Abstract
Interactive technologies for autonomous mental health management are on the rise due to limited therapy access and stigma. However, most commercial mental health apps are neither theory-based nor clinically tested, and psychological theories are not easily accessible to app designers. Thus, it remains unclear if current mobile and VR mental health apps meet therapists’ expectations. To address this gap, we conducted interviews (\(N=11\)) to build an understanding about current therapeutic practices with a focus on emotion regulation and their applicability to mobile apps. We then conducted a systematic app review of 60 mental-health-related mobile and VR apps applying the themes identified in our interviews as an understanding lens. We draw upon the identified discrepancies to pinpoint design implications for better embedding lived therapeutic practice into mental health apps. We contribute by providing a common grounding between therapists and developers on the features and properties of well-being mobile and VR apps.
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Notes
- 1.
Apart from the App Prana [55], which is to date not yet released. Here, we watched demonstration videos and playthroughs on YouTube.
References
Aerolito: Self-knowledge vr (2019). https://store.steampowered.com/app/958680/Selfknowledge_VR/
Apple: Your health, from head to toe (2021). https://www.apple.com/am/ios/health/
Auszra, L., Herrmann, I.R., Greenberg, L.S.: Emotionsfokussierte Therapie: Ein Praxismanual. Hogrefe Verlag (2017). https://doi.org/10.1026/02425-000
Baker, S.J., Waycott, J., Warburton, J., Batchelor, F.: The highway of life: social virtual reality as a reminiscence tool. Innov. Aging 3(1), 306 (2019). https://doi.org/10.1093/geroni/igz038.1121
Bakker, D., Kazantzis, N., Rickwood, D., Rickard, N.: Mental health smartphone apps: review and evidence-based recommendations for future developments. JMIR Ment. Health 3(1), e7 (2016). https://doi.org/10.2196/mental.4984
Blandford, A., Furniss, D., Makri, S.: Qualitative HCI research: going behind the scenes. Synth. Lect. Hum.-Cent. Inform. 9, 1–115 (2016)
Blinky LLC: Perspective, a mindful journal on the app store (2017). https://apps.apple.com/us/app/perspective-a-mindful-journal/id1186753097. Accessed 17 Sep 2020
Braun, V., Clarke, V., Hayfield, N., Terry, G.: Thematic Analysis, pp. 843–860. Springer, Singapore (2019). https://doi.org/10.1007/978-981-10-5251-4_103
Brown, C., Garner, R.: Serious gaming, virtual, and immersive environments in art therapy, pp. 192–205 (2017)
Burrows, A., Gooberman-Hill, R., Coyle, D.: Shared Language and the Design of Home Healthcare Technology, pp. 3584–3594. Association for Computing Machinery, New York (2016). https://doi.org/10.1145/2858036.2858496
Butler, J., Kern, M.: The perma-profiler: a brief multidimensional measure of flourishing. Int. J. Wellbeing 6, 1–48 (2016). https://doi.org/10.5502/ijw.v6i3.526
Caldeira, C., Chen, Y., Chan, L., Pham, V., Chen, Y., Zheng, K.: Mobile apps for mood tracking: an analysis of features and user reviews. In: AMIA Annual Symposium Proceedings, vol. 2017, p. 495 (2017)
Clay, R.A.: Mental health apps are gaining traction. Monit. Psychol. 52(1) (2021). http://www.apa.org/monitor/2021/01/trends-mental-health-apps
Coyle, D., Doherty, G.: Clinical evaluations and collaborative design: developing new technologies for mental healthcare interventions, pp. 2051–2060 (April 2009). https://doi.org/10.1145/1518701.1519013
Cubicle Ninjas: Guided Meditation VR (2016). https://store.steampowered.com/app/397750/Guided_Meditation_VR/. Accessed 17 Sep 2020
Devika: Evenness Sensory Space (2018). https://store.steampowered.com/app/973360/Evenness_Sensory_Space/
dfree: D.R.I.L.L (2018). https://store.steampowered.com/app/766650/DRILL/
Diethei, D., Colley, A., Kalving, M., Salmela, T., Häkkilä, J., Schöning, J.: Medical selfies: emotional impacts and practical challenges. In: 22nd International Conference on Human-Computer Interaction with Mobile Devices and Services, pp. 1–12 (2020)
Downey, L.L., Cohen, M.S.: Virtual worlds and well-being: meditating with sanctuarium. Int. J. Virtual Augment. Real. 2(1), 14–31 (2018). https://doi.org/10.4018/IJVAR.2018010102
Ekkekakis, P.: The Measurement of Affect, Mood, and Emotion: A Guide for Health-Behavioral Research, pp. 1–206 (2011). https://doi.org/10.1017/CBO9780511820724
Frost Earth Studio: Mind Labyrinth VR Dreams (2018). https://store.steampowered.com/app/856080/Mind_Labyrinth_VR_Dreams/
Gaggioli, A., Riva, G., Peters, D., Calvo, R.A.: Positive technology, computing, and design: shaping a future in which technology promotes psychological well-being. In: Jeon, M. (ed.) Emotions and Affect in Human Factors and Human-Computer Interaction, pp. 477–502. Academic Press, San Diego (2017). https://doi.org/10.1016/B978-0-12-801851-4.00018-5
Greenergames: NatureTreks VR (2017). https://www.oculus.com/experiences/quest/2616537008386430/?locale=de_DE
Gross, J.J., Jazaieri, H.: Emotion, emotion regulation, and psychopathology: an affective science perspective. Clin. Psychol. Sci. 2(4), 387–401 (2014). https://doi.org/10.1177/2167702614536164
Hacmun, I., Regev, D., Salomon, R.: The principles of art therapy in virtual reality. Front. Psychol. 9, 2082 (2018). https://doi.org/10.3389/fpsyg.2018.02082
Hadley, W., Houck, C., Brown, L., Spitalnick, J., Ferrer, M., Barker, D.: Moving beyond role-play: evaluating the use of virtual reality to teach emotion regulation for the prevention of adolescent risk behavior within a randomized pilot trial. J. Pediatr. Psychol. 44, 425–435 (2019). https://doi.org/10.1093/jpepsy/jsy092
Jeon, M.: Emotions and Affect in Human Factors and Human–Computer Interaction: Taxonomy, Theories, Approaches, and Methods, pp. 3–26 (2017). https://doi.org/10.1016/B978-0-12-801851-4.00001-X
Kitson, A., Prpa, M., Riecke, B.E.: Immersive interactive technologies for positive change: a scoping review and design considerations. Front. Psychol. 9, 1354 (2018). https://doi.org/10.3389/fpsyg.2018.01354
Kitson, A., Stepanova, E.R., Aguilar, I.A., Wainwright, N., Riecke, B.E.: Designing mind(set) and setting for profound emotional experiences in virtual reality. In: Proceedings of the 2020 ACM Designing Interactive Systems Conference, DIS 2020, pp. 655–668. Association for Computing Machinery, New York (2020). https://doi.org/10.1145/3357236.3395560
Lane, R.D., Schwartz, G.E.: Levels of emotional awareness: a cognitive-developmental theory and its application to psychopathology. Am. J. Psychiatry 144(2), 133–143 (1987). https://doi.org/10.1176/ajp.144.2.133
Lau, N., et al.: Android and iPhone mobile apps for psychosocial wellness and stress management: systematic search in app stores and literature review. JMIR Mhealth Uhealth 8(5), e17798 (2020). https://doi.org/10.2196/17798
Lorenzetti, V., et al.: Emotion regulation using virtual environments and real-time FMRI neurofeedback. Front. Neurol. 9, 390 (2018). https://doi.org/10.3389/fneur.2018.00390
Lui, J., Marcus, D., Barry, C.: Evidence-based apps? A review of mental health mobile applications in a psychotherapy context. Prof. Psychol.: Res. Pract. 48(3), 199 (2017). https://doi.org/10.1037/pro0000122
Lukoff, K., Lyngs, U., Gueorguieva, S., Dillman, E.S., Hiniker, A., Munson, S.A.: From ancient contemplative practice to the app store: designing a digital container for mindfulness. In: Proceedings of the 2020 ACM Designing Interactive Systems Conference, DIS 2020, pp. 1551–1564. Association for Computing Machinery, New York (2020). https://doi.org/10.1145/3357236.3395444
Mani, M., Kavanagh, D., Hides, L., Stoyanov, S.: Review and evaluation of mindfulness-based iPhone apps. J. Med. Internet Res. 3, e4328 (2015). https://doi.org/10.2196/mhealth.4328
Matthews, J., Win, K., Oinas-Kukkonen, H., Freeman, M.: Persuasive technology in mobile applications promoting physical activity: a systematic review. J. Med. Syst. 40, 72 (2016). https://doi.org/10.1007/s10916-015-0425-x
Matzka, C.: Moodistory mood tracker, diary on the app store (2018). https://apps.apple.com/us/app/moodistory-mood-tracker-diary/id1335347860. Accessed 17 Sep 2020
Meemo Media Inc.: Bloom: Cbt therapy & self-care on the app store (2019). https://apps.apple.com/us/app/bloom-cbt-therapy-self-care/id1475128511. Accessed 17 Sep 2020
Meuleman, B., Rudrauf, D.: Induction and profiling of strong multi-componential emotions in virtual reality. IEEE Trans. Affect. Comput. 007, 2411–2502 (2018). https://doi.org/10.1109/TAFFC.2018.2864730
Meyerbröker, K., Emmelkamp, P.: Virtual reality exposure therapy for anxiety disorders: the state of the art. Adv. Comput. Intell. Paradig. Healthc. 6. Virtual Real. Psychother. Rehabil. Assess. 337, 47–62 (2011). https://doi.org/10.1007/978-3-642-17824-5_4
Navarro Haro, M., et al.: The use of virtual reality to facilitate mindfulness skills training in dialectical behavioral therapy for borderline personality disorder: a case study. Front. Psychol. 7, 1573 (2016). https://doi.org/10.3389/fpsyg.2016.01573
O’Loughlin, K., Neary, M., Adkins, E., Schueller, S.: Reviewing the data security and privacy policies of mobile apps for depression. Internet Interv. 15, 110–115 (2018). https://doi.org/10.1016/j.invent.2018.12.001
Panksepp, J.: Affective Neuroscience: The Foundations of Human and Animal Emotions. Oxford University Press, Oxford (1998)
Plate, A., Aldao, A.: Emotion regulation in cognitive behavioral therapy: bridging the gap between treatment studies and laboratory experiments, pp. 107–127 (2017). https://doi.org/10.1016/B978-0-12-803457-6.00005-2
Posner, J., Russell, J.A., Peterson, B.S.: The circumplex model of affect: an integrative approach to affective neuroscience, cognitive development, and psychopathology. Dev. Psychopathol. 17(3), 715–734 (2005). https://doi.org/10.1017/S0954579405050340
Quesnel, D., Stepanova, E., Aguilar, I., Pennefather, P., Riecke, B.: Creating awe: artistic and scientific practices in research-based design for exploring a profound immersive installation, pp. 1–207 (2018). https://doi.org/10.1109/GEM.2018.8516463
Redwheel Apps: Gratitude plus: Journal (2019). https://apps.apple.com/us/app/gratitude-plus-journal/id1447851477. Accessed 17 Sep 2020
Riva, G., Waterworth, J.A.: Being present in a virtual world. In: Mark, G. (ed.) The Oxford Handbook of Virtuality, pp. 205–221. Oxford University Press (2014)
Seligman, M.: PERMA and the building blocks of well-being. J. Posit. Psychol. 13(4), 333–335 (2018). https://doi.org/10.1080/17439760.2018.1437466
Slovák, P., Fitzpatrick, G.: Teaching and developing social and emotional skills with technology. ACM Trans. Comput.-Hum. Interact. 22(4), 1–34 (2015). https://doi.org/10.1145/2744195
Soyka, F., Leyrer, M., Smallwood, J., Ferguson, C., Riecke, B.E., Mohler, B.J.: Enhancing stress management techniques using virtual reality. In: Proceedings of the ACM Symposium on Applied Perception, SAP 2016, pp. 85–88. Association for Computing Machinery, New York (2016). https://doi.org/10.1145/2931002.2931017 SAP ’16
Srivastava, P., Panday, R.: Psychoeducation an effective tool as treatment modality in mental health. Int. J. Indian Psychol. 4, 123–130 (2017)
Stawarz, K., Preist, C., Tallon, D., Wiles, N., Coyle, D.: User experience of cognitive behavioral therapy apps for depression: an analysis of app functionality and user reviews. J. Med. Internet Res. 20(6), e10120 (2018). https://doi.org/10.2196/10120
Success Wizard, Inc.: Happiness (2013). https://apps.apple.com/au/app/happiness-mindfulness-journal/id767467127. Accessed 17 Sep 2020
Teo, V.: Prana vr (2017). https://www.youtube.com/watch?v=FnxzUyudh_4. Accessed 17 Sep 2020
Thornicroft, G.: Stigma and discrimination limit access to mental health care. Epidemiologia e psichiatria sociale 17, 14–9 (2008). https://doi.org/10.1017/S1121189X00002621
Tichon, J.G., Mavin, T.: Using the experience of evoked emotion in virtual reality to manage workplace stress: affective control theory (act) (2019). https://doi.org/10.4018/978-1-5225-8356-1.ch011
Tielman, M.L., Neerincx, M.A., Bidarra, R., Kybartas, B., Brinkman, W.P.: A therapy system for post-traumatic stress disorder using a virtual agent and virtual storytelling to reconstruct traumatic memories. J. Med. Syst. 41(8), 1–10 (2017). https://doi.org/10.1007/s10916-017-0771-y
Torous, J., Myrick, J., Rauseo-Ricupero, N., Firth, J.: Digital mental health and COVID-19: using technology today to accelerate the curve on access and quality tomorrow. JMIR Ment. Health 7, 18848 (2020). https://doi.org/10.2196/18848
Torous, J., Nicholas, J., Larsen, M., Firth, J., Christensen, H.: Clinical review of user engagement with mental health smartphone apps: evidence, theory and improvements. Evid. Based Ment. Health 21, 116–119 (2018). https://doi.org/10.1136/eb-2018-102891
Veraki Inc.: Veraki - personal growth on the app store (2020). https://apps.apple.com/us/app/veraki-personal-growth/id1485751764. Accessed 17 Sep 2020
Voigt-Antons, J.N., Spang, R., Kojić, T., Meier, L., Vergari, M., Möller, S.: Don’t worry be happy - using virtual environments to induce emotional states measured by subjective scales and heart rate parameters. In: 2021 IEEE Virtual Reality and 3D User Interfaces (VR), pp. 679–686 (2021). https://doi.org/10.1109/VR50410.2021.00094
Wang, K., Varma, D., Prosperi, M.: A systematic review of the effectiveness of mobile apps for monitoring and management of mental health symptoms or disorders. J. Psychiatr. Res. 107, 73–78 (2018). https://doi.org/10.1016/j.jpsychires.2018.10.006
Windwer, M.: Moodtrack social diary (2018). https://play.google.com/store/apps/details?id=com.moodtrak.diary&hl=en_GB. Accessed 17 Sep 2020
Woodward, K., et al.: Beyond mobile apps: a survey of technologies for mental well-being. IEEE Trans. Affect. Comput. 21 (2020). https://doi.org/10.1109/TAFFC.2020.3015018
World Health Organization: Promoting mental health (2004). https://www.who.int/mental_health/evidence/en/promoting_mhh.pdf
Acknowledgements
We thank all participants for taking part in the study. This work was supported through multiple funding schemes. This research is funded by the German Research Foundation (DFG) under Germanys Excellence Strategy (EXC 2077, University of Bremen) and a Lichtenberg Professorship funded by the Volkswagen Foundation. Also, we acknowledge the support of the Leibniz ScienceCampus Bremen Digital Public Health (lsc-diph.de), which is jointly funded by the Leibniz Association (W4/2018), the Federal State of Bremen and the Leibniz Institute for Prevention Research and Epidemiology—BIPS.
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Wagener, N., Duong, T.D., Schöning, J., Rogers, Y., Niess, J. (2021). The Role of Mobile and Virtual Reality Applications to Support Well-Being: An Expert View and Systematic App Review. In: Ardito, C., et al. Human-Computer Interaction – INTERACT 2021. INTERACT 2021. Lecture Notes in Computer Science(), vol 12935. Springer, Cham. https://doi.org/10.1007/978-3-030-85610-6_16
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