ENACT: Exploiting social Networks to Augment Cognitive behavioural Therapy

这项名为“ENACT”的医疗保健伙伴关系项目的工作旨在利用在线社交网络平台、社交电脑游戏和移动的技术的吸引力，提高那些接受计算机化认知行为疗法干预措施的人的接受率、坚持率和完成率。最近的研究表明，许多常见的心理健康状况，如抑郁症，焦虑和失眠，可以成功地用CBT治疗，CBT是一种治疗方法，可以解决维持或加剧心理症状的思维方式和行为习惯。改善获得心理治疗的机会现在是一项明确的NHS政策;这项政策的组成部分是更容易获得计算机化的CBT（CCBT）。然而，尽管全面展示了气候变化、生物多样性和生物多样性方案的功效、效益和成本效益，但在用户接受、参与和完成方面仍然存在挑战，作为一种基于计算机的互动活动，气候变化、生物多样性和生物多样性方案的感知价值和用户参与将受到其他形式的互动通信和基于计算机的媒体的共同因素的影响。事实上，我们认为现有CCBT项目的一个主要缺陷是，它们只是复制了面对面CBT的结构，并没有反映人们目前使用新兴在线和社交技术的方式。现有的CCBT项目通常包括被动的、每周一次的、长达一小时的治疗会话，用户与治疗师或其他治疗用户之间没有社交接触，并且很少或没有向用户提供关于他们基本日常家庭作业任务的表现的反馈。相反，在线社交技术似乎非常善于引起用户的吸收和定期使用，通常每天都会被用户多次参与，非常互动，ENACT项目的主要假设是，复制在线社交媒体互动结构的CCBT项目将比CCBT更有效地吸引用户的参与。复制传统的一对一治疗课程结构的方案。为了研究使用在线社交技术元素增强CCBT的效果，ENACT将专注于开发和增强用于治疗失眠的CCBT“包”（CCBT-I）。最终应用程序的用户将1）能够与服务的其他用户进行保密交互并获得支持，2）能够通过在线社交网络和移动的电话应用程序报告日常活动的完成情况，3）以参与的方式接收关于设定和实现的目标的反馈，以及4）通常将以反映他们对在线社交技术的使用并且方便地适合他们的日常生活方式的方式来支持他们完成治疗包。ENACT是对卫生部最近强调CCBT作为改善获得有效心理治疗的一种手段的及时回应，同时也需要为失眠患者提供有效的替代方案，以取代通常不适当的催眠药物。

The work in this Healthcare Partnerships project - termed ENACT - aims to improve the uptake, adherence and completion rates of those referred to Computerised Cognitive Behavioural Therapy (CCBT) interventions using the engaging power of online social network (OSN) platforms, social computer games and mobile technology. Recent research has demonstrated that many common mental health conditions, such as depression, anxiety and insomnia, can be treated successfully with CBT, a form of therapy that addresses styles of thinking and behavioural habits that maintain or exacerbate psychological symptoms. Improving access to psychological therapy is now an explicit NHS policy; integral to this policy is the greater accessibility of computerised CBT (CCBT). However, while the efficacy, effectiveness and cost-effectiveness of CCBT programmes have been comprehensively demonstrated, there remain challenges in terms of user uptake, engagement and completion.As an interactive computer-based activity, the perceived value of, and user engagement with, CCBT will be influenced by factors common to other forms of interactive communications and computer-based media. Indeed, we believe that a major deficiency of existing CCBT programmes is that they merely replicate the structure of face-to-face CBT and do not reflect the way people currently use emerging online and social technologies. Existing CCBT programmes typically consist of passive, weekly, hour-long therapy sessions, with no social contact between the user and either a therapist or fellow treatment users, and also little or no feedback provided to the user on their performance of essential daily homework tasks. Conversely, online social technologies, which appear to be very good at engendering user uptake and regular use, are typically engaged with by users a number of times daily, are very interactive, and are based primarily on social contact.The primary hypothesis of the ENACT project is that CCBT programmes which replicate the interactive structure of online social media will be more effective at engendering user uptake and engagement than CCBT programmes that replicate the structure of traditional one-to-one therapy sessions. In order to examine the effects of enhancing CCBT with elements of online social technology, ENACT will concentrate on the development and enhancement of a CCBT 'package' for the treatment of insomnia(CCBT-I). Users of the final application will 1) be able to interact confidentially with and receive support from other users of the service, 2) be able report completion of daily activities via Online Social Networking and mobile phone applications, 3) receive feedback in an engaging manner on targets set and met, and 4) will generally be supported in their completion of the treatment package in a manner that reflects their usage of online social technology, and which fits conveniently into their daily liefstyle. ENACT is a timely response to the recent emphasis placed, by the DoH, on CCBT as a means of achieving improved access to effective psychological therapies,combined with a continuing need to offer patients with insomnia effective alternatives to often inappropriate hypnotic medication.