背景:由于意识不足,患者可能难以很好地利用心理治疗,和支持意识的数字技术是非常宝贵的。目前,当患者参与认知分析治疗(CAT)时,支持关系意识工作的技术涉及完成基于纸张的工作表作为会话之间的任务。
目标:我们旨在设计,治疗师和病人,原型数字移动应用程序。这是为了帮助患者更好地参与CAT治疗模型的“识别”阶段,通过提供一种不显眼的手段来实践关系意识,并对进展进行动态反馈。
方法:与CAT治疗师(n=50)进行了一项全国在线调查,以确定在临床实践中采用移动应用程序的准备情况,并确定核心内容。功能,以及采用的潜在障碍。构建了基于数据和现有纸质工作表的原型移动应用程序。原型系统的初始面对面用户测试已由三名治疗师和三名CAT阐述者完成。
结果:在接受调查的治疗师中,72%(36/50)报告在CAT期间目前未使用任何数字工具。然而,移动应用程序支持患者意识的潜在价值得到广泛认可.治疗师关注的领域是数据安全,数据治理,和平等的访问。CAT治疗师在随后的用户测试中反映了这些担忧。病人在设计上生成了额外的用户规格,功能,和应用程序的可用性。来自两个流的结果被整合以产生用于重复应用的五个关键变化。
结论:以用户为中心的设计过程使得能够开发原型CAT-App,以增强CAT的关系意识工作。这意味着患者现在可以以更加不显眼的方式和持续的进展动态反馈来实践关系意识。检验这一技术创新在临床实践中的可接受性和可行性是研究过程中的下一个阶段,此后已进行并已提交。如果发现CAT-App可接受且临床有效,则必须应对数据保护和治理的重要挑战,以确保实施和采用。
BACKGROUND: Patients can struggle to make good use of psychotherapy owing to deficits in awareness, and digital technologies that support awareness are at a premium. Currently, when patients participate in cognitive analytic therapy (CAT), the technology supporting relational awareness work involves completion of paper-based worksheets as between-session tasks.
OBJECTIVE: We aimed to design, with therapists and patients, a prototype digital mobile app. This was to help patients better engage in the \"recognition\" phase of the CAT treatment model by providing an unobtrusive means for practicing relational awareness with dynamic feedback on progress.
METHODS: A national online survey was conducted with CAT therapists (n=50) to determine readiness for adoption of a mobile app in clinical practice and to identify core content, functionality, and potential barriers to adoption. A prototype mobile app based on data and existing paper-based worksheets was built. Initial face-to-face user testing of the prototype system was completed with three therapists and three CAT expatients.
RESULTS: Among the therapists surveyed, 72% (36/50) reported not currently using any digital tools during CAT. However, the potential value of a mobile app to support patient awareness was widely endorsed. Areas of therapist concern were data security, data governance, and equality of access. These concerns were mirrored during subsequent user testing by CAT therapists. Expatients generated additional user specifications on the design, functionality, and usability of the app. Results from both streams were integrated to produce five key changes for the reiteration of the app.
CONCLUSIONS: The user-centered design process has enabled a prototype CAT-App to be developed to enhance the relational awareness work of CAT. This means that patients can now practice relational awareness in a much more unobtrusive manner and with ongoing dynamic feedback of progress. Testing the acceptability and feasibility of this technological innovation in clinical practice is the next stage in the research process, which has since been conducted and has been submitted. The important challenges of data protection and governance must be navigated in order to ensure implementation and adoption if the CAT-App is found to be acceptable and clinically effective.