The Management of My Bipolarity Intervention on the Combined Use of Technology and Face to Face Education on the Empowerment of Ill Health Self-management Skills in Adults With a Bipolar Disorder

Degree of adherence to pharmacotherapy, as measured by the total score in the scale "Drug Attitude Inventory" (DAI).

时间窗: 18 months

The "DAI" is a 30 item "true-false" scale.The ration of "true" to "false" responses is assessed. Higher percentage values indicate a better outcome.

Degree of feasibility of the digital platform, as measured by users' qualitative feedback on the following open-ended question: "Please tell us, what was your experience with the MoB DP use?

时间窗: 6 months

The more positive the described experience the better the outcome.

Bipolar disease patients educational needs

时间窗: 6 months

Qualitative measures: 1. Knowledge/ mental health literacy on present medical condition (measurement tool \[MT\]/ Open-ended question: Please tell us, what do you know about your mental health condition/ BD?) 2. Knowledge gap regarding BD (MT/ Open ended question: Please describe what you would like to know about bipolar disorders). 3. Topics to be covered (MT/ Open ended question: Please describe in what way/topics you would like to be educated on bipolar disorders/to increase your knowledge about bipolar disorders? 4. Educational and feasibility expectations (MT/ Open-ended questions: a. Please describe your expectations from an educational program regarding the impact on your everyday living b. How you would like this program to be implemented one on one or in a group? C. How long would you like the program to last? 5. e-Health literacy (MT/ Open ended question: What is your level of engagement with the Internet?)

Degree of self-perceived quality of life as measured by the total score in the scale "World Health Organization Quality of Life Assessment".

时间窗: 18 months

The scale "World Health Organization Quality of Life Assessment" is a 1-5 Likert type scale including 26 items. The minimum score in the scale is 26 and the maximun is 130. Higher scores indicate a better outcome.

Level of knowledge regarding BD, as measured by the total score in the scale "Bipolar Disorder Knowledge Scale".

时间窗: 18 months

The "Bipolar Disorder Knowledge Scale" is a 25-item true-false scale. The scale assesses knowledge of BD with items targeting diagnosis, etiology, disease course, symptoms, treatment, and life impact. The ration of "true" to "false" responses is assessed. Higher percentage values indicate a better outcome.

Degree of ability to control impulses, as measured by the total score in the scale "YOUNG MANIA RATING SCALE " (YMRS) .

时间窗: 18 months

The "YMRS" is a 0-4 likert scale, including 11 items. The total score of the scale ranges from 0 to 44. The lower the total score the better the outcome.

Degree of feasibility of the digital platform, as measured by the users' qualitative feedback on the impact of the MoB DP on their life based on the following open-ended question: "Please tell us, what was the impact of the MoB DP use on your life?"

时间窗: 6 months

The more positive the described impact of the MoB DP on users' life the better the outcome.

Degree of dysfunctional attitudes towards substance use as measured by the total score in the scale "Drug Use Disorders Identification Test" (DUDIT).

时间窗: 18 months

The scale DUDIT is a 1-5 Likert, 11-item scale (scale total score range: 1-55) . The lower the total score the better the outcome. Lower scores indicate a better outcome.

Degree of dysfunctional attitudes towards alcohol as measured by the total score in the scale "Alcohol Use Disorders Identification Test" (AUDIT).

时间窗: 18 months

The AUDIT scale is a 0-4 Likert, 10-item scale (scale total score range: 0-40) . Lower scores indicate a better outcome.

Frequency of relapses, as measured by the number of hospitalizations after the completion of the face to face intervention.

时间窗: Two years following the end of the face tot face educational intervention.

The number of hospitalizations will be measured as the sum of the individual hospitalizations in a high security psychaitric hospital. The lower the number of the frequency the better the outcome.

Reduced duration of relapses, as measured by the duration of inpatient hospitalizations in days after the completion of the face to face intervention.

时间窗: Two years following the end of the face to face educational intervention.

The duration of inpatient hospitalizations will be measured as the sum of the days of hospitalization in high security psychaitric hospitals. The lower the duration in days of the hospitalization the better the outcome.

Degree of feasibility of the digital platform, measured by users' feedback on the impact of the platform on their self-management skills based on the question "What was the impact of the platform on your ill health self-management skills?"

时间窗: 6 months

The more positive the described impact of the digital platform on users' ill health self-management skills the better the outcome.

Degree of feasibility of the digital platform, as measured by users' self-reported degree of satisfaction on MoB DP by the total score on the scale "Users' Satisfaction Scale" (USS).

时间窗: 6 months

The USS is 1-3 Likert scale (low;moderate/accepted; high), which includes 6 items, assessing users' perceptions about overall experienced satisfaction (item1); utility according to their present medical condition (item 2); feasibility on daily usage (item 3); technical difficulties experienced (item 4); improvement of BD self-management skills (item 5); improvement of BD knowledge (item 6). The total score of the USS ranges between 6- 18. The higher the total score the better the outcome.