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Integrating the Digital and the Traditional to Deliver Therapy for Depression: Lessons from a Pragmatic Study

Authors:

Katarzyna Stawarz,

Deborah Tallon,

Katrina Turner,

David CoyleAuthors Info & Claims

CHI '20: Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems

Pages 1 - 14

https://doi.org/10.1145/3313831.3376510

Published: 23 April 2020 Publication History

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Abstract

Traditional approaches to psychotherapy emphasise face-to-face contact between patients and therapists. In contrast, current computerised approaches tend to minimise this contact. This can limit the range of mental health difficulties for which computerised approaches are effective. Here, we explore an alternative approach that integrates face-to-face contact, electronic contact, online collaboration, and support for between-session activities. Our discussion is grounded in the design of a platform to deliver psychotherapy for depression. We report findings of an 11-month pragmatic study in which 17 patients received treatment for depression via the platform. Results show how design decisions had a significant impact on the dynamics of therapeutic sessions and the establishment of patient-therapist relationships. For example, the use of instant messaging for synchronous, in-session contact slowed communication, but also provided a valuable space for reflection and helped to maintain session focus. We discuss the impact of flexibility and the potential of integrated approaches to both enhance and reduce patient engagement.

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Supplementary materials include a table with participant details (PDF) and additional platform screenshots (PDF).

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Jo EZehrung RGenuario KPapoutsaki AEpstein D(2024)Exploring Patient-Generated Annotations to Digital Clinical Symptom Measures for Patient-Centered CommunicationProceedings of the ACM on Human-Computer Interaction10.1145/36869978:CSCW2(1-26)Online publication date: 8-Nov-2024
https://dl.acm.org/doi/10.1145/3686997
Ahmed NLiu XAl-Hazwani IHuang E(2024)Cultural Dimensions and Mental Health Technology: A Systematic Review of Hofstede's Dimensions in Shaping Mental Health ExperiencesExtended Abstracts of the CHI Conference on Human Factors in Computing Systems10.1145/3613905.3650842(1-13)Online publication date: 11-May-2024
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Index Terms

Integrating the Digital and the Traditional to Deliver Therapy for Depression: Lessons from a Pragmatic Study
1. Applied computing
  1. Life and medical sciences
    1. Health informatics
2. Human-centered computing
  1. Human computer interaction (HCI)
    1. Empirical studies in HCI

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cover image ACM Conferences

CHI '20: Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems

April 2020

10688 pages

ISBN:9781450367080

DOI:10.1145/3313831

General Chairs:
Regina Bernhaupt
Eindhoven University of Technology, Netherlands
,
Florian 'Floyd' Mueller
Monash University, Australia
,
David Verweij
Newcastle University, UK
,
Josh Andres
RMIT, Australia
,
Program Chairs:
Joanna McGrenere
University of British Columbia, Canada
,
Andy Cockburn
University of Canterbury, New Zealand
,
Ignacio Avellino
University of Maryland Baltimore County, USA
,
Alix Goguey
Grenoble Alpes University, France
,
Pernille Bjørn
University of Copenhagen, Denmark
,
Shengdong (Shen) Zhao
National University of Singapore, Singapore
,
Briane Paul Samson
Future University Hakodate, Japan & De La Salle University, Philippines
,
Rafal Kocielnik
University of Washington, USA

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Cited By

Staehelin DDolata MStöckli LSchwabe G(2024)How Patient-generated Data Enhances Patient-Provider Communication in Chronic Care: A Field Study in Design Science Research (Preprint)JMIR Medical Informatics10.2196/57406Online publication date: 16-Feb-2024
https://doi.org/10.2196/57406
Jo EZehrung RGenuario KPapoutsaki AEpstein D(2024)Exploring Patient-Generated Annotations to Digital Clinical Symptom Measures for Patient-Centered CommunicationProceedings of the ACM on Human-Computer Interaction10.1145/36869978:CSCW2(1-26)Online publication date: 8-Nov-2024
https://dl.acm.org/doi/10.1145/3686997
Ahmed NLiu XAl-Hazwani IHuang E(2024)Cultural Dimensions and Mental Health Technology: A Systematic Review of Hofstede's Dimensions in Shaping Mental Health ExperiencesExtended Abstracts of the CHI Conference on Human Factors in Computing Systems10.1145/3613905.3650842(1-13)Online publication date: 11-May-2024
https://dl.acm.org/doi/10.1145/3613905.3650842
Kang RReynolds T(2024)“This app said I had severe depression, and now I don’t know what to do”: the unintentional harms of mental health applicationsProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3642178(1-17)Online publication date: 11-May-2024
https://dl.acm.org/doi/10.1145/3613904.3642178
Fox FWiles NKessler DTallon DThomas LWilliams CShafran RLanham PTurner K(2024)Patients' and Therapists' Views of Integrated Online CBT for DepressionHealth Expectations10.1111/hex.7000227:4Online publication date: 21-Aug-2024
https://doi.org/10.1111/hex.70002
Lukka LKarhulahti VPalva J(2023)Factors Affecting Digital Tool Use in Client Interaction According to Mental Health Professionals: Interview StudyJMIR Human Factors10.2196/4468110(e44681)Online publication date: 10-Jul-2023
https://doi.org/10.2196/44681
Tallon DThomas LBrabyn SChing BHahn JJude BX Logan MBurrage AFox FGilbody SLanham PLewis GLi JMacNeill SNazareth IParrott SPeters TShafran RTurner KWilliams CKessler DWiles N(2023)Integrated therapist and online CBT for depression in primary care (INTERACT): study protocol for a multi-centre randomised controlled trialTrials10.1186/s13063-023-07396-924:1Online publication date: 20-Jun-2023
https://doi.org/10.1186/s13063-023-07396-9
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