#EMI #hope-s Related to [[20211120 All about EMA and EMI]] [[HOPES - Components for the EMA EMI Design]] [[HOPES - How to reduce user burden in answering EMA]] # Overview 1. The HOPE-S extend the monitoring and reminding patients skills and knowledge they have learnt. 2. The EMIs should take a blended approach, such that the HOPE-S platform compliment with what human case managers are providing.** (Use of Ecological Momentary Assessment and Intervention in Treatment With Adults. Meghan E. McDevitt-Murphy, Ph.D., Matthew T. Luciano, M.S., and Rebecca J. Zakarian, B.A.), An overview of and recommendations for more accessible digital mental health services, Emily G. Lattie 1 ✉, Colleen Stiles-Shields2 and Andrea K. Graham1) 1. Reference: [[202201271457 EMI need to link with a human support]] 2. Reference: [[202202171123 Blended Approach EMIs]] 3. Provide early detection and interventions 4. The human case manager will go through a structured psychoeducation material curriculum with the patients. Which cover a set of modules. During the onboarding process, patient's unique individual relapse signs, and their attempted solutions will be noted down onto the HOPE-S platform (Idea from Augmenting Psychoeducation with a Mobile Intervention for Bipolar Disorder: A Randomized Controlled Trial. Colin A Depp, Ph.D.1,2, Jenni Ceglowski, M.A.1, Vicki C Wang, B.S.1, Faraz Yaghouti, B.S.1, Brent T Mausbach, Ph.D.1, Wesley K Thompson, Ph.D.1, and Eric L Granholm, Ph.D.1,2 1Department of Psychiatry, UC San Diego) 1. Reference: [[202202151505 Have a standardised psychoeducation curriculum for patients#^f435e2]] 2. The idea of having "Predefine Helpful interventions activities" and "Predefine early relapse signs" is similar to the following two articles: 1. - [[Augmenting Psychoeducation with a Mobile Intervention for Bipolar Disorder A Randomized Controlled Trial#^9b9460]] 2. [[List of EMA EMI SYSTEMS#^dd3727]] [[202201271457 EMI need to link with a human support]] --- **EMI Design Principles** 1. To have a clear and compelling reasons to use this interventions. What’s the purpose.  2. Test, and evaluate. - Self reported measures or objective measures - does it improve the scale? 1. Show that improvement, as a reinforcing conditioning.  ## Based the design according to Recovery/Framework and models:   1. The Recovery Model: The Recovery Model emphasizes the individual's ability to take control of their own recovery and focus on their strengths and abilities, rather than their symptoms or diagnoses. This model suggests that recovery is a holistic process that involves addressing physical, emotional, and social needs.   2. The Wellness Recovery Action Plan (WRAP): WRAP is a personalized self-management and recovery system that was developed by people with mental health conditions. This framework emphasizes the importance of creating a personal wellness toolbox, developing a crisis plan, and identifying triggers and early warning signs.   3. The Stages of Change Model: The Stages of Change Model suggests that recovery is a process that involves several stages, including pre-contemplation, contemplation, preparation, action, and maintenance. This model suggests that individuals may move back and forth between these stages, and that the process of recovery may be non-linear.   4. The Biopsychosocial Model: The Biopsychosocial Model suggests that mental illness is the result of a complex interplay between biological, psychological, and social factors. This model emphasizes the importance of addressing all three of these factors in order to support recovery.   5. The Strengths-Based Model: The Strengths-Based Model emphasizes the importance of identifying and building on an individual's strengths, rather than focusing solely on their weaknesses or deficits. This model suggests that individuals are more likely to experience success and achieve their goals when they are able to build on their existing strengths. ## Basing it on Recovery Model The Recovery Model is a holistic approach to mental health recovery that emphasizes the individual's ability to take control of their own recovery and focus on their strengths and abilities, rather than their symptoms or diagnoses. The model was first developed in the 1980s and has since become a widely accepted framework for mental health recovery. Here are some key principles of the Recovery Model: 1. Recovery is a personal journey: The Recovery Model recognizes that recovery is a personal journey that is unique to each individual. It emphasizes the importance of supporting individuals in developing their own goals and strategies for recovery. 2. Recovery is holistic: The Recovery Model recognizes that recovery is a holistic process that involves addressing physical, emotional, and social needs. It emphasizes the importance of supporting individuals in developing a sense of purpose and meaning in their lives. 3. Recovery is a process of growth and change: The Recovery Model recognizes that recovery is a process of growth and change that may involve setbacks and challenges. It emphasizes the importance of supporting individuals in developing resilience and learning from their experiences. 4. Recovery is supported by a range of services and supports: The Recovery Model recognizes that recovery is supported by a range of services and supports, including peer support, family support, and professional mental health services. Numerous studies have supported the effectiveness of the Recovery Model in promoting recovery for people with mental health conditions. For example, a review of 19 studies on the effectiveness of the Recovery Model found that it was associated with improved mental health outcomes and increased empowerment among individuals with mental health conditions (Slade et al., 2014). Another study found that the Recovery Model was associated with improved quality of life and reduced hospitalization rates among individuals with mental health conditions (Jacobson et al., 2014). References: Jacobson, N., Greenley, D., & Stein, C. (2014). The relationship between recovery and health-related quality of life. Journal of Mental Health, 23(5), 235-240. Slade, M., Amering, M., Farkas, M., Hamilton, B., O'Hagan, M., Panther, G., ... & Whitley, R. (2014). Uses and abuses of recovery: implementing recovery-oriented practices in mental health systems. World Psychiatry, 13(1), 12-20. ## Challenge involved in validation of EMA 1. Conduct cognitive interviews: Cognitive interviews involve asking users to complete the EMA questions while thinking aloud and explaining their thought process as they respond to each question. This can help you identify any confusing or ambiguous questions and improve the clarity and precision of your EMA questions. 2. Use existing validated measures: Instead of developing your own EMA questions, you could use existing validated measures that have been shown to be reliable and accurate in previous research. This can help ensure that your EMA questions are measuring what they are intended to measure. 3. Pilot test the EMA questions: Before launching your app, it's important to pilot test your EMA questions with a small group of users to identify any issues with the wording or formatting of the questions. This can help you refine your questions and improve the accuracy of your EMA data. 4. Use visual aids: Using visual aids, such as icons or diagrams, can help users better understand and respond to the EMA questions. For example, a visual scale or chart can help users more accurately report their mood or energy level. 5. Collaborate with experts: Working with mental health professionals, researchers, or other experts in the field can help ensure that your EMA questions are accurate, reliable, and meaningful. These experts can provide feedback on your questions and help you refine your EMA protocol to maximize its validity and utility. ## General Design Principles Sure, here is a summary of some design principles for creating good EMA and EMI for mental illness patients: 1. Tailor the intervention to the individual: Effective EMA and EMI should be tailored to the individual's specific needs, preferences, and context. 2. Make it easy to use: EMA and EMI should be easy to use and understand, with clear and simple instructions and interfaces. 3. Incorporate evidence-based strategies: EMA and EMI should be based on evidence-based strategies and interventions that have been shown to be effective in promoting mental health and well-being. 4. Emphasize positive psychology: Effective EMA and EMI should emphasize positive psychology, focusing on the individual's strengths and abilities rather than their deficits or symptoms. 5. Include social support: EMA and EMI should include opportunities for social support and connectedness, such as peer support groups, online communities, or counseling services. 6. Evaluate the effectiveness: It's important to evaluate the effectiveness of EMA and EMI interventions to determine if they are having the intended impact on the individual's mental health and well-being. ---- - First, consideration is the overall safety of this system. Do no harm? - ![[Development of a decision-making checklist tool to support technology selection in digital health research#^ce32b7]] - [[202202151510 Consider the second order changes needed for sustained changes]] - Because in PRISM, the effect at 24th weeks has waned. Interesting idea - [[202202151536 The use of Geo-location to trigger EMI, to remind user about their training, to reduce relapses]] # Specific interventions For Depressed, Anxious patients What are the iCBT interventions used for depressed and anxious patients? ![[An overview of and recommendations for more accessible digital mental health services#^6d9886]] - What is the Worry Outcome Journal - [[List of EMA EMI SYSTEMS#^f2661a]] - [[List of EMA EMI SYSTEMS#^e77b8d]] # For Bipolar Disorder [[Daily mood monitoring of symptoms using smartphones in bipolar disorder - A pilot study]] Can borrow ideas from that paper, scaling questions to ask for mood, energy, impulsivity and speed of thoughts. Twice a day random If energy high, then intervention? # Specific Interventions for Psychosis patients # Questions asked in others EMI systems - PRISM ![[Augmenting Psychoeducation with a Mobile Intervention for Bipolar Disorder A Randomized Controlled Trial#^d08f7c]] ---- - Consider the limitations of the various studies - What will be the exclusion criteria for this? Because PRISM only have mild symptoms patients on their study. - Must consider the assumption carefully. Reduce biases in algorithm. ---- [[Mood EMA Index]]