An Ecological Momentary Intervention for people with social anxiety: A descriptive case study.

IF 2.5 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Informatics for Health & Social Care Pub Date : 2021-12-02 Epub Date: 2021-03-28 DOI:10.1080/17538157.2021.1896525
Brendan Loo Gee, Philip J Batterham, Amelia Gulliver, Julia Reynolds, Kathleen M Griffiths
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Abstract

ABSTRACT This study describes the development and pilot evaluation of a smartphone- delivered Ecological Momentary Intervention (EMI) for people with social anxiety symptoms. Using a software engineering framework (agile modeling, model-driven development, bottom-up development), mental health experts and software developers collaborated to develop a 4-module EMI app designed to reduce social anxiety in real-time. Fifty-five participants with social anxiety were randomly allocated to the EMI or a wait-list control arm. App downloads, usage and user satisfaction data were collected and mental health outcomes assessed at baseline and post-intervention. Software development practices allowed mental health experts to distil core elements of a psychological intervention into discrete software components but there were challenges in engaging mental health experts in the process. Relative to control there was no significant reduction in social anxiety among the EMI participants in the pilot trial. However, post-test data were available for only 4 intervention and 10 control participants and only 2 (4.0%) of the EMI participants downloaded the app. The two participants who both accessed the app and completed the post-test reported being satisfied with the intervention. Future research should address managing resources and providing additional training to support ongoing engagement with key stakeholders.
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对社交焦虑患者的生态瞬时干预:一个描述性案例研究。
本研究描述了智能手机生态瞬间干预(EMI)对社交焦虑症状患者的发展和试点评估。利用软件工程框架(敏捷建模、模型驱动开发、自下而上开发),心理健康专家和软件开发人员合作开发了一个由4个模块组成的EMI应用程序,旨在实时减少社交焦虑。55名患有社交焦虑的参与者被随机分配到EMI组或等候名单控制组。收集应用程序下载、使用和用户满意度数据,并在基线和干预后评估心理健康结果。软件开发实践允许心理健康专家将心理干预的核心要素提炼成离散的软件组件,但在让心理健康专家参与这一过程方面存在挑战。与对照组相比,试验性试验中EMI参与者的社交焦虑没有显著减少。然而,只有4名干预参与者和10名对照参与者的测试后数据可用,只有2名(4.0%)EMI参与者下载了应用程序。两名参与者都访问了应用程序并完成了后测试,他们报告对干预感到满意。未来的研究应解决管理资源和提供额外培训的问题,以支持与关键利益相关者的持续接触。
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来源期刊
CiteScore
6.10
自引率
4.20%
发文量
21
审稿时长
>12 weeks
期刊介绍: Informatics for Health & Social Care promotes evidence-based informatics as applied to the domain of health and social care. It showcases informatics research and practice within the many and diverse contexts of care; it takes personal information, both its direct and indirect use, as its central focus. The scope of the Journal is broad, encompassing both the properties of care information and the life-cycle of associated information systems. Consideration of the properties of care information will necessarily include the data itself, its representation, structure, and associated processes, as well as the context of its use, highlighting the related communication, computational, cognitive, social and ethical aspects. Consideration of the life-cycle of care information systems includes full range from requirements, specifications, theoretical models and conceptual design through to sustainable implementations, and the valuation of impacts. Empirical evidence experiences related to implementation are particularly welcome. Informatics in Health & Social Care seeks to consolidate and add to the core knowledge within the disciplines of Health and Social Care Informatics. The Journal therefore welcomes scientific papers, case studies and literature reviews. Examples of novel approaches are particularly welcome. Articles might, for example, show how care data is collected and transformed into useful and usable information, how informatics research is translated into practice, how specific results can be generalised, or perhaps provide case studies that facilitate learning from experience.
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