Background: The number of mental health apps (MHapps) developed and now available to smartphone u... more Background: The number of mental health apps (MHapps) developed and now available to smartphone users has increased in recent years. MHapps and other technology-based solutions have the potential to play an important part in the future of mental health care; however, there is no single guide for the development of evidence-based MHapps. Many currently available MHapps lack features that would greatly improve their functionality, or include features that are not optimized. Furthermore, MHapp developers rarely conduct or publish trial-based experimental validation of their apps. Indeed, a previous systematic review revealed a complete lack of trial-based evidence for many of the hundreds of MHapps available. Objective: To guide future MHapp development, a set of clear, practical, evidence-based recommendations is presented for MHapp developers to create better, more rigorous apps. Methods: A literature review was conducted, scrutinizing research across diverse fields, including mental health interventions, preventative health, mobile health, and mobile app design. Results: Sixteen recommendations were formulated. Evidence for each recommendation is discussed, and guidance on how these recommendations might be integrated into the overall design of an MHapp is offered. Each recommendation is rated on the basis of the strength of associated evidence. It is important to design an MHapp using a behavioral plan and interactive framework that encourages the user to engage with the app; thus, it may not be possible to incorporate all 16 recommendations into a single MHapp. Conclusions: Randomized controlled trials are required to validate future MHapps and the principles upon which they are designed, and to further investigate the recommendations presented in this review. Effective MHapps are required to help prevent mental health problems and to ease the burden on health systems.
Musical chords are arguably the smallest building blocks of music that retain emotional informati... more Musical chords are arguably the smallest building blocks of music that retain emotional information. Major chords are generally perceived as positive- and minor chords as negative-sounding, but there has been debate concerning how early these emotional connotations may be processed. To investigate this, emotional facial stimuli and musical chord stimuli were simultaneously presented to participants, and facilitation of processing was measured via event-related potential (ERP) amplitudes. Decreased amplitudes of the P1 and N2 ERP components have been found to index the facilitation of early processing. If simultaneously presented musical chords and facial stimuli are perceived at early stages as belonging to the same emotional category, then early processing should be facilitated for these congruent pairs, and ERP amplitudes should therefore be decreased as compared to the incongruent pairs. ERPs were recorded from 30 musically naive participants as they viewed happy, sad, and neutral faces presented simultaneously with a major or minor chord. When faces and chords were presented that contained congruent emotional information (happy-major or sad-minor), processing was facilitated, as indexed by decreased N2 ERP amplitudes. This suggests that musical chords do possess emotional connotations that can be processed as early as 200 ms in naive listeners. The early stages of processing that are involved suggest that major and minor chords have deeply connected emotional meanings, rather than superficially attributed ones, indicating that minor triads possess negative emotional connotations and major triads possess positive emotional connotations.
Background: The number of mental health apps (MHapps) developed and now available to smartphone u... more Background: The number of mental health apps (MHapps) developed and now available to smartphone users has increased in recent years. MHapps and other technology-based solutions have the potential to play an important part in the future of mental health care; however, there is no single guide for the development of evidence-based MHapps. Many currently available MHapps lack features that would greatly improve their functionality, or include features that are not optimized. Furthermore, MHapp developers rarely conduct or publish trial-based experimental validation of their apps. Indeed, a previous systematic review revealed a complete lack of trial-based evidence for many of the hundreds of MHapps available. Objective: To guide future MHapp development, a set of clear, practical, evidence-based recommendations is presented for MHapp developers to create better, more rigorous apps. Methods: A literature review was conducted, scrutinizing research across diverse fields, including mental health interventions, preventative health, mobile health, and mobile app design. Results: Sixteen recommendations were formulated. Evidence for each recommendation is discussed, and guidance on how these recommendations might be integrated into the overall design of an MHapp is offered. Each recommendation is rated on the basis of the strength of associated evidence. It is important to design an MHapp using a behavioral plan and interactive framework that encourages the user to engage with the app; thus, it may not be possible to incorporate all 16 recommendations into a single MHapp. Conclusions: Randomized controlled trials are required to validate future MHapps and the principles upon which they are designed, and to further investigate the recommendations presented in this review. Effective MHapps are required to help prevent mental health problems and to ease the burden on health systems.
Musical chords are arguably the smallest building blocks of music that retain emotional informati... more Musical chords are arguably the smallest building blocks of music that retain emotional information. Major chords are generally perceived as positive- and minor chords as negative-sounding, but there has been debate concerning how early these emotional connotations may be processed. To investigate this, emotional facial stimuli and musical chord stimuli were simultaneously presented to participants, and facilitation of processing was measured via event-related potential (ERP) amplitudes. Decreased amplitudes of the P1 and N2 ERP components have been found to index the facilitation of early processing. If simultaneously presented musical chords and facial stimuli are perceived at early stages as belonging to the same emotional category, then early processing should be facilitated for these congruent pairs, and ERP amplitudes should therefore be decreased as compared to the incongruent pairs. ERPs were recorded from 30 musically naive participants as they viewed happy, sad, and neutral faces presented simultaneously with a major or minor chord. When faces and chords were presented that contained congruent emotional information (happy-major or sad-minor), processing was facilitated, as indexed by decreased N2 ERP amplitudes. This suggests that musical chords do possess emotional connotations that can be processed as early as 200 ms in naive listeners. The early stages of processing that are involved suggest that major and minor chords have deeply connected emotional meanings, rather than superficially attributed ones, indicating that minor triads possess negative emotional connotations and major triads possess positive emotional connotations.
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Papers by David Bakker
Objective: To guide future MHapp development, a set of clear, practical, evidence-based recommendations is presented for MHapp developers to create better, more rigorous apps.
Methods: A literature review was conducted, scrutinizing research across diverse fields, including mental health interventions, preventative health, mobile health, and mobile app design.
Results: Sixteen recommendations were formulated. Evidence for each recommendation is discussed, and guidance on how these recommendations might be integrated into the overall design of an MHapp is offered. Each recommendation is rated on the basis of the strength of associated evidence. It is important to design an MHapp using a behavioral plan and interactive framework that encourages the user to engage with the app; thus, it may not be possible to incorporate all 16 recommendations into a single MHapp.
Conclusions: Randomized controlled trials are required to validate future MHapps and the principles upon which they are designed, and to further investigate the recommendations presented in this review. Effective MHapps are required to help prevent mental health problems and to ease the burden on health systems.
Objective: To guide future MHapp development, a set of clear, practical, evidence-based recommendations is presented for MHapp developers to create better, more rigorous apps.
Methods: A literature review was conducted, scrutinizing research across diverse fields, including mental health interventions, preventative health, mobile health, and mobile app design.
Results: Sixteen recommendations were formulated. Evidence for each recommendation is discussed, and guidance on how these recommendations might be integrated into the overall design of an MHapp is offered. Each recommendation is rated on the basis of the strength of associated evidence. It is important to design an MHapp using a behavioral plan and interactive framework that encourages the user to engage with the app; thus, it may not be possible to incorporate all 16 recommendations into a single MHapp.
Conclusions: Randomized controlled trials are required to validate future MHapps and the principles upon which they are designed, and to further investigate the recommendations presented in this review. Effective MHapps are required to help prevent mental health problems and to ease the burden on health systems.