Table 1.
Summary of characteristics of the three mHealth studies
| Sleepsight | SIMPLe | CLIMB | |
| Disorder | Schizophrenia. | Bipolar disorder I and II. | Chronic psychotic disorders: schizophrenia, schizoaffective disorder, bipolar disorder with psychosis. |
| Target clinical dimension(s) | Rest-activity patterns, and their relation to symptomatic deterioration and relapse. | Self-reported positive and negative affect; relapse. | Social cognition and functioning. |
| Technologies | (1) Consumer wearable device with accelerometer and heart rate sensor; (2) Android smartphone provided by research team; (3) Custom designed smartphone application with self-rated symptom severity items, which also accessed smartphone sensors including accelerometer and smartphone usage meta-data. | (1) Participant’s own Android smartphone; (2) Custom designed smartphone application with self-rated symptom severity items, and tailored psychoeducational messages. | (1) iPad provided by research team; (2) Commercially available computerised social cognition training app; (3) Commercially available videoconferencing and social networking app. |
| Approach to development | Iterative focus groups informing app design and selection of mobile devices. | User-centred design, with iterative user involvement over the course of the study using online surveys, individual interviews and focus groups (figure 1). | Theory-driven intervention design, integrating structured training of social cognitive abilities with weekly group teletherapy with group texting. Online surveys that assess current social difficulties and patient-centred goals are administered to customise the group teletherapy sessions. |
| Project partners |
Academic:
Clinicians and bioinformaticians from King’s College London; app developers from Northwestern University, USA. Non-academic: Data access agreement with Fitbit. |
Academic:
Clinicians from the University of Barcelona, Spain, and collaborating academic centre in Santiago, Chile. Non-academic: App development was outsourced to a commercial entity in Paraguay. |
Academic:
Clinicians and data scientists at University of California at San Francisco. Non-academic: Posit science; Business associate agreement with Google. |