@Article{info:doi/10.2196/10983,
author="Jacob, Gitta Anne
and Hauer, Andrea
and K{\"o}hne, Sandra
and Assmann, Nele
and Schaich, Anja
and Schweiger, Ulrich
and Fassbinder, Eva",
title="A Schema Therapy--Based eHealth Program for Patients with Borderline Personality Disorder (priovi): Naturalistic Single-Arm Observational Study",
journal="JMIR Ment Health",
year="2018",
month="Dec",
day="17",
volume="5",
number="4",
pages="e10983",
keywords="borderline personality disorder; eHealth; mHealth; psychotherapy; schema therapy",
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) ",
issn="2368-7959",
doi="10.2196/10983",
url="http://mental.jmir.org/2018/4/e10983/",
url="https://doi.org/10.2196/10983",
url="http://www.ncbi.nlm.nih.gov/pubmed/30559092"
}