Currently submitted to: JMIR Formative Research
Date Submitted: Aug 10, 2020
Open Peer Review Period: Aug 10, 2020 - Oct 5, 2020
(currently open for review)
Development and evaluation of acceptability and feasibility of a web-based intervention for patients with bipolar disorder in Iran
Psychoeducation for bipolar disorder has significant impact on symptoms and treatment adherence. In Iran, as a low-resource setting, infrastructural barriers may hinder optimum delivery of this evidence-based intervention to patients, such as inadequate mental health professionals and difficulties in transportation and costs of care.
This study seeks to explore the acceptability and feasibility of a web-based intervention for bipolar patients in Iran.
A website has been developed as a platform for providing psychoeducational contents about bipolar disorder. Patients were chosen via a convenient sampling method in 2018-2019. The main component of the intervention included streaming 7 weekly video clips after attending a single in-person meeting, as well as a medication self-monitoring application. Information was collected about the feasibility and acceptability of the intervention.
45 patients were invited from the day center and the outpatient clinic of Roozbeh psychiatric hospital, and some private clinics in Tehran. Twenty-three patients (51%) attended the first in-person session and provided the informed consent, and among this group, 14 patients dropped out during the study. Nine patients completed the course (attended 4 or more online sessions), while only 5 watched all the video sessions. The rate of adherence to the intervention and frequency of exposure to the website was much higher for those recruited from the private and outpatient clinics.
This web-based intervention can be feasible and acceptable only for a subgroup of patients with a specific educational status and socioeconomic level.
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