Smartphone-based ecological momentary assessment and intervention in a blended coping-focused therapy for distressing voices: development and case illustration
Open accessAbstract
Common approaches to the psychological treatment of distressing voice hearing experiences, such as cognitive behavioural therapy, aim to promote more adaptive cognitive, emotional and behavioural responses to these experiences. Digital technologies such as smartphones show promise for supporting and enhancing these treatments by linking immediate therapeutic settings to the context of daily life. Two promising technologies include ecological momentary assessment and intervention (EMA/I), which may offer a means of advanced assessment and support in daily life, and inform the tailoring of interventions to suit individual needs. In this study, a highly novel intervention approach was developed involving four face-to-face sessions with a psychologist blended with EMA/I between sessions in order to improve coping with distressing voice hearing experiences. The authors describe the background and development of this approach along-side a single case illustration, which supported feasibility and acceptability. This study details how digital technologies such as EMA/I may be used in future as clinical tools to enhance standard psychological treatments and clinical care of people with persisting and distressing experiences.
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The widespread use of smartphones and other portable devices has rendered experiential sampling a particularly advantageous procedure in clinical studies.
“The widespread use of smartphones and other portable devices has rendered ES a particularly advantageous procedure in clinical studies (Bell et al., 2018; Nap-van der Vlist et al., 2021).”
From Online ACT intervention for fibromyalgia: An exploratory study of feasibility and preliminary effectiveness with smartphone-delivered experiential sampling assessment (2022) · cites this paper as Bell et al., 2018
The Introduction describes experience sampling (EMA) as commonly using smartphone apps and identifies advantages for research and clinical assessment. It also says smartphone ownership is widespread in psychosis populations. It does not establish widespread use of smartphones and other portable devices across clinical-study populations generally. (LLM, conf=0.81)
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References 80 · Cited by 36
Research works printed but not linked: 1
- van Os J. Verhagen S. Marsman A. Peeters F. Bak M. Marcelis M. … Lataster T. The experience sampling method as an mHealth tool to support self-monitoring, self-insight, and personalized health care in clinical practice Depress. Anxiety 34 6 2017 481 493 28544391
- Authors
- Bell, I. H., Fielding-Smith, S. F., Hayward, M., Rossell, S. L., Lim, M. H., Farhall, J., & Thomas, N.
- Affiliations
- Swinburne University of Technology (AU)
- University of Sussex (GB)
- St Vincent's Hospital Melbourne (AU)
- La Trobe University (AU)
- Corresponding author
- Bell, Imogen H.
- ORCID
- Venue
- Internet Interventions
- Publisher
- Elsevier BV
- Published
- 2018-12
- Volume
- 14
- Pages
- 18-25
- ISSN
- 2214-7829 (ISSN-L)
- PMC
- PMC6258111
- OpenAlex
- W2900609363
- Cited by
- 36
- References
- 80
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 5 · 2021: 5 · 2020: 6 · 2019: 7
- FWCI
- 5.68
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Internet Interventions (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Figshare (submittedVersion, cc-by-nc-nd)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by-nc-nd)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion, cc-by-nc-nd)
- Swinburne figshare (Swinburne University of Technology)
- Funders
- Australian Government Research Training Program Scholarship
- Barbara Dicker Brain Sciences Foundation Grant Scheme
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- auditory verbal hallucinations, ecological momentary assessment, ecological momentary intervention, smartphone-based intervention, cognitive behavioral therapy, feasibility and acceptability, digital mental health tools
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