Psychometric Evaluation of the Homework Rating Scale—Mobile Application: Reliability and Predictive Validity for Assessing Engagement in Smartphone‐Delivered Cognitive Behavioural Therapy

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Authors: Danilo Moggia N., Wolfgang Lutz, David Bakker, Brian Schwartz, Nikolaos Kazantzis
Cited by: 0
References: 27

Abstract

Self-guided digital mental health apps often show high attrition, highlighting the need to understand engagement beyond behavioural metrics. The Homework Rating Scale-Mobile Application (HRS-MA) was developed to assess cognitive, emotional and attitudinal aspects of engagement. This study evaluated its psychometric properties. The HRS-MA was integrated into the MoodMission app and administered after 30 days of use, alongside additional self-report measures. Data from 2100 users were analysed for reliability, construct, convergent, divergent and predictive validity. The HRS-MA showed excellent internal consistency (Cronbach's α = 0.90; McDonald's ω = 0.94). Factor analyses supported a two-factor structure-engagement and difficulty and obstacles. The measure demonstrated strong convergent and divergent validity and modest predictive validity. A derived coefficient of psychological effort, representing the interaction between engagement and perceived barriers, significantly predicted symptom reduction, particularly in depression. The HRS-MA is a psychometrically sound tool for capturing cognitive and attitudinal dimensions of engagement in digital interventions. It complements behavioural indicators by offering a more comprehensive view of user experience and effort, providing researchers and developers with a valuable framework for optimizing mental health app design and evaluation.

Fields of Study & Subjects

Digital Mental Health Interventions Mobile Health and mHealth Applications Mental Health Research Topics

Publication details

Journal / source
Clinical Psychology & Psychotherapy
Volume
33
Issue
1
Pages
e70239–e70239
Publication date
1 January 2026
Language
EN