Patients’ adherence to smartphone apps in the management of bipolar disorder: a systematic review
Open accessAbstract
Background: Despite an increasing number of available mental health apps in the bipolar disorder field, these tools remain scarcely implemented in everyday practice and are quickly discontinued by patients after downloading. The aim of this study is to explore adherence characteristics of bipolar disorder patients to dedicated smartphone interventions in research studies. Methods: A systematic review following PRISMA guidelines was conducted. Three databases (EMBASE, PsychInfo and MEDLINE) were searched using the following keywords: "bipolar disorder" or "mood disorder" or “bipolar” combined with “digital” or “mobile” or “phone” or “smartphone” or “mHealth” or “ehealth” or "mobile health" or “app” or “mobile-health”. Results: Thirteen articles remained in the review after exclusion criteria were applied. Of the 118 eligible studies, 39 did not provide adherence characteristics. Among the selected papers, study length, sample size and definition of measures of adherence were strongly heterogeneous. Activity rates ranged from 58 to 91.6%. Conclusion: The adherence of bipolar patients to apps is understudied. Standardised measures of adherence should be defined and systematically evaluated in future studies dedicated to these tools.
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Available research regarding adherence to apps developed for BD suggests highly heterogenous rates of use.
“as available research regarding adherence to apps developed for BD suggests highly heterogenous rates of use (Patoz et al. 2021).”
From Evaluating the quality, safety, and functionality of commonly used smartphone apps for bipolar disorder mood and sleep self-management (2022) · cites this paper as Patoz et al. 2021
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- Authors
- Patoz, M.-C., Hidalgo-Mazzei, D., Pereira, B., Blanc, O., de Chazeron, I., Murru, A., Verdolini, N., Pacchiarotti, I., Vieta, E., Llorca, P.-M., & Samalin, L.
- Affiliations
- Centre National de la Recherche Scientifique (FR)
- Centro de Investigación Biomédica en Red de Salud Mental (ES)
- Corresponding author
- Samalin, Ludovic
- ORCID
- Venue
- International Journal of Bipolar Disorders
- Published
- 2021-06-03
- Volume
- 9
- Issue
- 1
- Pages
- 19-19
- ISSN
- 2194-7511 (ISSN-L)
- PMC
- PMC8175501
- OpenAlex
- W3164259465
- Cited by
- 30
- References
- 56
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 7 · 2023: 4 · 2022: 5 · 2021: 2
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- International Journal of Bipolar Disorders (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Ministère des Affaires Sociales, de la Santé et des Droits des Femmes (PREPS 17-0121)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- bipolar disorder, mobile application, mobile health, digital interventions, app adherence, patient engagement, mood disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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