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This study explores real-life compliance and health services impacts of mood monitoring among patients with bipolar disorder in the UK.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800087526_abst0010\" sec-type=\"methods\"><jats:title>Methods:<\/jats:title><jats:p>Patients with a diagnosis of bipolar disorder who were registered users of the <jats:italic>True Colours<\/jats:italic> monitoring system for at least 12 months at study assessment were included in this retrospective cohort study (<jats:italic>n<\/jats:italic> = 79). Compliance was measured as the proportion of valid depression and mania scale messages received in comparison to their expected numbers over the first 12 months of monitoring. Mental health service use data were extracted from case notes, costed using national unit costs, and compared 12 months before (pre-TC period) and 12 months after (TC period) patients\u2019 engagement with monitoring. Associations with relevant patient factors were investigated in a multiple regression model.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800087526_abst0015\" sec-type=\"results\"><jats:title>Results:<\/jats:title><jats:p>Average compliance with monitoring was 82%. Significant increases in the annual use and costs of psychiatrist contacts and total mental health services were shown for patients newly referred to the clinic during the pre-TC period but not for long-term patients of the clinic. Psychiatric medication costs increased significantly between the pre-TC and TC periods (\u00a3 235, <jats:italic>P<\/jats:italic> = 0.005) unrelated to patients\u2019 referral status.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800087526_abst0020\" sec-type=\"conclusions\"><jats:title>Conclusions:<\/jats:title><jats:p>Remote mood monitoring has good compliance among consenting patients with bipolar disorder. We found no associations between observed changes in mental health service costs and the introduction of monitoring except for the increase in psychiatric medication costs.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.eurpsy.2017.06.007","type":"journal-article","created":{"date-parts":[[2017,7,3]],"date-time":"2017-07-03T23:46:55Z","timestamp":1499125615000},"page":"14-19","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":19,"title":["Remote mood monitoring for adults with bipolar disorder: An explorative study of compliance and impact on mental health service use and costs"],"prefix":"10.1017","volume":"45","author":[{"given":"J.","family":"Simon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Budge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Price","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.M.","family":"Goodwin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.R.","family":"Geddes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,3,23]]},"reference":[{"key":"S0924933800087526_bib0210","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.112.113548"},{"key":"S0924933800087526_bib0200","doi-asserted-by":"publisher","DOI":"10.1111\/bdi.12165"},{"key":"S0924933800087526_bib0240","doi-asserted-by":"publisher","DOI":"10.1080\/03069880801926400"},{"key":"S0924933800087526_bib0275","volume-title":"Unit Costs of Health and Social Care PSSRU. 2010","author":"Curtis","year":"2009"},{"key":"S0924933800087526_bib0225","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2006.11.021"},{"key":"S0924933800087526_bib0165","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.6.617"},{"key":"S0924933800087526_bib0280","unstructured":"[24] Department of Health NHS reference costs 2008\/09 London: DoH; 2010"},{"key":"S0924933800087526_bib0285","unstructured":"[25] British Medical Association and Royal Pharmaceutical Society of Great Britain British National Formulary (BNF) 60 London: BMA & RPSGB; 2010"},{"key":"S0924933800087526_bib0190","volume-title":"Paying the price","author":"McCrone","year":"2008"},{"key":"S0924933800087526_bib0195","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2011.06.016"},{"key":"S0924933800087526_bib0185","doi-asserted-by":"publisher","DOI":"10.1016\/B978-012373960-5.00335-X"},{"key":"S0924933800087526_bib0220","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2014.03.009"},{"key":"S0924933800087526_bib0255","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-3223(96)00548-3"},{"key":"S0924933800087526_bib0175","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0b013e3281938102"},{"key":"S0924933800087526_bib0310","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7177.149"},{"key":"S0924933800087526_bib0205","doi-asserted-by":"publisher","DOI":"10.1177\/0269881116636545"},{"key":"S0924933800087526_bib0215","volume-title":"Bipolar disorder: the management of bipolar disorder in adults, children and adolescents, in primary and secondary care","year":"2006"},{"key":"S0924933800087526_bib0290","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-20581"},{"key":"S0924933800087526_bib0230","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e3181f49ea3"},{"key":"S0924933800087526_bib0245","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2016.11.005"},{"key":"S0924933800087526_bib0260","unstructured":"[20] Ministry of Justice Data Protection Act London: HMSO; 1998"},{"key":"S0924933800087526_bib0270","unstructured":"[22] Information Governance Policy Team. 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