adjunctive mobile technologies for cbt: part 3
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Adjunctive Mobile Technologies for CBT: Part 3. Ryan Hansen, M.S. Ohio State University [email protected]. A very important question:. Why?. Good Reasons:. Interactivity Reminders Proximity Navigation of Information Communication Psychoeducation. Bad Reasons:. To replace therapists - PowerPoint PPT PresentationTRANSCRIPT
Adjunctive Mobile Technologies for CBT: Part 3Ryan Hansen, M.S.Ohio State [email protected]
A very important question:
•Why?
Good Reasons:
• Interactivity•Reminders•Proximity•Navigation of Information•Communication•Psychoeducation
Bad Reasons:
• To replace therapists• To duplicate worksheets• To duplicate webpages
What is an App?
Smartphone Market Share
The Mathew Effect in Market Share
• Android and iOS Dominate• Less incentive for developers
to make apps for other markets• Fewer Apps in other markets• Less reason to buy other
phones• Android and iOS Dominate
Operating Systems are like Languages
IOS Android
IOS• Objective C (Free)• X-Code (Free)• *need a mac with OS 10 or higher
• iOS Developer Program ($99/Year)• Must use Developer Certificate in Testing• Submission to App Store• Apple gets a cut of all sales and subscriptions
Android• Java (Free)• Eclipse (Free)• Can test apps without account• Submit to Google Play (One time $25 fee, instantaneous
publishing)• Google Play gets a cut of all sales and subscriptions
Websites are Like Interpreters
HTML5
• Free (but requires hosting)• No software needed, but it helps• No curated market (both good and bad)• Able to work offline (if bookmarked)• Able to access many features on newer devices• Sandboxed• No Fees attached• Public doesn’t understand it• www.codecademy.com
Native Wrappers
• Phonegap • Titanium• appMobi• Create native apps using HTML5• Provide API’s (Hooks to get out of the sandbox)• Work across platforms (mostly)• Can be submitted to app stores
Limitations of Native Wrappers
• Integration with SDK’s (like Google Analytics)• Efficiency• Memory Leaks/Garbage Collection Problems• Difficult to orchestrate large projects• Poor Documentation
Hiring Someone Else• Apps are expensive ($5,000-$30,000)• Look at their portfolio• Can you talk to them in plain English?• How will you maintain the app?• How will you host the app?• Pitfalls of hiring students/neighbors/nieces• Longer production• Not knowing what you don’t know• Hit by a truck?
DIY apps• High learning curve• Simpler is better• HTML5/Javascript is the easiest language to learn• Google can help • Follow the examples online and modify them• Plan out your app on paper first• Spend time on User Interface Design• Write out all the functions in plain English first.• Test it on as many phones as possible
App Creation Demonstration
4.01 Maintaining ConfidentialityPsychologists have a primary obligation and take reasonable precautions to protect confidential information obtained through or stored in any medium, recognizing that the extent and limits of confidentiality may be regulated by law or established by institutional rules or professional or scientific relationship.
Confidentiality
Security• Where is the data stored?• Locally• Password Protection?• Encryption?• Backed up on iTunes/internet?• Texting?• Viruses?
• Remotely• How is it getting there?
• HTTP vs HTTPS• WiFi vs Cell Connection
• How is it stored there?• What is their privacy policy?• How secure are their servers?• How much information do they have about your client?
• Is your location or IP being tracked?• Email
The Real Danger: Hackers vs Lawyers
Ethical Questions• What if your client is tracking illegal activity?• HIPPA• Does it fall under the FDA?• “Suicidal Siri”• What data is collected by the app about the client?• Who is that data shared with?• Advertising?
Legal Considerations
• Does your employer own the app?• What liability goes along with making and
distributing an app?• What liability goes along with
recommending an app or using it in therapy?
GamificationZombies, Run!Endomondo
Suicide Prevention Apps
•ASK•Guard Your Buddy•RUOK:OSU
ASKPlatforms iOS, Android
Price Free
Creator Mental Health America of Texas
User Rating 3.5 Stars
Features: National Hotline #Warning SignsHow to AskHotlinesVeteransLGBTQInternet Resources
ASKBest Clean, Efficient Layout
Easy NavigationClear Content
Worst Lack of Telephone Link on Opening PageLots of Text
Research Base No Formal Research
Guard Your BuddyPlatforms iOS, Android
Price Free
Creator Tennessee National Guard, Parthenon Publishing
User Rating 4.5 Stars
Features: Get Help NowWarning SignsHow to HelpDo’s/Don’tsInternet Resources• Veterans• Families• Money• FeelingsRascal Flatts Pledge
Best Professional DesignEasy NavigationConcise Text
Worst Veteran SpecificLimited Info In-AppLinks to website, which does not load in iOS
Research Base No Formal Research
Guard Your Buddy
RUOK:OSUPlatforms iOS, Android, HTML5
Price Free
Creator OSU Suicide Prevention
User Rating Not Rated
Features: Local Crisis Line (Ohio)National Hotline #Campus Police #Warning SignsHow to AskShare the App (QR)Special Populations• LGBTQ• Veterans• Spanish• TTYOSU Resources
Best Uses User’s LocationProvides OSU and National Resources
Worst Text-heavyOSU Specific ContentOnly Ohio Crisis Lines
Research Base No Formal Research
RUOK:OSU
PTSD
•PTSD Coach•PECoach
PTSD CoachPlatforms iOS, Android
Price Free
Creator National Center for PTSD, National Center for Telehealth and Technology.
User Rating 4 Stars
Features: Psychoeducation • PTSD• TherapyAssessment and Symptom TrackingSymptom Management ToolsSupport NetworkProfessional Referral Information
Best Both text and multimediaTools for symptom trackingTools for symptom managementRating distress before and after interventions
Worst Bug in Manage SymptomsAssessment only Tracks Total Score
Research Base
No formal research, uses many techniques from Prolonged Exposure and CBT
PTSD Coach
PECoachPlatforms iOS, Android
Price Free
Creator National Center for PTSD, National Center for Telehealth and Technology.
User Rating 4.5 Stars
Features: Psychoeducation Record Therapy SessionsAppointment RemindersBreathing Retraining Suds AnchorsSymptom Assessment (PCL)Security Settings
Best Both text and multimediaTools for symptom trackingRecording SessionsRecording Exposure ExercisesSecurity Settings
Worst Cant delete recordingsRigid Structure
Research Base
No formal research, Uses techniques from Prolonged Exposure
PECoach
DBT Diary Card and Skills Coach
Platforms iOS only
Price $4.99
Creator Durham DBT inc.
User Rating 4.5 Stars
Features: Diary Card • Skills• Targets• NotesExtensive Coaching Dialogues• 911 Skills• Distress Tolerance• Mindfulness• Emotion• Interpersonal SkillsDBT Reference
Best Professional DesignEasy to NavigateHighly CustomizableUses Apps and Music for DistractionPassword ProtectedEmail Diary Card
Worst Lots of small text
Research Base
No formal research, Designed to be incorporated into DBT treatment
DBT Diary Card and Skills Coach
LiveHappyPlatforms iOS only
Price $0.99
Creator Signal Patterns, Dr. Sonja Lyubomirsky
User Rating 3 Stars
Features: Savoring ActivitiesSocial Activities• Acts of Kindness• Developing Support NetworkStrive (Goal Setting)Gratitude JournalOptimismPsychoeducation on Positive Psychology
Best Professional DesignSimple to useMultimedia
Worst Relatively Few FeaturesComplaints of Bugs/InstabilitySlow streaming with videos
Research Base
No formal research, Uses practices supported by research in Positive Psychology
LiveHappy