Congruency of multimodal data-driven personalization with shared decision-making for StayFine: individualized app-based relapse prevention for anxiety and depression in young people
Tailoring interventions to the individual has been hypothesized to improve treatment efficacy. Personalization of target-specific underlying mechanisms might improve treatment effects as well as adherence. Data-driven personalization of treatment, however, is still in its infancy, especially concern...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1229713/full |
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| author | Bas E. A. M. Kooiman Bas E. A. M. Kooiman Suzanne J. Robberegt Suzanne J. Robberegt Casper J. Albers Claudi L. H. Bockting Claudi L. H. Bockting Yvonne A. J. Stikkelbroek Yvonne A. J. Stikkelbroek Maaike H. Nauta Maaike H. Nauta |
| author_facet | Bas E. A. M. Kooiman Bas E. A. M. Kooiman Suzanne J. Robberegt Suzanne J. Robberegt Casper J. Albers Claudi L. H. Bockting Claudi L. H. Bockting Yvonne A. J. Stikkelbroek Yvonne A. J. Stikkelbroek Maaike H. Nauta Maaike H. Nauta |
| author_sort | Bas E. A. M. Kooiman |
| collection | DOAJ |
| description | Tailoring interventions to the individual has been hypothesized to improve treatment efficacy. Personalization of target-specific underlying mechanisms might improve treatment effects as well as adherence. Data-driven personalization of treatment, however, is still in its infancy, especially concerning the integration of multiple sources of data-driven advice with shared decision-making. This study describes an innovative type of data-driven personalization in the context of StayFine, a guided app-based relapse prevention intervention for 13- to 21-year-olds in remission of anxiety or depressive disorders (n = 74). Participants receive six modules, of which three are chosen from five optional modules. Optional modules are Enhancing Positive Affect, Behavioral Activation, Exposure, Sleep, and Wellness. All participants receive Psycho-Education, Cognitive Restructuring, and a Relapse Prevention Plan. The personalization approach is based on four sources: (1) prior diagnoses (diagnostic interview), (2) transdiagnostic psychological factors (online self-report questionnaires), (3) individual symptom networks (ecological momentary assessment, based on a two-week diary with six time points per day), and subsequently, (4) patient preference based on shared decision-making with a trained expert by experience. This study details and evaluates this innovative type of personalization approach, comparing the congruency of advised modules between the data-driven sources (1–3) with one another and with the chosen modules during the shared decision-making process (4). The results show that sources of data-driven personalization provide complementary advice rather than a confirmatory one. The indications of the modules Exposure and Behavioral Activation were mostly based on the diagnostic interview, Sleep on the questionnaires, and Enhancing Positive Affect on the network model. Shared decision-making showed a preference for modules improving positive concepts rather than combating negative ones, as an addition to the data-driven advice. Future studies need to test whether treatment outcomes and dropout rates are improved through personalization. |
| first_indexed | 2024-03-11T21:03:50Z |
| format | Article |
| id | doaj.art-9faa387e09434602a4ff855fee24f478 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-11T21:03:50Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-9faa387e09434602a4ff855fee24f4782023-09-29T15:59:31ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-09-011410.3389/fpsyt.2023.12297131229713Congruency of multimodal data-driven personalization with shared decision-making for StayFine: individualized app-based relapse prevention for anxiety and depression in young peopleBas E. A. M. Kooiman0Bas E. A. M. Kooiman1Suzanne J. Robberegt2Suzanne J. Robberegt3Casper J. Albers4Claudi L. H. Bockting5Claudi L. H. Bockting6Yvonne A. J. Stikkelbroek7Yvonne A. J. Stikkelbroek8Maaike H. Nauta9Maaike H. Nauta10Department of Clinical Psychology and Experimental Psychopathology, Faculty of Behavioural and Social Sciences, University of Groningen, Groningen, NetherlandsDepression Expertise Centre-Youth, GGZ Oost Brabant, Boekel, NetherlandsDepression Expertise Centre-Youth, GGZ Oost Brabant, Boekel, NetherlandsDepartment of Psychiatry, Amsterdam University Medical Centres–Location AMC, Amsterdam Public Health, University of Amsterdam, Amsterdam, NetherlandsDepartment of Psychometrics and Statistics, Faculty of Behavioural and Social Sciences, University of Groningen, Groningen, NetherlandsDepartment of Psychiatry, Amsterdam University Medical Centres–Location AMC, Amsterdam Public Health, University of Amsterdam, Amsterdam, NetherlandsCentre for Urban Mental Health, University of Amsterdam, Amsterdam, NetherlandsDepression Expertise Centre-Youth, GGZ Oost Brabant, Boekel, NetherlandsDepartment of Clinical Child and Family Studies, Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, NetherlandsDepartment of Clinical Psychology and Experimental Psychopathology, Faculty of Behavioural and Social Sciences, University of Groningen, Groningen, NetherlandsAccare Child Study Centre, Groningen, NetherlandsTailoring interventions to the individual has been hypothesized to improve treatment efficacy. Personalization of target-specific underlying mechanisms might improve treatment effects as well as adherence. Data-driven personalization of treatment, however, is still in its infancy, especially concerning the integration of multiple sources of data-driven advice with shared decision-making. This study describes an innovative type of data-driven personalization in the context of StayFine, a guided app-based relapse prevention intervention for 13- to 21-year-olds in remission of anxiety or depressive disorders (n = 74). Participants receive six modules, of which three are chosen from five optional modules. Optional modules are Enhancing Positive Affect, Behavioral Activation, Exposure, Sleep, and Wellness. All participants receive Psycho-Education, Cognitive Restructuring, and a Relapse Prevention Plan. The personalization approach is based on four sources: (1) prior diagnoses (diagnostic interview), (2) transdiagnostic psychological factors (online self-report questionnaires), (3) individual symptom networks (ecological momentary assessment, based on a two-week diary with six time points per day), and subsequently, (4) patient preference based on shared decision-making with a trained expert by experience. This study details and evaluates this innovative type of personalization approach, comparing the congruency of advised modules between the data-driven sources (1–3) with one another and with the chosen modules during the shared decision-making process (4). The results show that sources of data-driven personalization provide complementary advice rather than a confirmatory one. The indications of the modules Exposure and Behavioral Activation were mostly based on the diagnostic interview, Sleep on the questionnaires, and Enhancing Positive Affect on the network model. Shared decision-making showed a preference for modules improving positive concepts rather than combating negative ones, as an addition to the data-driven advice. Future studies need to test whether treatment outcomes and dropout rates are improved through personalization.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1229713/fullpersonalizationrelapse preventionnetwork analysisexpert by experiencedepression and mood disordersanxiety disorders |
| spellingShingle | Bas E. A. M. Kooiman Bas E. A. M. Kooiman Suzanne J. Robberegt Suzanne J. Robberegt Casper J. Albers Claudi L. H. Bockting Claudi L. H. Bockting Yvonne A. J. Stikkelbroek Yvonne A. J. Stikkelbroek Maaike H. Nauta Maaike H. Nauta Congruency of multimodal data-driven personalization with shared decision-making for StayFine: individualized app-based relapse prevention for anxiety and depression in young people Frontiers in Psychiatry personalization relapse prevention network analysis expert by experience depression and mood disorders anxiety disorders |
| title | Congruency of multimodal data-driven personalization with shared decision-making for StayFine: individualized app-based relapse prevention for anxiety and depression in young people |
| title_full | Congruency of multimodal data-driven personalization with shared decision-making for StayFine: individualized app-based relapse prevention for anxiety and depression in young people |
| title_fullStr | Congruency of multimodal data-driven personalization with shared decision-making for StayFine: individualized app-based relapse prevention for anxiety and depression in young people |
| title_full_unstemmed | Congruency of multimodal data-driven personalization with shared decision-making for StayFine: individualized app-based relapse prevention for anxiety and depression in young people |
| title_short | Congruency of multimodal data-driven personalization with shared decision-making for StayFine: individualized app-based relapse prevention for anxiety and depression in young people |
| title_sort | congruency of multimodal data driven personalization with shared decision making for stayfine individualized app based relapse prevention for anxiety and depression in young people |
| topic | personalization relapse prevention network analysis expert by experience depression and mood disorders anxiety disorders |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1229713/full |
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