Int. J. of Human Factors and Ergonomics   »   2017 Vol.5, No.1

 

 

Title: mHealth in Mental Health: how to efficiently and scientifically create an ambulatory biofeedback e-coaching app for patients with borderline personality disorder

 

Authors: Youri P.M.J. Derks; Tessa De Visser; Ernst T. Bohlmeijer; Matthijs L. Noordzij

 

Addresses:
Scelta (GGNet), Mental Health Institute, P.O. Box 928, 7301BD, Apeldoorn, The Netherlands
Department of Cognitive Psychology and Ergonomics, University of Twente, P.O. Box 217, 7500AE, Enschede, The Netherlands
Department of Psychology, Health, and Technology, University of Twente, P.O. Box 217, 7500AE, Enschede, The Netherlands
Department of Psychology, Health, and Technology, University of Twente, P.O. Box 217, 7500AE, Enschede, The Netherlands

 

Abstract: mHealth applications aim to 'coach' users in achieving a better life. However, many of these e-coaches are not based on sound background knowledge of those in need of support. One such group is patients with a borderline personality disorder (BPD). Patients with BPD experience great difficulties in regulating their emotions, in part due to an inability to recognise (changes in) emotions. Using a modified UXD-framework, we investigated the need amongst BPD-patients and therapists for an ambulatory biofeedback e-coaching app that supports patients in learning to better recognise changes in their arousal level. This study adds: 1) a 'design science' approach to developing mHealth applications; 2) the insight that needs of both groups did converge to a degree, but mental models differed fundamentally; 3) a set of requirements for a physiologically based real-time biofeedback tool for psychiatric patients; 4) personas that can form the basis for other research within this group.

 

Keywords: mHealth; BPD; borderline personality disorder; emotional awareness; participatory design; e-coaching; design science.

 

DOI: 10.1504/IJHFE.2017.10009438

 

Int. J. of Human Factors and Ergonomics, 2017 Vol.5, No.1, pp.61 - 92

 

Submission date: 29 May 2017
Date of acceptance: 26 Aug 2017
Available online: 29 Nov 2017

 

 

Editors Full text accessAccess for SubscribersPurchase this articleComment on this article