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Cited by 29Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMobile Health and mHealth Applications

HabitWorks: Development of a CBM-I Smartphone App to Augment and Extend Acute Treatment

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Beard, Courtney, Ramadurai, Ramya, McHugh, R. Kathryn, Pollak, J.P., Björgvinsson, Thröstur·2021·Behavior Therapy
DOI 10.1016/j.beth.2020.04.013PMC PMC9720670
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Abstract

The month following discharge from acute psychiatric care is associated with increased risk of relapse, rehospitalization, and suicide. Effective and accessible interventions tailored to this critical transition are urgently needed. Cognitive bias modification for interpretation (CBM-I) is a low-intensity intervention that targets interpretation bias, a transdiagnostic process implicated in the development and maintenance of emotional disorders. We describe the development of a CBM-I smartphone app called HabitWorks as an augmentation to acute care that extends through the high-risk month postdischarge. We first obtained input from various stakeholders, including adults who had completed partial hospital treatment (patient advisory board), providers, CBM experts, and clinic program directors. We then iteratively tested versions of the app, incorporating feedback over three waves of users. Participants were recruited from a partial hospital program and completed CBM-I sessions via the HabitWorks app while attending the hospital program and during the month postdischarge. In this Stage 1A treatment development work, we obtained preliminary data regarding feasibility and acceptability, adherence during acute care, and target engagement. Pilot data met our a priori benchmarks. While adherence during acute treatment was good, it decreased during the postacute period. Qualitative feedback was generally positive and revealed themes of usability and helpfulness of app features. Participants varied in their perception of skill generalization to real-life situations. The feasibility and acceptability data suggest that a controlled trial of HabitWorks is warranted.

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Sorted by citations

Authors
Beard, C., Ramadurai, R., McHugh, R. K., Pollak, J. P., & Björgvinsson, T.
Affiliations
  • Harvard University (US)
  • McLean Hospital (US)
  • Cornell Tech (US)
Corresponding author
Beard, Courtney
ORCID
Venue
Behavior Therapy
Publisher
Elsevier BV
Published
2021-03
Volume
52
Issue
2
Pages
365-378
ISSN
0005-7894 (ISSN-L)
DOI
10.1016/j.beth.2020.04.013
PMC
PMC9720670
OpenAlex
W3023844081
Cited by
29
References
16
Citations by year
2026: 4 · 2025: 1 · 2024: 6 · 2023: 8 · 2022: 3 · 2021: 6 · 2020: 1
FWCI
4.07
Type
journal article
Language
en
Open access
Licence
Locations
  • Behavior Therapy (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (MH113600, NCT03509181)
Topics
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords
cognitive bias modification for interpretation, interpretation bias, mobile application, post-discharge care, partial hospitalization, acute psychiatric care, relapse prevention, suicide prevention, medication adherence, app usability, emotional disorders, transdiagnostic mechanisms, stakeholder feedback
MeSH terms
Smartphone, Adult, Aftercare, Humans, Patient Discharge, Mobile Applications

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