health applications, mental health, symptoms},
pubstate = {published},
tppubtype = {mastersthesis}
}
Iskandaryan, Ditsuhi
A mobile geospatial application to battle psychological disorders Masters Thesis
Departamento de Lenguajes y Sistemas Informáticos, Castellón, 2018.
BibTeX | Tags: Health applications, Mastergeotech, mental health, Mobile apps, symptoms
@mastersthesis{Iskandaryan2018,
title = {A mobile geospatial application to battle psychological disorders},
author = {Ditsuhi Iskandaryan},
editor = {Sven Casteleyn and Carlos Granell-Canut and Roberto Henriques (supervisors)},
year = {2018},
date = {2018-03-02},
address = {Castellón},
school = {Departamento de Lenguajes y Sistemas Informáticos},
keywords = {Health applications, Mastergeotech, mental health, Mobile apps, symptoms},
pubstate = {published},
tppubtype = {mastersthesis}
}