A Schema Therapy-Based eHealth Program for Patients with Borderline Personality Disorder (priovi): Naturalistic Single-Arm Observational Study

Gitta Anne Jacob, Andrea Hauer, Sandra Köhne, Nele Assmann, Anja Schaich, Ulrich Schweiger, Eva Fassbinder, Gitta Anne Jacob, Andrea Hauer, Sandra Köhne, Nele Assmann, Anja Schaich, Ulrich Schweiger, Eva Fassbinder

Abstract

Background: Electronic health (eHealth) programs have been found to be effective in treating many psychological conditions. However, regarding borderline personality disorder (BPD), only a few eHealth programs have been tested, involving small interventions based on the dialectical behavior therapy treatment approach. We investigated priovi, a program based on the schema therapy (ST) approach. priovi is considerably more comprehensive than prior programs, offering broad psychoeducation content and many therapeutic exercises.

Objective: We tested the acceptability and feasibility of priovi in 14 patients with BPD as an add-on to individual face-to-face ST.

Methods: Patients received weekly individual ST and used priovi over a period of 12 months. We assessed BPD symptom severity using self-reported and interview-based measures. Qualitative interviews were conducted with both patients and therapists to assess their experiences with priovi.

Results: BPD symptoms improved significantly (Cohen d=1.0). Overall, qualitative data showed that priovi was positively received by both patients and therapists. Some exercises provoked mild anxiety; however, no serious threat to safety was detected.

Conclusions: priovi is a potentially helpful and safe tool that could support individual ST. It needs to be further tested in a randomized controlled study.

Trial registration: German Clinical Trials Register DRKS00011538; https://www.drks.de/drks_web/navigate.do? navigationId=trial.HTML&TRIAL_ID=DRKS00011538 (Archived by WebCite at http://www.webcitation.org/74jb0AgV8).

Keywords: borderline personality disorder; eHealth; mHealth; psychotherapy; schema therapy.

Conflict of interest statement

Conflicts of Interest: AH and GAJ are employees at GAIA, the developer and owner of priovi. GAJ, EF, and US received financial support for training in ST and have published books and DVDs on ST.

©Gitta Anne Jacob, Andrea Hauer, Sandra Köhne, Nele Assmann, Anja Schaich, Ulrich Schweiger, Eva Fassbinder. Originally published in JMIR Mental Health (http://mental.jmir.org), 17.12.2018.

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