The mDIARY Study
Use of mHealth enhanced self-monitoring as an adjunct to the treatment of borderline personality disorder
mDiary is a project where patient self-reported data are collected through smartphones. Data is sent to a server and stored. Relevant visualisations, summed calculations and psychoeducation material can be re-accessed through patients’ smartphone, or the information can also be obtained in another tailored format for therapists through a web based interface. This info is used as an integrated part of the psychotherapy.
The mDiary study has more objectives
- To investigate whether patients using the app will be faster in acquiring DBT skills to manage their emotions compared to patients using the pen and paper version.
- To investigate whether patients using the app report fewer and less severe BPD-symptoms (e.g. less high-risk behavior, less self-harm, less negative affect, and ability to emotionally regulate) compared to patients using the pen and paper version.
- To investigate whether changes in positive affect can predict improvements in DBT psychotherapy.
- To evaluate whether the use of the app is cost-effective as compared to the pen and paper version. A separate HTA-study will draw data from public registries (landspatientregistret) to assess cost-effectiveness.
Selected quotes from a patient and therapist participating in the mDiary study
"The phone is so much easier to use than paper, most of us have it with us all the time, it is always there" - patient
"I feel more prepared when I have read the journal notes before I see the patient ... I know that if there are days where every registration is high, then that is a day we would most likely discuss" - therapist
Stig Helweg-Jorgensen (Cand.psych.), Svendborg Psychiatric Hospital, Svendborg (DK). PhD. Student