An Emotion Regulation Tablet App for Middle-Aged and Older Adults at High Suicide Risk: Feasibility, Acceptability, and Two Case Studies.
An Emotion Regulation Tablet App for Middle-Aged and Older Adults at High Suicide Risk: Feasibility, Acceptability, and Two Case Studies.
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DOI：
10.1016/j.jagp.2021.08.015
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发表时间：
2022-05-01
期刊：
影响因子：
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通讯作者：
Putrino, David
中科院分区：
文献类型：
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作者：
Kiosses, Dimitris N;Monkovic, Jody;Putrino, David
目的：技术应用的独特性可能会改善对自杀风险人群的治疗。在这篇文章中，我们展示了可行性和可接受性数据，以及两个案例研究，展示了WellPATH的使用。WellPATH是一款平板电脑应用程序，旨在帮助自杀患者在治疗期间情绪紧张的情况下。WellPATH应用程序是一项为期12周的心理治疗干预（CRISP -自杀预防认知重新评估干预）的一部分，针对的是因自杀而住院的中老年人。设计：WellPATH的使用包括三个阶段：准备和练习、合并和实际使用。测量方法：在12周的时间里，通过WellPATH的总体使用情况来衡量可行性，通过客户满意度问卷的三个项目来衡量可接受性。结果：12名研究参与者被给予WellPATH作为CRISP的一部分。结果为WellPATH的可行性和可接受性提供了初步证据。研究参与者和治疗师报告了对WellPATH的高满意度，并为未来的研究和发展提供了反馈。案例研究中的患者报告说，在使用WellPATH应用程序上的技术后，他们的负面情绪有所减少，情绪调节能力（即认知重新评估能力）有所提高。结论：我们的初步研究结果表明，在高自杀风险的中老年人群中，使用WellPATH应用程序等技术应用程序是可行的，并且是可以接受的。为了进一步评估WellPATH的可行性和可及性，并测试其在高危人群中的有效性，需要进一步的研究，并提供足够的动力样本。
OBJECTIVE: The unique features of technological applications may improve the treatment of people at risk of suicide. In this article, we present feasibility and acceptability data as well as two case studies demonstrating the use of WellPATH, a tablet app that aims to help suicidal patients during emotionally-charged situations outside of therapy sessions. The WellPATH app was part of a 12-week psychotherapy intervention (CRISP - Cognitive Reappraisal Intervention for Suicide Prevention) for middle-aged and older adults after their discharge from a suicide-related hospitalization.DESIGN: The use of WellPATH includes three stages: preparation and practice, incorporation, and actual use.MEASUREMENTS: Feasibility was measured by the overall use of WellPATH during 12 weeks, and acceptability was measured with the three items of the Client Satisfaction Questionnaire.RESULTS: Twelve study participants were administered WellPATH as part of CRISP. The results provide preliminary evidence of feasibility and acceptability of WellPATH. Study participants and therapists reported high satisfaction with WellPATH and provided feedback for future research and development. The patients in the case studies reported a reduction in negative emotions and an increase in emotion regulation (i.e., cognitive reappraisal ability) after using techniques on the WellPATH app.CONCLUSION: Our preliminary findings suggest that use of technology applications such as the WellPATH app is feasible and accepted among middle-aged and older adults at high suicide risk. Further research with an adequately powered sample is needed to further evaluate WellPATH's feasibility and accessibility, and test its efficacy with this high-risk population.