TY  - JOUR
AU  - Jacob, Gitta Anne
AU  - Hauer, Andrea
AU  - Köhne, Sandra
AU  - Assmann, Nele
AU  - Schaich, Anja
AU  - Schweiger, Ulrich
AU  - Fassbinder, Eva
PY  - 2018
DA  - 2018/12/17
TI  - A Schema Therapy–Based eHealth Program for Patients with Borderline Personality Disorder (priovi): Naturalistic Single-Arm Observational Study
JO  - JMIR Ment Health
SP  - e10983
VL  - 5
IS  - 4
KW  - borderline personality disorder
KW  - eHealth
KW  - mHealth
KW  - psychotherapy
KW  - schema therapy
AB  - 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) 
SN  - 2368-7959
UR  - http://mental.jmir.org/2018/4/e10983/
UR  - https://doi.org/10.2196/10983
UR  - http://www.ncbi.nlm.nih.gov/pubmed/30559092
DO  - 10.2196/10983
ID  - info:doi/10.2196/10983
ER  -