MonitorMe: An open trial of an interactive self-monitoring digital health program with decision support, timely strategy information and tools for clients of a regional community health service.

A self-monitoring digital health program (MonitorMe), offered to adult clients from a large regional healthcare service provider, will be evaluated using a quasi-experimental trial design. People taking part in the study will receive immediate access to the MonitorMe program following completion of the pre-program survey. MonitorMe is self-help digital health program designed to enable people to self-monitor their mood and daily lifestyle events with minimal effort, and provide them with decision supports to help them interpret their self-monitoring scores and stayed engaged. These decision support tools also provide the person with relevant feedback and timely ‘life skills’ strategy information and practice tools that either work at maintaining their current healthy behaviours or assist them to get back on track when things are not going so well (depending on what their actual scores indicate). The skill strategy information covers biological, psychological, social, and wellness domains, all designed to increase mind and body health (e.g., brain & gut nutrition, emotional regulation strategies, sleep hygiene, social connectedness, practising gratitude) and take approximately 5-20 minutes to work through. Background information is also provided on health and wellbeing (e.g., the stress response, brain/neural plasticity). Participants will be asked to complete the self-monitoring survey each day taking approximately 1 minute. Then, once every week, participants will be asked to use the ‘Monitoring Graph’ decision support tools that will walk them through their self-monitoring scores from the past 7 days. Using the decision support tool will require 2 to 20 minutes per week (depending on their individual scores). Participants will also receive automated emails (e.g., daily self-monitoring survey reminders, alerts if their scores indicate a decline, when to complete program assessment surveys). The MonitorMe program includes text, graphics, audio, video, quizzes, an interactive self-monitoring tool, interactive games and downloads. MonitorMe can be accessible via web, mobile or tablet devices. Participants will be asked to complete a pre-program survey assessment (Week 0), followed by 2 ‘during’ assessments (Week 2 & 5), and a post-program (Week 9) and 1-month follow-up (Week 13) survey assessment. Participants will also be asked questions relating to their program engagement levels at post-program assessment. Participant engagement with the program will be obtained through by passive analytic data (e.g., what pages / strategies they visited / used and when), as well as reviewing the completion of daily mood and lifestyle event survey data and the scheduled intervention assessments. Program access will continue for 4 weeks following the 1-month follow-up assessment.