Table 2. Summary of the MoodSwings program and Enhancements made in MoodSwings 2.0.

Summary of the MoodSwings program and content changes

		MoodSwings content	Content changes as part of MoodSwings upgrade
Core Modules	1. What is bipolar disorder?	Reviews symptoms and criteria for diagnosis	Each module now contains video vignettes using consumer consultant related. Material is directly linked to module content
	2. Stress and triggers	Outlines common stressors and triggers, and offers information about mood monitoring and stress reduction.	Upgrading of interactive mood monitor. Sleep data is now graphed along with mood, anxiety and irritability Relaxation audio included in module
	3. Medication	Covers the biological basis for bipolar disorder and the role of medication.
	4. Depression	Covers symptoms and warning signs of depression, as well as information about helpful strategies.
	5. Elevated mood	Covers symptoms and warning signs of hypomania and mania, as well as information about helpful strategies.	Previously separate elevated mood modules or mania and hypomania are now combined
Booster Modules	3 months	Reviews the core module content.
	6 months	Reviews the role of lifestyle factors in illness management (e.g. diet, exercise, smoking).
	9 months	Review the role of relationships and communication styles.	An additional booster at 9 month time point
	12 months	Concludes the MoodSwings program and thanks participants for their involvement.
Additional program elements in upgrade	Participants have access to discussion board 1 per each study arm Monthly discussion topics posted by the moderator
	Participants can view progress within program via progress bar tracking where they are up to in the program
	Safety red flag protocol also provides feedback to participants when there is reported mood changes
	Internal messaging system within the program enables secure and confidential communication between researchers and participants