Table 1.
Studies | Intervention | Duration (days) |
Total (n) | Attrition | Adherence | User experience | Reported benefits |
Ainsworth et al (2013) [25] |
Android app “ClinTouch”
|
6 | 24 (24 with schizophrenia) | 0/24 |
69% of all possible entries were completed 2.8 uses per day (mean average) |
The app was rated as “pleasing” overall (scoring 3.7 on a 7-point scale). The app was not rated as “stressful” or “challenging” (scoring only 1.8 and 2.2 on 7-point scales) | Participants felt the app could help them or other service users (5.3 on a 7-point scale) |
Ben Zeev et al (2014) [27] | Android app “FOCUS” | 28 | 33 (33 with schizophrenia) | 1/33 due to losing phone | Participants used FOCUS on 86.5% of days in the study 5.2 uses per day (mean average) |
93.7% of participants satisfied with overall ease of use. Less than 20% found the app to be “awkward,” “complicated,” or “inconsistent.” | 87.5% of participants felt that the app helped to manage symptoms. Paired samples t tests showed significant reductions in positive and negative symptoms and depression. |
Macias et al (2015) [30] |
iPhone and Android app ‘WellWave’ | 28 | 11 (4 with schizophrenia) | 1/11 withdrew of own accord | Used on 94% of days 73 % response rate to prompts (3.54 per day) 70% of participants achieved ≥2 walks per week |
100% of participants were satisfied with the app overall. Only criticisms were made, pertaining to color/sound preferences, and the study coming to an end. | Participants experienced both improved well-being (eg, put my head in a good place) and practical benefits (eg, Motivated me to get up and walk around the block). |
Naslund et al (2015) [28] Aschbrenner et al (2015) [29] |
iPhone app “PeerFIT” | 80-133 | 10 (3 with schizophrenia) | 1/10 withdrew due to medical reasons | Participants used activity monitors on 89% of days in the study |
100% were “very satisfied” or “somewhat satisfied” with PeerFIT overall; 60% would recommend to a friend. Participants felt the devices were expensive for low-income individuals. | 100% found the program helped them to reach their goals. Mean weight loss of 2.7 kg across all participants (P>.05). |
Palmier-Claus et al (2012, 2014) [23,24] | Android app “ClinTouch” | 7 | 44 (36 with schizophrenia) | 8/44 due to noncompliance | 72% of all possible entries were completed 4.4 uses per day (mean) |
Not reported | Smartphone app provided clinically valid real-time measures of psychotic symptoms and affective state |
aThis is an abridged version of the table. Additional details about the intervention are presented in Multimedia Appendix 1.