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Experiences of Remote Mood and Activity Monitoring in Bipolar Disorder: A Qualitative Study

Published online by Cambridge University Press:  27 January 2017

K.E.A. Saunders ,
A.C. Bilderbeck ,
P. Panchal ,
L.Z. Atkinson ,
J.R. Geddes  and
G.M. Goodwin
K.E.A. Saunders
Affiliation:
Department of Psychiatry, University of Oxford, Warneford hospital, OX3 7JXOxford, UK Oxford Health NHS Foundation Trust, Warneford Hospital, OX3 7JXOxford, UK
A.C. Bilderbeck
Affiliation:
Department of Psychiatry, University of Oxford, Warneford hospital, OX3 7JXOxford, UK
P. Panchal
Affiliation:
Department of Psychiatry, University of Oxford, Warneford hospital, OX3 7JXOxford, UK
L.Z. Atkinson
Affiliation:
Department of Psychiatry, University of Oxford, Warneford hospital, OX3 7JXOxford, UK
J.R. Geddes
Affiliation:
Department of Psychiatry, University of Oxford, Warneford hospital, OX3 7JXOxford, UK Oxford Health NHS Foundation Trust, Warneford Hospital, OX3 7JXOxford, UK
G.M. Goodwin*
Affiliation:
Department of Psychiatry, University of Oxford, Warneford hospital, OX3 7JXOxford, UK Oxford Health NHS Foundation Trust, Warneford Hospital, OX3 7JXOxford, UK
*
⁎Corresponding author at: University Department of Psychiatry, Warneford hospital, OX3 7JX Oxford, UK. E-mail address:guy.goodwin@psych.ox.ac.uk (G.M. Goodwin).
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Abstract

Background

Mobile technology enables high frequency mood monitoring and automated passive collection of data (e.g. actigraphy) from patients more efficiently and less intrusively than has previously been possible. Such techniques are increasingly being deployed in research and clinical settings however little is known about how such approaches are experienced by patients. Here, we explored the experiences of individuals with bipolar disorder engaging in a study involving mood and activity monitoring with a range of portable and wearable technologies.

Method

Patients were recruited from a wider sample of 50 individuals with Bipolar Disorder taking part in the Automated Monitoring of Symptom Severity (AMoSS) study in Oxford. A sub-set of 21 patients participated in a qualitative interview that followed a semi-structured approach.

Results

Monitoring was associated with benefits including increased illness insight, behavioural change. Concerns were raised about the potential preoccupation with, and paranoia about, monitoring. Patients emphasized the need for personalization, flexibility, and the importance of context, when monitoring mood.

Conclusions

Mobile and electronic health approaches have potential to lend new insights into mental health and transform healthcare. Capitalizing on the perceived utility of these approaches from the patients’ perspective, while addressing their concerns, will be essential for the promise of new technologies to be realised.

Keywords

Bipolar disorderAmbulatory monitoringActivityMood monitoringWearable devices
Type
Original article
Information
European Psychiatry , Volume 41 , Issue 1 , March 2017 , pp. 115 - 121
Copyright
Copyright © European Psychiatric Association 2017

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