A Mobile Sensing App to Monitor Youth Mental Health: Observational Pilot Study

BackgroundInternalizing disorders are the most common psychiatric problems observed among youth in Canada. Sadly, youth with internalizing disorders often avoid seeking clinical help and rarely receive adequate treatment. Current methods of assessing internalizing disorders u...

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Main Authors: Lucy MacLeod, Banuchitra Suruliraj, Dominik Gall, Kitti Bessenyei, Sara Hamm, Isaac Romkey, Alexa Bagnell, Manuel Mattheisen, Viswanath Muthukumaraswamy, Rita Orji, Sandra Meier
Format: Article
Language:English
Published: JMIR Publications 2021-10-01
Series:JMIR mHealth and uHealth
Online Access:https://mhealth.jmir.org/2021/10/e20638
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author Lucy MacLeod
Banuchitra Suruliraj
Dominik Gall
Kitti Bessenyei
Sara Hamm
Isaac Romkey
Alexa Bagnell
Manuel Mattheisen
Viswanath Muthukumaraswamy
Rita Orji
Sandra Meier
author_facet Lucy MacLeod
Banuchitra Suruliraj
Dominik Gall
Kitti Bessenyei
Sara Hamm
Isaac Romkey
Alexa Bagnell
Manuel Mattheisen
Viswanath Muthukumaraswamy
Rita Orji
Sandra Meier
author_sort Lucy MacLeod
collection DOAJ
description BackgroundInternalizing disorders are the most common psychiatric problems observed among youth in Canada. Sadly, youth with internalizing disorders often avoid seeking clinical help and rarely receive adequate treatment. Current methods of assessing internalizing disorders usually rely on subjective symptom ratings, but internalizing symptoms are frequently underreported, which creates a barrier to the accurate assessment of these symptoms in youth. Therefore, novel assessment tools that use objective data need to be developed to meet the highest standards of reliability, feasibility, scalability, and affordability. Mobile sensing technologies, which unobtrusively record aspects of youth behaviors in their daily lives with the potential to make inferences about their mental health states, offer a possible method of addressing this assessment barrier. ObjectiveThis study aims to explore whether passively collected smartphone sensor data can be used to predict internalizing symptoms among youth in Canada. MethodsIn this study, the youth participants (N=122) completed self-report assessments of symptoms of anxiety, depression, and attention-deficit hyperactivity disorder. Next, the participants installed an app, which passively collected data about their mobility, screen time, sleep, and social interactions over 2 weeks. Then, we tested whether these passive sensor data could be used to predict internalizing symptoms among these youth participants. ResultsMore severe depressive symptoms correlated with more time spent stationary (r=0.293; P=.003), less mobility (r=0.271; P=.006), higher light intensity during the night (r=0.227; P=.02), and fewer outgoing calls (r=−0.244; P=.03). In contrast, more severe anxiety symptoms correlated with less time spent stationary (r=−0.249; P=.01) and greater mobility (r=0.234; P=.02). In addition, youths with higher anxiety scores spent more time on the screen (r=0.203; P=.049). Finally, adding passively collected smartphone sensor data to the prediction models of internalizing symptoms significantly improved their fit. ConclusionsPassively collected smartphone sensor data provide a useful way to monitor internalizing symptoms among youth. Although the results replicated findings from adult populations, to ensure clinical utility, they still need to be replicated in larger samples of youth. The work also highlights intervention opportunities via mobile technology to reduce the burden of internalizing symptoms early on.
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spelling doaj.art-5c0ee43a53f74876a71cb9e10428141e2023-08-28T19:42:04ZengJMIR PublicationsJMIR mHealth and uHealth2291-52222021-10-01910e2063810.2196/20638A Mobile Sensing App to Monitor Youth Mental Health: Observational Pilot StudyLucy MacLeodhttps://orcid.org/0000-0002-2180-7028Banuchitra Surulirajhttps://orcid.org/0000-0001-8016-6016Dominik Gallhttps://orcid.org/0000-0002-5634-764XKitti Bessenyeihttps://orcid.org/0000-0002-9989-4811Sara Hammhttps://orcid.org/0000-0003-3244-2543Isaac Romkeyhttps://orcid.org/0000-0001-5996-1269Alexa Bagnellhttps://orcid.org/0000-0002-1484-9676Manuel Mattheisenhttps://orcid.org/0000-0002-8442-493XViswanath Muthukumaraswamyhttps://orcid.org/0000-0002-9898-0929Rita Orjihttps://orcid.org/0000-0001-6152-8034Sandra Meierhttps://orcid.org/0000-0002-3287-5894 BackgroundInternalizing disorders are the most common psychiatric problems observed among youth in Canada. Sadly, youth with internalizing disorders often avoid seeking clinical help and rarely receive adequate treatment. Current methods of assessing internalizing disorders usually rely on subjective symptom ratings, but internalizing symptoms are frequently underreported, which creates a barrier to the accurate assessment of these symptoms in youth. Therefore, novel assessment tools that use objective data need to be developed to meet the highest standards of reliability, feasibility, scalability, and affordability. Mobile sensing technologies, which unobtrusively record aspects of youth behaviors in their daily lives with the potential to make inferences about their mental health states, offer a possible method of addressing this assessment barrier. ObjectiveThis study aims to explore whether passively collected smartphone sensor data can be used to predict internalizing symptoms among youth in Canada. MethodsIn this study, the youth participants (N=122) completed self-report assessments of symptoms of anxiety, depression, and attention-deficit hyperactivity disorder. Next, the participants installed an app, which passively collected data about their mobility, screen time, sleep, and social interactions over 2 weeks. Then, we tested whether these passive sensor data could be used to predict internalizing symptoms among these youth participants. ResultsMore severe depressive symptoms correlated with more time spent stationary (r=0.293; P=.003), less mobility (r=0.271; P=.006), higher light intensity during the night (r=0.227; P=.02), and fewer outgoing calls (r=−0.244; P=.03). In contrast, more severe anxiety symptoms correlated with less time spent stationary (r=−0.249; P=.01) and greater mobility (r=0.234; P=.02). In addition, youths with higher anxiety scores spent more time on the screen (r=0.203; P=.049). Finally, adding passively collected smartphone sensor data to the prediction models of internalizing symptoms significantly improved their fit. ConclusionsPassively collected smartphone sensor data provide a useful way to monitor internalizing symptoms among youth. Although the results replicated findings from adult populations, to ensure clinical utility, they still need to be replicated in larger samples of youth. The work also highlights intervention opportunities via mobile technology to reduce the burden of internalizing symptoms early on.https://mhealth.jmir.org/2021/10/e20638
spellingShingle Lucy MacLeod
Banuchitra Suruliraj
Dominik Gall
Kitti Bessenyei
Sara Hamm
Isaac Romkey
Alexa Bagnell
Manuel Mattheisen
Viswanath Muthukumaraswamy
Rita Orji
Sandra Meier
A Mobile Sensing App to Monitor Youth Mental Health: Observational Pilot Study
JMIR mHealth and uHealth
title A Mobile Sensing App to Monitor Youth Mental Health: Observational Pilot Study
title_full A Mobile Sensing App to Monitor Youth Mental Health: Observational Pilot Study
title_fullStr A Mobile Sensing App to Monitor Youth Mental Health: Observational Pilot Study
title_full_unstemmed A Mobile Sensing App to Monitor Youth Mental Health: Observational Pilot Study
title_short A Mobile Sensing App to Monitor Youth Mental Health: Observational Pilot Study
title_sort mobile sensing app to monitor youth mental health observational pilot study
url https://mhealth.jmir.org/2021/10/e20638
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