Description of PRIME
psychosis
PRIME is a mobile app designed to support individuals with psychosis to manage negative symptoms and engage in motivated behavior. PRIME coaches were graduate students in counseling, clinical psychology, or social work programs, and some coaches had completed a master’s or higher degree. All coaches had previous training in CBT, motivational interviewing, or Dialectical Behavior Therapy and participated in regular study team meetings supervised by a licensed clinical psychologist (coauthor AM). PRIME techniques include CBT, behavioral activation, mindfulness, psychoeducational approaches, and coaching behaviors associated with increases in overall engagement [Users create a profile by describing interests and symptoms and selecting long-term goals across social, body (ie, physical health), productivity, and creativity domains. While using the app, users identify which of their goals they would like to work on and are prompted with brief challenges—SMART activities related to the selected goal (PRIME also helps track changes in mood, symptoms, and activity levels by pairing visualizations of surveys with motion and fitness data piped from built-in iOS and Android apps (Reflecting tenets of the recovery model of psychosis [Example screenshots of the Personalized Real-Time Intervention for Motivational Enhancement (PRIME) app (from left to right): goal setting, community feed, coaching and social networking (messaging with coaches and peers), and personalized profile and metrics.Examples of the Challenges feature (left to right): goal selection, reminders, feedback, and share with community.Examples of the My Progress feature (left to right): mood survey and mood and physical activity visualizations.