ACTISSIST is a CBT Digital Interventions from the University of Manchester. By these people: Sandra Bucci1*, Christine Barrowclough1, John Ainsworth2,3, Rohan Morris1, Katherine Berry1, Matthew Machin2,3, Richard Emsley4, Shon Lewis5, Dawn Edge1, Iain Buchan2,3 and Gillian Haddock1 Their paper [[Using mobile technology to deliver a cognitive behaviour therapy-informed intervention in early psychosis (Actissist).pdf]] - This is a protocol paper explaining what they are going to do. AIM To test feasibility, proof of concept of using their CBT tool. AIM 1. Feasibility 2. Acceptability 3. Can it predict relapse? 4. Can it enhance user empowerment? 5. Can it increase patient functioning and Quality of life? 36 People from Early Interventions will go through this 12 week study. One arm is TAU + ACTISSIST, vs TAU + ClinTouch [[How do they measure feasibility]] - Uptake - Attrition Rate - Adherence Rate >33% - Feedback from user Secondary Outcome - Psychotic Symptoms and Mood Symptoms - PANSS - Psyrats - CDSS - GAF - PSP - Empowerment - ERS - QoL - Euro QOL SD L - Substance Misuse - Perceived Criticism Scale (PC) - Medication Adherence - Qualitative Feedback Questionnaire (QFQ) - Structured Interview (Qualitative Interview) - "Interviews will explore participants’ experi- ences and expectations of the app, participants’ views on the content, duration and intensity of the app (particu- larly focusing on perceptions of usefulness, engagement with the technology and facilitators/barriers to imple- mentation), the role of an app like Actissist within the management of mental health problems, perceived bene- fits of the app, disappointments/concerns and ongoing support needs." **ACTISSIST APP** (https://sites.manchester.ac.uk/actissist/) EMA - 3 times a day - 6 days per week - for 12 weeks - from 10-10pm. - To remind user to use the app. EMI - Questions - Answer Format - Then give normalising message - Then cognitive and behavioural suggestions Features / Resources 1. Relaxation 2. Mindfulness 3. Audio/Video of peer recovery stories 4. Diary 5. Information facts 6. Link to website like TED talk 7. Past 7 days data summary 8. Can customised UI wallpaper using their own images **ClinTouch** - 3 Times a day - 6 days a week - 10-10pm - 12 weeks EMA - 10-18 Symptoms statements. Patient make degree of agree/disagree - Can snooze once.