People using the EMPOWER App answer questions across a series of areas which have been shown to indicate potential early warning signs of psychosis. All questions are answered on a scale from 1 (not at all) to 7 (very much). In some cases where a certain score is breached supplementary questions may be asked. This means people may be asked to respond to a different number of questions each time they use the App.
People using the App are asked to identify a number of items which are personal top their own experience. Some personalized items relate to delusions and others are more general.
| Question domain | Gateway questions
n=22 |
Branching rules (score to open full set) | Supplementary questions
n=36 |
| Precipitants | I have been feeling stressed | ||
| My sleep has changed | |||
| Hope | I have felt upbeat about the future | > 3 | |
| I feel like the future holds little for me | |||
| I feel like giving up | |||
| Mood | I have felt sad | > 3 | |
| I have been enjoying things | > 3 | Either / Or | |
| I have had no enjoyment from seeing other people | |||
| Due to my mood I’ve been doing less | |||
| My mood has affected my appetite or sleep | |||
| I have felt worthless | |||
| Anxiety | I have felt worried, nervous or anxious | > 3 | |
| My heart has been racing or I have been shaking | |||
| My anxiety has stopped me from doing things | |||
| This has affected my appetite or sleep | |||
| Self | I’ve been feeling good about myself | n/a | |
| I’ve been feeling confident | n/a | ||
| Others | I’ve been feeling close to others | n/a | |
| Other people are supportive of me | n/a | ||
| Coping | I have been managing well today | > 3 | |
| I have been dealing with my problems | |||
| I have been coping with my emotions | |||
| I have been getting the supports I need | |||
| Fear of recurrence | I have been worrying about relapse | > 3 | |
| I have been remembering previous episodes of being unwell | |||
| I have been worrying about being in hospital | |||
| Unusual voices | I have heard voices | > 3 | |
| The voices have made it difficult to concentrate on other things | |||
| The voices have stopped me from doing things | |||
| Hearing voices has upset me | |||
| Hearing voices has caused me to worry about relapse | |||
| Seeing things | I have seen things that other people can’t see | > 3 | |
| Seeing things has made it difficult to concentrate on other things | |||
| Seeing things has stopped me from doing things | |||
| Seeing things upset me | |||
| Seeing things has caused me to worry about relapse | |||
| Activity and Activation
|
I have put myself under more pressure than usual | > 3 | |
| I have had an increased capacity for daily activities | |||
| I have been thinking about future plans more than usual | |||
| Feeling threatened | I have felt like I cannot trust other people | Both > 3 | |
| I have felt like someone or something has meant me harm | |||
| Feeling threatened has stopped me from spending time with others | |||
| Feeling threatened has stopped me from doing things | |||
| Feeling threatened has made it difficult to concentrate on other things | |||
| Feeling threatened has caused me to worry about relapse | |||
| Personalised delusion items (two most important) | Personalised delusion item 1 | > 3 | |
| “Delusion 1” has upset me | |||
| “Delusion 1” has stopped me from doing things | |||
| “Delusion 1” has made it difficult to concentrate on other things | |||
| “Delusion 1” has caused me to worry about relapse | |||
| Personalised delusion item 2 | > 3 | ||
| “Delusion 2” upset me | |||
| “Delusion 2” has stopped me from doing things | |||
| “Delusion 2” has made it difficult to concentrate on other things | |||
| “Delusion 2” has caused me to worry about relapse | |||
| Personalised items | Personalised item 1 | ||
| Personalised item 2 | |||
| Personalised item 3 |
