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Table 1 Wellbeing therapy protocol for conventional format (outpatients based tools) and for real-time personalized mobile technologies (Mobile Technology Tool)

From: RETRACTED ARTICLE: WELL.ME - Wellbeing therapy based on real-time personalized mobile architecture, vs. cognitive therapy, to reduce psychological distress and promote healthy lifestyle in cardiovascular disease patients: study protocol for a randomized controlled trial

Phases Focus Objectives Outpatient-based tool Mobile technology tool
Initial phase Identifying and setting episodes of wellbeing into situational context Report the circumstances surrounding the episodes of wellbeing rated on a scale of 0 to 100, with zero being absence of wellbeing and 100 being the most intense wellbeing Diary Mobile diary, personalized by the baseline assessment results and by an adaptive learning algorithm depending on patient’s answers during mobile monitoring
     Visual analogical scale for wellbeing
     Assessment
   Monitor the quality of experience associated with daily situations (work, leisure, and so on)   
   Identification of instances of wellbeing and of optimal experiences   
Intermediatephase Remove the obstacles to sustained psychological wellbeing on self-monitoring of moments and feelings of wellbeing and graded task assignments Identify thoughts and beliefs Graded task assignments of undertaking particular pleasurable activities for a certain time each day Electronic personalized task assignment by the baseline assessment results and by an adaptive learning algorithm depending on patient’s answers during mobile monitoring
   Leading to premature interruption of wellbeing   
     Visual analogical scale for wellbeing
     Assessment
   Identify the areas of psychological wellbeing which are unaffected by irrational or automatic thoughts and which are saturated with them   
   Reinforce and encourage activities that are likely to elicit wellbeing and optimal experiences   
Final phase Be able to readily identify moments of wellbeing Dimensions of psychological wellbeing are progressively introduced Graded task assignments of undertaking particular pleasurable activities for a certain time each day Mobile diary, personalized by the baseline assessment results and by an adaptive learning algorithm depending on patient’s answers during mobile monitoring
  Be aware of interruptions to wellbeing feelings (cognitions)    
   Guide the patient from an impaired level to an optimal level according to the above six dimensions   Electronic personalized task assignment by the baseline assessment results and by an adaptive learning algorithm depending on patient’s answers during mobile monitoring
  Follow optimal experiences    
  Meeting the challenge that may entail optimal experiences is emphasized    
     Visual analogical scale for wellbeing
     Assessment