mHealth in Mental Health: how to efficiently and scientifically create an ambulatory biofeedback e-coaching app for patients with borderline personality disorder
Abstract
mHealth applications aim to 'coach' users in achieving a better life. However, many of these e-coaches are not based on sound background knowledge of those in need of support. One such group is patients with a borderline personality disorder (BPD). Patients with BPD experience great difficulties in regulating their emotions, in part due to an inability to recognise (changes in) emotions. Using a modified UXD-framework, we investigated the need amongst BPD-patients and therapists for an ambulatory biofeedback e-coaching app that supports patients in learning to better recognise changes in their arousal level. This study adds: 1) a 'design science' approach to developing mHealth applications; 2) the insight that needs of both groups did converge to a degree, but mental models differed fundamentally; 3) a set of requirements for a physiologically based real-time biofeedback tool for psychiatric patients; 4) personas that can form the basis for other research within this group.
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Eliciting requirements from target groups comprising patients who are vulnerable and clinically complex, such as people with psychosis or dementia, might be challenging.
“Third, it was mentioned that eliciting requirements from target groups comprising patients who are vulnerable and clinically complex, such as people with psychosis or dementia, might be challenging.”
From Methods for Human-Centered eHealth Development: Narrative Scoping Review (2022) · cites this paper as [70]
Multiple authors indicated that card sorting is a fast, efficient, and cheap method to gain insight into the structure of a to-be-developed eHealth technology, especially when conducted on the web.
“Multiple authors indicated that card sorting is a fast, efficient, and cheap method to gain insight into the structure of a to-be-developed eHealth technology, especially when conducted on the web”
From Methods for Human-Centered eHealth Development: Narrative Scoping Review (2022) · cites this paper as [70]
To structure the persona-building process, researchers need to identify characteristic categories that need to be included in the persona, in which attention should also be paid to skills and attitudes related to the to-be-developed eHealth technology.
“Second, to structure the persona-building process, researchers need to identify characteristic categories that need to be included in the persona, in which attention should also be paid to skills and attitudes related to the to-be-developed eHealth technology.”
From Methods for Human-Centered eHealth Development: Narrative Scoping Review (2022) · cites this paper as [70]
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Methods for Human-Centered eHealth Development: Narrative Scoping Review
Kip, H., Keizer, J., da Silva, M. C., Beerlage-de Jong, N., Köhle, N., & Kelders, S. M. (2022) · Journal of Medical Internet Research · doi:10.2196/31858 · Cited by 67 · see citing works
Methods for Human-Centered eHealth Development: Narrative Scoping Review (Preprint)
Kip, H., Keizer, J., da Silva, M. C., Beerlage-de Jong, N., Köhle, N., & Kelders, S. M. (2021) · doi:10.2196/preprints.31858 · Cited by 67 · see citing works
Derks, Y. P., Klaassen, R., Westerhof, G. J., Bohlmeijer, E. T., & Noordzij, M. L. (2019) · JMIR mHealth and uHealth · doi:10.2196/13479 · Cited by 45 · see citing works
Self-citationSchouten, S. E., Kip, H., Dekkers, T., Deenik, J., Beerlage-de Jong, N., Ludden, G. D. S., & Kelders, S. M. (2022) · Design for Health · doi:10.1080/24735132.2022.2145814 · Cited by 37 · see citing works
- Authors
- Derks, Y. P. M. J., Visser, T. D., Bohlmeijer, E. T., & Noordzij, M. L.
- Affiliations
- GGNet (NL)
- University of Twente (NL)
- Venue
- International Journal of Human Factors and Ergonomics
- Publisher
- Inderscience Publishers
- Published
- 2017
- Volume
- 5
- Issue
- 1
- Pages
- 61
- ISSN
- 2045-7804 (ISSN-L)
- 2045-7812
- OpenAlex
- W4239092382
- Cited by
- 19
- References
- 0
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 4 · 2021: 6 · 2020: 1 · 2019: 3 · 2018: 3
- FWCI
- 2.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Human Factors and Ergonomics (publishedVersion)
- University of Twente Research Information (publishedVersion)
- University of Twente Research Information (submittedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Physical Sciences › Computer Science › Human-Computer Interaction › Innovative Human-Technology Interaction
- Keywords
- mobile health, borderline personality disorder, biofeedback, emotion regulation, user needs analysis, mental models, personas, design science
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