A Pilot Study of Mood Ratings Captured by Mobile Phone Versus Paper-and-Pencil Mood Charts in Bipolar Disorder.
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Date
2013-05-06
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Abstract
OBJECTIVE Patient reported mood charts are frequently used in management of bipolar disorder Although mood charts have recently been programmed in electronic devices such as mobile phones little is known about the impact of the method of data capture on the psychometric properties and validity of these data METHODS In an ongoing pilot study a sample of outpatients with bipolar disorder were randomized to either complete mood charts on a mobile phone or a standard paper and pencil mood chart as part of a 12 week intervention primary outcomes for the trial await study completion We compared these conditions across single item rating of mood state and we hypothesized that mobile phone based data capture would produce greater compliance to mood ratings variability between and within participants and concurrent validity with blinded clinician rated affective symptom severity RESULTS A total of 56 participants were randomized and 40 participants were included in the analyses There were no significant differences between conditions on demographic or clinical variables The rate of compliance was significantly higher in paper and pencil versus mobile phone ratings Ratings demonstrated significantly more variability within individuals in the mobile phone condition Mobile phone mood ratings were significantly correlated with clinician rated depressive symptom severity across the study and with manic symptom severity at the Week 6 assessment whereas paper and pencil ratings were not significantly associated with clinician rated depression or mania CONCLUSIONS Although preliminary our results suggest a lower rate of compliance with mobile phones compared to paper and pencil daily mood rating in bipolar disorder yet a greater ability to capture variability and concurrent validity in quantifying affective symptoms This clinical trial is registered at http www clinicaltrials gov as NCT01670123
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At risk for a particular disease or infection, Client, Access to information or data, Quality of care, Continuity of care, Loss to follow up, Pilot, Effectiveness, Randomized, Experimental, Mental health, Chronic care, Appointment reminders, Treatment adherence, Disease management, Data collection and reporting, Surveillance, Text, Digital form