Acceptability and satisfaction with emma, a smartphone application dedicated to suicide ecological assessment and prevention

BackgroundAs mHealth may contribute to suicide prevention, we developed emma, an application using Ecological Momentary Assessment and Intervention (EMA/EMI).ObjectiveThis study evaluated emma usage rate and acceptability during the first month and satisfaction after 1 and 6 months of use.MethodsNin...

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Main Authors: Margot Morgiève, Daniel Yasri, Catherine Genty, Jonathan Dubois, Marion Leboyer, Guillaume Vaiva, Sofian Berrouiguet, Jérôme Azé, Philippe Courtet
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.952865/full
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author Margot Morgiève
Margot Morgiève
Margot Morgiève
Margot Morgiève
Daniel Yasri
Daniel Yasri
Catherine Genty
Catherine Genty
Jonathan Dubois
Jonathan Dubois
Marion Leboyer
Marion Leboyer
Marion Leboyer
Guillaume Vaiva
Guillaume Vaiva
Guillaume Vaiva
Sofian Berrouiguet
Jérôme Azé
Philippe Courtet
Philippe Courtet
Philippe Courtet
author_facet Margot Morgiève
Margot Morgiève
Margot Morgiève
Margot Morgiève
Daniel Yasri
Daniel Yasri
Catherine Genty
Catherine Genty
Jonathan Dubois
Jonathan Dubois
Marion Leboyer
Marion Leboyer
Marion Leboyer
Guillaume Vaiva
Guillaume Vaiva
Guillaume Vaiva
Sofian Berrouiguet
Jérôme Azé
Philippe Courtet
Philippe Courtet
Philippe Courtet
author_sort Margot Morgiève
collection DOAJ
description BackgroundAs mHealth may contribute to suicide prevention, we developed emma, an application using Ecological Momentary Assessment and Intervention (EMA/EMI).ObjectiveThis study evaluated emma usage rate and acceptability during the first month and satisfaction after 1 and 6 months of use.MethodsNinety-nine patients at high risk of suicide used emma for 6 months. The acceptability and usage rate of the EMA and EMI modules were monitored during the first month. Satisfaction was assessed by questions in the monthly EMA (Likert scale from 0 to 10) and the Mobile App Rating Scale (MARS; score: 0–5) completed at month 6. After inclusion, three follow-up visits (months 1, 3, and 6) took place.ResultsSeventy-five patients completed at least one of the proposed EMAs. Completion rates were lower for the daily than weekly EMAs (60 and 82%, respectively). The daily completion rates varied according to the question position in the questionnaire (lower for the last questions, LRT = 604.26, df = 1, p-value < 0.0001). Completion rates for the daily EMA were higher in patients with suicidal ideation and/or depression than in those without. The most used EMI was the emergency call module (n = 12). Many users said that they would recommend this application (mean satisfaction score of 6.92 ± 2.78) and the MARS score at month 6 was relatively high (overall rating: 3.3 ± 0.87).ConclusionEmma can target and involve patients at high risk of suicide. Given the promising users’ satisfaction level, emma could rapidly evolve into a complementary tool for suicide prevention.
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spelling doaj.art-6efe902590b64b27af6bc6cf96702c532022-12-22T04:00:45ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-08-011310.3389/fpsyt.2022.952865952865Acceptability and satisfaction with emma, a smartphone application dedicated to suicide ecological assessment and preventionMargot Morgiève0Margot Morgiève1Margot Morgiève2Margot Morgiève3Daniel Yasri4Daniel Yasri5Catherine Genty6Catherine Genty7Jonathan Dubois8Jonathan Dubois9Marion Leboyer10Marion Leboyer11Marion Leboyer12Guillaume Vaiva13Guillaume Vaiva14Guillaume Vaiva15Sofian Berrouiguet16Jérôme Azé17Philippe Courtet18Philippe Courtet19Philippe Courtet20Université Paris Cité, CNRS, Inserm, Cermes3, Paris, FranceDepartment of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, FranceICM – Paris Brain Institute, Hôpital de la Pitié-Salpêtriére, Paris, FranceGEPS – Groupement d’Étude et de Prévention du Suicide, Paris, FranceUniversité Paris Cité, CNRS, Inserm, Cermes3, Paris, FranceDepartment of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, FranceUniversité Paris Cité, CNRS, Inserm, Cermes3, Paris, FranceDepartment of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, FranceUniversité Paris Cité, CNRS, Inserm, Cermes3, Paris, FranceDepartment of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, FranceFondation Fondamental, Hôpital Albert-Chenevier, Créteil, FranceFaculté de Médicine, Institut National de la Santé et de la Recherche Médicale, Université Paris-Est Créteil, Créteil, FranceAssistance Publique Hôpitaux de Paris, Pôle de Psychiatrie et Addictologie, Hôpitaux Universitaires Henri Mondor, Créteil, FranceCHU Lille, Hôpital Fontan, Department of Psychiatry, Lille, FranceCentre National de Resources and Résilience pour les Psychotraumatisme, Université de Lille, Lille, France0CNRS UMR-9193, SCALab - Sciences Cognitives et Sciences Affectives, Université de Lille, Lille, France1Laboratoire du Traitement de l’Information Médicale, INSERM UMR1101, CHRU Brest, Brest, France2LIRMM, CNRS, Univ Montpellier, Montpellier, FranceUniversité Paris Cité, CNRS, Inserm, Cermes3, Paris, FranceDepartment of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, FranceFondation Fondamental, Hôpital Albert-Chenevier, Créteil, FranceBackgroundAs mHealth may contribute to suicide prevention, we developed emma, an application using Ecological Momentary Assessment and Intervention (EMA/EMI).ObjectiveThis study evaluated emma usage rate and acceptability during the first month and satisfaction after 1 and 6 months of use.MethodsNinety-nine patients at high risk of suicide used emma for 6 months. The acceptability and usage rate of the EMA and EMI modules were monitored during the first month. Satisfaction was assessed by questions in the monthly EMA (Likert scale from 0 to 10) and the Mobile App Rating Scale (MARS; score: 0–5) completed at month 6. After inclusion, three follow-up visits (months 1, 3, and 6) took place.ResultsSeventy-five patients completed at least one of the proposed EMAs. Completion rates were lower for the daily than weekly EMAs (60 and 82%, respectively). The daily completion rates varied according to the question position in the questionnaire (lower for the last questions, LRT = 604.26, df = 1, p-value < 0.0001). Completion rates for the daily EMA were higher in patients with suicidal ideation and/or depression than in those without. The most used EMI was the emergency call module (n = 12). Many users said that they would recommend this application (mean satisfaction score of 6.92 ± 2.78) and the MARS score at month 6 was relatively high (overall rating: 3.3 ± 0.87).ConclusionEmma can target and involve patients at high risk of suicide. Given the promising users’ satisfaction level, emma could rapidly evolve into a complementary tool for suicide prevention.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.952865/fullmHealthecological momentary assessment (EMA)ecological momentary intervention (EMI)suicidepreventionacceptability
spellingShingle Margot Morgiève
Margot Morgiève
Margot Morgiève
Margot Morgiève
Daniel Yasri
Daniel Yasri
Catherine Genty
Catherine Genty
Jonathan Dubois
Jonathan Dubois
Marion Leboyer
Marion Leboyer
Marion Leboyer
Guillaume Vaiva
Guillaume Vaiva
Guillaume Vaiva
Sofian Berrouiguet
Jérôme Azé
Philippe Courtet
Philippe Courtet
Philippe Courtet
Acceptability and satisfaction with emma, a smartphone application dedicated to suicide ecological assessment and prevention
Frontiers in Psychiatry
mHealth
ecological momentary assessment (EMA)
ecological momentary intervention (EMI)
suicide
prevention
acceptability
title Acceptability and satisfaction with emma, a smartphone application dedicated to suicide ecological assessment and prevention
title_full Acceptability and satisfaction with emma, a smartphone application dedicated to suicide ecological assessment and prevention
title_fullStr Acceptability and satisfaction with emma, a smartphone application dedicated to suicide ecological assessment and prevention
title_full_unstemmed Acceptability and satisfaction with emma, a smartphone application dedicated to suicide ecological assessment and prevention
title_short Acceptability and satisfaction with emma, a smartphone application dedicated to suicide ecological assessment and prevention
title_sort acceptability and satisfaction with emma a smartphone application dedicated to suicide ecological assessment and prevention
topic mHealth
ecological momentary assessment (EMA)
ecological momentary intervention (EMI)
suicide
prevention
acceptability
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.952865/full
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