Evidence map›Paper›PMID 40624605›Full record

Trial reportBMC psychiatry2025

"It's like having a friend in your pocket." the service user experience of the Actissist digital health intervention for early psychosis: a qualitative study.

Sandra Bucci, Xiaolong Zhang, Daniela Di Basilio, Cara Richardson, Natalie Berry, Katherine Berry, Dawn Edge, Gillian Haddock

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sandra Bucci *Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, 1st Floor, Jean McFarlane Building, Brunswick Street, Manchester, M13 9PL, UK. Sandra.bucci@manchester.ac.uk.
Xiaolong Zhang *Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, 1st Floor, Jean McFarlane Building, Brunswick Street, Manchester, M13 9PL, UK.
Daniela Di BasilioDivision of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, 1st Floor, Jean McFarlane Building, Brunswick Street, Manchester, M13 9PL, UK.
Cara RichardsonDivision of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, 1st Floor, Jean McFarlane Building, Brunswick Street, Manchester, M13 9PL, UK.
Natalie BerryDivision of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, 1st Floor, Jean McFarlane Building, Brunswick Street, Manchester, M13 9PL, UK.
Katherine BerryDivision of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, 1st Floor, Jean McFarlane Building, Brunswick Street, Manchester, M13 9PL, UK.
Dawn EdgeDivision of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, 1st Floor, Jean McFarlane Building, Brunswick Street, Manchester, M13 9PL, UK.
Gillian HaddockDivision of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, 1st Floor, Jean McFarlane Building, Brunswick Street, Manchester, M13 9PL, UK.

Funding

Manchester Biomedical Research Centre NIHR203308Medical Research Council Developmental Pathway Funding Scheme (MRC DPFS) MR/P026664/1National Institute for Health and Care Research research professorship NIHR300794
6 · The paper itself

Abstract

backgroundUnderstanding service users’ experience of using digital health interventions (DHIs) is essential for facilitating engagement. The Actissist app is a DHI for psychosis based on Cognitive Behavioural Therapy (CBT) principles, co-produced in collaboration with individuals with lived experience of psychosis. This qualitative study aimed to explore participants’ experiences with the Actissist app by analysing exit interviews from those who received the intervention during the Actissist 2.0 trial.

methodsQualitative interviews were conducted with 21 participants allocated to the Actissist group in the Actissist 2.0 randomised controlled trial. Qualitative framework analysis was conducted on the interview data using a predefined sampling framework.

resultsFour themes were identified. Two themes were established a priori: (1) user interaction with the app; and (2) perceived mechanism of change. Two themes were data-driven: (3) benefits of using the app; and (4) perceived barriers to app use.

conclusionsParticipants viewed the Actissist app as acceptable and beneficial. Participants perceived two elements, a sense of support and normalisation and increased awareness of mental health, as the key that enabled Actissist to positively impact their mental health. Future developments of DHIs should increase the level of human support and explore the potential of adaptive sampling methods and generative AI technology to improve personalisation in frequency of prompts and content of the intervention. CLINICAL TRIAL NUMBER: ISRCTN76986679, Registration Date: 07/02/2018.

Indexed as

Cognitive Behavioral TherapyMobile ApplicationsPsychotic DisordersAdultDigital HealthFemaleHumansMaleMiddle AgedQualitative ResearchTelemedicineYoung AdultDigital health interventionFramework analysisPsychosisQualitative studySmartphone app

Identifiers

PMID40624605
PMCPMC12235868

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.