Pocket Skills: A Conversational Mobile Web App To Support Dialectical Behavioral Therapy

Pocket Skills: A Conversational Mobile Web App To Support Dialectical Behavioral Therapy
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Pocket Skills:支持辩证行为疗法的会话式移动网络应用程序

DOI:
10.1145/3173574.3173972
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发表时间:
2018
期刊:
Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems
影响因子:
--
通讯作者:
M. Linehan
M. Linehan
中科院分区:
--
文献类型:
--
作者:
J. Schroeder;C. Wilkes;Kael Rowan;Arturo Toledo;A. Paradiso;M. Czerwinski;G. Mark;M. Linehan

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精神健康障碍是全世界残疾的主要原因。尽管循证心理治疗是有效的,但此类项目的参与度可能较低。移动应用程序有潜力帮助人们参与和支持他们的治疗。我们开发了 Pocket Skills,这是一款基于辩证行为疗法 (DBT) 的移动网络应用程序。 Pocket Skills 通过以 DBT 开发者 Marsha Linehan 为模型的对话代理来教授 DBT。我们在为期 4 周的实地研究中检验了 Pocket Skills 的可行性,对 73 名参加心理治疗的人进行了实地研究。研究结束后,参与者报告抑郁和焦虑有所减少,DBT 技能的使用有所增加。我们基于 Pocket Skills 如何支持 DBT 的定性研究结果提出了一个模型。 Pocket Skills 帮助参与者参与 DBT,并在其环境背景下练习和实施技能,这使他们能够看到使用 DBT 技能的结果并提高自我效能。我们讨论这些发现对未来移动心理健康系统的设计影响。
Mental health disorders are a leading cause of disability worldwide. Although evidence-based psychotherapy is effective, engagement from such programs can be low. Mobile apps have the potential to help engage and support people in their therapy. We developed Pocket Skills, a mobile web app based on Dialectical Behavior Therapy (DBT). Pocket Skills teaches DBT via a conversational agent modeled on Marsha Linehan, who developed DBT. We examined the feasibility of Pocket Skills in a 4-week field study with 73 individuals enrolled in psychotherapy. After the study, participants reported decreased depression and anxiety and increased DBT skills use. We present a model based on qualitative findings of how Pocket Skills supported DBT. Pocket Skills helped participants engage in their DBT and practice and implement skills in their environmental context, which enabled them to see the results of using their DBT skills and increase their self-efficacy. We discuss the design implications of these findings for future mobile mental health systems.
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