Table 2.
Randomized controlled trials involving smartphones in the field of psychiatry identified in systematic search updated in August 2019. Description of participant characteristics and outcome data. The bottom 5 trials in italics indicate trials with diagnoses solely based on questionnaires.
| Author, year of publication | Diagnosis | How was the diagnosis obtained? | Recruitment: open/closed (recruitment length in months); information | Primary outcomea | Questionnaire data collection |
| Watts et al, 2013 [22] | Major depressive disorder (Rb) | MINIc phone interview + PHQ-9d | Open (3 months); advertising + application on a Web page | Questionnaire(PHQ-9, BDI-IIe, K-10f, and other) | N/Ag |
| Dagöö et al, 2014 [23] | Social anxiety disorder (R) | MINI phone interviews SCIDh | Open (2011 and 2012); advertising in media and Facebook. | Questionnaire (LSAS-SRi)a | Internet platform |
| Gustafson et al, 2014 [24] | Alcohol use disorder (Cj) | From treatment centers (DSM-IVk) | Closed (17 months); from 3 nonprofit residential treatment centers | Risky drinking daysa | Phone interview |
| Ly et al, 2014 [25] | Major depressive disorder (R) | MINI phone interview | Open (N/A); advertising in national media | Questionnaires (PHQ-9 and BDI-II)a | Internet platform |
| Depp et al, 2015 [26] | Bipolar disorder (R+C) | Medical records + MINI interview | Open (N/A); online, self-help groups, outpatient clinics, and communities | Clinical ratings (MADRSl and YMRSm)a | N/A |
| Faurholt-Jepsen et al, 2015 [27] | Bipolar disorder (R+C) | From outpatient clinic + SCANn | Closed (18 months); recruitment from specialized hospital function | Clinical rating (Hamilton Rating Scale for Depression 17 item and YMRS)a | Paper |
| Ly et al, 2015 [28] | Major depressive disorder (R) | MINI phone interview + PHQ-9 | Open (N/A); advertising in media (for patients’ self-identifying as depressed) | Questionnaires (BDI-II)a | Internet platform |
| Moëll et al, 2015 [29] | Attention-deficit/hyperactivity disorder. (R+C) | Medical records + DSM-IV phone | Open (N/A); by patient websites and Facebook | Questionnaire Adult Self-Reported Scale subscalea | Internet platform |
| Ivanova et al, 2016 [30] | Social anxiety/panic disorder (R+C) | MINI phone + questionnaires | Open (2 months); advertising in national medias | Questionnaire (Generalized Anxiety Disorder 7-item, LSAS-SR, + more a)a | Internet platform |
| Hildebrandt et al, 2017 [31] | Binge eating and bulimia (R) | SCID interview + questionnaires | Both (N/A); community advertising and referrals | Clinical ratings (objective bulimic episodes Eating Disorder Examination)a | Paper and in-app |
| Mantani et al, 2017 [32] | Major depressive disorder (R+C) | Personal by treating physician | Closed (25 months); recruited by treating physicians | Telephone (blinded; PHQ-9)a | Telephone assessment |
| Ben-Zeev et al, 2018 [33] | Severe mental illnesso (C) | Chart diagnosis | Closed (27 months); identified from medical records, recruited by clinical teams | Questionnaire (Symptom Checklist-9) Engagement (objective)a | N/A |
| Boettcher et al, 2018 [34] | Social anxiety disorder (R) | DSM-IV (phone) | Open (N/A); advertising in national media, Facebook | Questionnaire (LSAS-SR)a | Internet platform |
| Bucci et al, 2018 [35] | Early psychosis (C) | From outpatient clinic | Closed (7 months); From early intervention for psychosis service | Objective measurements of feasibility and attritiona | N/A |
| Hur et al, 2018 [36] | Depression (other)p (R) | SCID non-patient interview + questionnaires | Open (N/A); advertising, online recruitment, posters and clinic | Questionnaires (Dysfunctional Attitude Scale)a | N/A |
| Liang et al, 2018 [37] | Substance use disorder (C) | From methadone treatment clinics | Closed (11 months); from methadone maintenance clinics and via social workers | Robust objective measure (drug use measured in urine) | Interviews |
| Schlosser et al, 2018 [38] | Schizophrenia spectrum disorders (R) | DSM-IV video-interview | Open (N/A); Craigslist, advertising, and information boards | Motivated behavior measured by trust task (objective task)a | Internet platform |
| Stolz et al, 2018 [39] | Social anxiety disorder (R) | DSM-IV (master students) | Open (N/A); media and online forums | Questionnaires (Social Phobia Scale, SIASq, LSAS-SR)a | Internet platform |
| Faurholt-Jepsen et al, 2019 [40] | Bipolar disorder (R+C) | SCAN | Closed (N/A); patients previously treated in specialized function invited | Clinical ratings (HDRS-17 + YMRS)a | Paper |
| Krzystanek et al, 2019 [41] | Paranoid schizophrenia (C) | N/A (enrolled from treatment centers) | Closed (7 month); enrolled from 27 treatment centers | Many outcomes; clinical ratings (video; eg, Positive and Negative Syndrome Scale) | N/A |
| Stiles-Shields et al, 2019 [42] | Depression (R) | Quick Inventory of Depressive Symptomatology + MINI phone interview | Open (5 month); Craigslist | Questionnaires (eg, PHQ and usability) | Internet platform |
| Teng et al, 2019 [43] | Generalized Anxiety Disorder (R) | Questionnaire + DSM-IV subscale | N/A | Questionnaires (State-Trait Anxiety Inventory, BDI-II + more) | N/A |
| Enock et al, 2014 [44] | Social anxiety disorder (R) | Questionnaire with cutoff | Open (40 months); news articles, message boards, craigslist.org, Google | Questionnaire (LSAS-SR, SIAS-17, and other) | Internet platform |
| Roepke et al, 2015 [45] | Depression (R) | Questionnaire CES-Dr above 16 | Open (5 months); Website and Craigslist | Questionnaire (CES-D at posttest)a | Internet platform |
| Miner et al, 2016 [46] | PTSDs (R) | Questionnaire PCL-Ct >30 | Open (16 months); flyers, websites, Craigslist | Questionnaire (PCL-C) + feasibility and acceptability | Internet platform |
| Possemato et al, 2016 [47] | PTSD (R+C) | Screened for PTSD + PCL >40 | Closed (4 months); from veteran care unit, screened for PTSD. | Feasibility metrics + Questionnaires (PCL-Su, PHQ-9) | N/A |
| Kuhn et al, 2017 [48] | PTSD (R) | Questionnaires PCL-C>34 | Open (10 months); flyers, media, social media, Craigslist | Questionnaire (PCL–C)a | Internet platform |
aWell-defined hierarchy in outcome measures.
bR: research based.
cMINI: Mini International Neuropsychiatric Interview.
dPHQ-9: Patient Health Questionnaire-9.
eBDI-II: Beck Depression Inventory.
fK-10: Kessler Psychological Distress Scale.
gN/A: not applicable.
hSCID: Structured Clinical Interview.
iLSAS-SR: Liebowitz Social Anxiety Scale—self-reported.
jC: clinical based.
kDSM: Diagnostic and Statistical Manual of Mental Disorders.
lMADRS: Montgomery–Åsberg Depression Rating Scale.
mYMRS: Young Mania Rating Scale.
nSCAN: Schedules for Clinical Assessment in Neuropsychiatry.
oSchizophrenia, schizoaffective disorder, bipolar disorder, and major depressive disorder.
pOther specified depressive disorder.
qSIAS: Social Interaction Anxiety Scale.
rCES-D: Center for Epidemiologic Studies Depression Scale.
sPTSD: posttraumatic stress disorder.
tPCL-C: Post-Traumatic Checklist—Civilian.
uPCL-S: Post-Traumatic Checklist Scale.