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A feasibility trial of Power Up: A smartphone app to support patient activation and shared decision making for mental health in young people

Childs, JH; Edridge, C; Averill, P; Delane, L; Hollis, C; Craven, M; Martin, K; ... Wolpert, M; + view all (2019) A feasibility trial of Power Up: A smartphone app to support patient activation and shared decision making for mental health in young people. JMIR mHealth and uHealth , 7 (6) , Article e11677. 10.2196/11677. Green open access

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Abstract

Background: Digital tools have the potential to support patient activation and shared decision making in the face of increasing levels of mental health problems in young people. There is a need for feasibility trials of digital interventions to determine the usage and acceptability of interventions. In addition, there is a need to determine the ability to recruit and retain research participants to plan rigorous effectiveness trials and therefore, develop evidence-based recommendations for practice. Objective: To determine the feasibility of undertaking a cluster randomized control trial to test the effectiveness of a smartphone app, Power Up, co-designed with young people to support patient activation and shared decision making for mental health. Methods: Overall, 270 young people were screened for participation and 53% (N = 142) were recruited and completed baseline measures across eight specialist child mental health services (n = 62, mean (SD) age = 14.66 (1.99) years, 52% female) and two mainstream secondary schools (n = 80; mean (SD) age = 16.88 (0.68) years, 46% female). Young people received Power Up in addition to management as usual or received management as usual only. Post-trial interviews were conducted with 11 young people from the intervention arms (specialist services n = 6; schools n = 5). Results: Usage data showed that there were an estimated 50 (out of 64) users of Power Up in the intervention arms. Findings from the interviews indicated that young people found Power Up to be acceptable. Young people reported: 1) their motivation for use of Power Up, 2) the impact of use, and 3) barriers to use. Out of the 142 recruited participants, 45% (64/142) completed follow up measures, and the approaches to increase retention agreed by the steering group are discussed. Conclusions: The findings of the present research indicate that the app is acceptable and it is feasible to examine the effectiveness of Power Up in a prospective cluster randomized control trial. Clinical Trial: ISRCTN: ISRCTN77194423, ClinicalTrials.gov NCT02552797

Type: Article
Title: A feasibility trial of Power Up: A smartphone app to support patient activation and shared decision making for mental health in young people
Open access status: An open access version is available from UCL Discovery
DOI: 10.2196/11677
Publisher version: https://mhealth.jmir.org/2019/6/e11677/
Language: English
Additional information: ©Julian Edbrooke-Childs, Chloe Edridge, Phoebe Averill, Louise Delane, Chris Hollis, Michael P Craven, Kate Martin, Amy Feltham, Grace Jeremy, Jessica Deighton, Miranda Wolpert. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 04.06.2019. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/, as well as this copyright and license information must be included.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10061164
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