Perspectives of Patients With Early Psychosis on the Use of an App in Acceptance and Commitment Therapy: A Qualitative Study Article Swipe
Jara Bouws
,
Lotte Uyttebroek
,
Joanne R. Beames
,
Mariken B. de Koning
,
Frederike Schirmbeck
,
An Henrard
,
Ulrich Reininghaus
,
Lieuwe de Haan
,
Inez Myin‐Germeys
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1111/eip.70073
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1111/eip.70073
Introduction Individuals with early psychosis received Acceptance and Commitment Therapy in daily life (ACT‐DL), consisting of 8 face‐to‐face sessions and use of a mobile app at home, as part of a randomised controlled trial (INTERACT). Those receiving ACT‐DL showed improvement in negative symptoms and global functioning compared to the control condition. The current study qualitatively explores patients' perspectives on the ACT‐DL app and perceived areas for improvement. Methods The ACT‐DL app prompted individuals randomly multiple times a day between therapy sessions to complete questionnaires (Ecological Momentary Assessments, EMA) and ACT metaphors or exercises (Ecological Momentary Interventions, EMI). User experiences with the ACT‐DL app were explored in 17 semi‐structured interviews within 6 months after the intervention and analysed using template thematic analysis. Results Three themes were formed: 1. App functionalities and usability; consisting mainly of perceived practical obstacles. 2. Additional value of the app; on how the EMAs raised levels of awareness for feelings, thoughts, and behaviour, and the positive evaluation of the ACT exercises in the EMI part of the app. 3. Improving applicability and effect of the ACT‐DL app; with practical feedback from participants. Conclusions Individuals with early psychosis were generally positive about the effects of the ACT‐DL app, attributing benefits to increased awareness via EMAs and to the ACT exercises. However, they experienced difficulties using the app during work and social activities. Participants provided valuable suggestions to improve the app's effectiveness and applicability.
Related Topics
Concepts
Acceptance and commitment therapy
Thematic analysis
Psychology
Usability
Mobile apps
Feeling
Psychological intervention
Intervention (counseling)
Smartphone app
Clinical psychology
Qualitative research
Applied psychology
Psychotherapist
Social psychology
Psychiatry
Internet privacy
World Wide Web
Computer science
Human–computer interaction
Social science
Sociology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/eip.70073
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/eip.70073
- OA Status
- hybrid
- References
- 51
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4412958756
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4412958756Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/eip.70073Digital Object Identifier
- Title
-
Perspectives of Patients With Early Psychosis on the Use of an App in Acceptance and Commitment Therapy: A Qualitative StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-08-01Full publication date if available
- Authors
-
Jara Bouws, Lotte Uyttebroek, Joanne R. Beames, Mariken B. de Koning, Frederike Schirmbeck, An Henrard, Ulrich Reininghaus, Lieuwe de Haan, Inez Myin‐GermeysList of authors in order
- Landing page
-
https://doi.org/10.1111/eip.70073Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/eip.70073Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/eip.70073Direct OA link when available
- Concepts
-
Acceptance and commitment therapy, Thematic analysis, Psychology, Usability, Mobile apps, Feeling, Psychological intervention, Intervention (counseling), Smartphone app, Clinical psychology, Qualitative research, Applied psychology, Psychotherapist, Social psychology, Psychiatry, Internet privacy, World Wide Web, Computer science, Human–computer interaction, Social science, SociologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
-
51Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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