Smartphone-Based Psychotherapeutic Micro-Interventions to Improve Mood in a Real-World Setting
Open accessAbstract
BACKGROUND: Using mobile communication technology as new personalized approach to treat mental disorders or to more generally improve quality of life is highly promising. Knowledge about intervention components that target key psychopathological processes in terms of transdiagnostic psychotherapy approaches is urgently needed. We explored the use of smartphone-based micro-interventions based on psychotherapeutic techniques, guided by short video-clips, to elicit mood changes. METHOD: As part of a larger neurofeedback study, all subjects-after being randomly assigned to an experimental or control neurofeedback condition-underwent daily smartphone-based micro-interventions for 13 consecutive days. They were free to choose out of provided techniques, including viscerosensory attention, emotional imagery, facial expression, and contemplative repetition. Changes in mood were assessed in real world using the Multidimensional Mood State Questionnaire (scales: good-bad, GB; awake-tired, AT; and calm-nervous, CN). RESULTS: Twenty-seven men participated on at least 11 days and were thus included in the analyses. Altogether, they underwent 335, generally well-tolerated, micro-intervention sessions, with viscerosensory attention (178 sessions, 53.13%) and contemplative repetition (68 sessions, 20.30%) being the most frequently applied techniques. Mixed models indicated that subjects showed better mood [GB: b = 0.464, 95%confidence interval (CI) [0.068, 0.860], t (613.3) = 2.298, p = 0.022] and became more awake [AT: b = 0.514, 95%CI [0.103, 0.925], t (612.4) = 2.456, p = 0.014] and calmer [CN: b = 0.685, 95%CI [0.360, 1.010], t (612.3) = 4.137, p < 0.001] from pre- to post-micro-intervention. These mood improvements from pre- to post-micro-intervention were associated with changes in mood from the 1st day until the last day with regard to GB mood (r = 0.614, 95%CI [0.297, 0.809], p < 0.001), but not AT mood (r = 0.279, 95%CI [-0.122, 0.602], p = 0.167) and CN mood (r = 0.277, 95%CI [0.124, 0.601], p = 0.170). DISCUSSION: Our findings provide evidence for the applicability of smartphone-based micro-interventions eliciting short-term mood changes, based on techniques used in psychotherapeutic approaches, such as mindfulness-based psychotherapy, transcendental meditation, and other contemplative therapies. The results encourage exploring these techniques' capability to improve mood in randomized controlled studies and patients. Smartphone-based micro-interventions are promising to modify mood in real-world settings, complementing other psychotherapeutic interventions, in line with the precision medicine approach. The here presented data were collected within a randomized trial, registered at ClinicalTrials.gov (Identifier: NCT01921088) https://clinicaltrials.gov/ct2/show/NCT01921088.
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For the nested RCT, assuming a participation rate of 80% and a correlation of 0.5 among repeated measures, the study will have sufficient power (1-β > 0.99) to detect medium effect sizes (f = 0.25).
“Given a maximum of 15 bodily interventions and 15 control interventions per person and assuming a participation rate in daily interventions of 80% (which is a rather conservative estimate, as compared to the previously observed 96% participation rate in an earlier study [51]), we expect on average a total of 24 completed smartphone-triggered interventions per participant. Assuming a correlation of”
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- Authors
- Meinlschmidt, G., Lee, J.-H., Stalujanis, E., Belardi, A., Oh, M., Jung, E. K., Kim, H.-C., Alfano, J., Yoo, S.-S., & Tegethoff, M.
- Affiliations
- University of Basel (CH)
- Korea University (KR)
- Brigham and Women's Hospital (US)
- Corresponding author
- Tegethoff, Marion
- ORCID
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2016-07-28
- Volume
- 7
- Pages
- 1112-1112
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC4963605
- OpenAlex
- W2477618409
- Cited by
- 68
- References
- 111
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 3 · 2023: 7 · 2022: 22 · 2021: 7 · 2020: 4 · 2019: 8 · 2018: 3 · 2017: 4
- FWCI
- 7.67
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (PZ00P1_137023, 100014_135328)
- National Research Foundation of Korea (2013S1A2A2035364)
- Ministry of Health and Welfare (HI12C1847)
- Ministry of Science, ICT and Future Planning (2015R1A2A2A03004462)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- micro-interventions, mood improvement, transdiagnostic psychotherapy, emotional imagery, facial expressions, neurofeedback, mobile mental health, self-guided intervention
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