A Pilot Study of the DBT Coach: An Interactive Mobile Phone Application for Individuals With Borderline Personality Disorder and Substance Use Disorder

Rizvi, Shireen L.; Dimeff, Linda A.; Skutch, Julie M.; Carroll, David R.; Linehan, Marsha M.

doi:10.1016/j.beth.2011.01.003

Cited by 239 publications

(244 citation statements)

References 27 publications

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“…Reaching clinically distressed physicians who may be most concerned about the consequences of seeking treatment is critical. Physicians who are experiencing barriers to individual treatment may respond favorably to promising mental health resources delivered via the Internet, 39 mobile apps such as DBT coach, 40 and the American Foundation for Suicide Prevention Individual Screening Protocol. 25 These resources are anonymous, easily accessible, not reportable, and increase individuals' awareness of their distress/risk as well as offer specific coping strategies.…”

Section: Discussionmentioning

confidence: 99%

“If You Build It, They Will Come”: Attitudes of Medical Residents and Fellows About Seeking Services in a Resident Wellness Program

Ey¹,

Moffit²,

Kinzie³

et al. 2013

Journal of Graduate Medical Education

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Background High rates of burnout and distress in resident physicians suggest a significant number would benefit from counseling. Intervention A resident wellness program (RWP) was designed to lower known barriers limiting resident access to services. Methods In 2011, medical residents and fellows were surveyed and logistic regression analyses were conducted to identify demographic and training program differences in perceived barriers and willingness to access the RWP. Results Of the 88% of trainees who knew about the RWP, 87% indicated they would be very likely or somewhat likely to seek out services. Time remained the biggest barrier for residents to getting help. Being male (odds ratio [OR] = 0.54, 95% confidence interval [CI] 0.34–0.84) or an ethnic/racial minority (OR = 0.49, 95% CI 0.28–0.85) was associated with greater unwillingness to seek counseling. Reluctance to access the RWP was associated with concerns about helpfulness, confidentiality, being unable to take a break, and stigma. Women (OR = 1.60, 95% CI 1.06–2.42) and primary care residents (OR = 1.58, 95% CI 0.98–2.54) were more likely to be concerned about taking a break. Men were more likely to question the helpfulness of counseling (OR = 0.55, 95% CI 0.36–0.85). Conclusions The RWP removed barriers of cost and knowledge about counseling services. More educational outreach is needed to address sex and ethnic differences about RWP utilization and attitudes in medical culture about a physician's right to address personal health care needs.

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Section: Discussionmentioning

confidence: 99%

“If You Build It, They Will Come”: Attitudes of Medical Residents and Fellows About Seeking Services in a Resident Wellness Program

Ey¹,

Moffit²,

Kinzie³

et al. 2013

Journal of Graduate Medical Education

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“…Several interventions have been recently developed, namely psychotherapeutic interventions based on the Internet (Alvarez- Jimenez et al, 2013;Proudfoot et al, 2007;Rotondi et al, 2010), SMS to support psychiatric care (Bauer et al, 2003;Granholm et al, 2012;Sims et al, 2012), treatment applications via phone and video conferencing (Mohr et al, 2012;Nelson et al, 2003), virtual paradigms for skills training (Freeman, 2008;McLay et al, 2011) and applications that promote autonomy of individuals with mental illness (Ben-Zeev, 2014;Burns et al, 2011;Rizvi et al, 2011). Although more research is needed, some interventions showed similar effectiveness to traditional models, as suggested by some studies: 1) in patients with depression, cognitive behavioural therapy (CBT) using the phone, when compared with face-to-face, demonstrated comparable improvement at posttreatment (Mohr et al, 2012); and 2) comparing CBT delivered through health technologies and therapist-administered CBT, a study revealed no significant differences regarding efficacy, on patients with obsessive-compulsive disorder symptoms (Dèttore, Pozza, & Andersson, 2015).…”

mentioning

confidence: 99%

Patients’ perspectives about the design of a mobile application for psychotic disorders

Almeida

Sousa²,

Marques³

et al. 2018

Psychol. Community Health

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Aim Based on the design of applications for psychotic disorders illness self-management, this study aimed to understand patients’ patterns of technology usage, as well as their expectations and requirements concerning the design of an app for rehabilitation and illness management purposes. It also aimed to identify guidelines for mobile application development for this population. Method After a literature review, a questionnaire was developed, focused on behaviours and opinions about technology usage. It was applied, through a cross-sectional study, to a sample of 102 users of mental health services with psychotic disorders (62% men; with ages between 22 and 66 years old). Results Nearly 59% of the participants were willing to download an app for illness self-management, and 51% evaluated as essential the self-management of their mental health condition. However, correlation analysis revealed that the more years with mental illness, the less importance is given to an app for this purpose. Conclusion The use of mobile technologies seems to the have potential to empower individuals with mental health problems, especially younger ones and those in early disease stages. Concerns about privacy/security should be considered, as well as simple screening designs and texts. The results also reveal the importance of user participatory design.

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“…Evidence based smartphone applications using behavioral and cognitive methods tend to be in developmental stages. These include a Dialectical Behavior Therapy (DBT) app for borderline personality disorder, (Rizvi et al, 2011) a mobile therapy application using CBT techniques (Morris et al, 2010), and an Internet and mobile intervention for depression using context sensing to identify emotional states and intervene appropriately (Burns et al, 2011). Although these applications require a broader evidence base before they are ready for implementation, they foretell future applications for moving psychotherapy beyond the one on one encounter.…”

Section: Mhealthmentioning

confidence: 99%

“…As noted above other intervention apps have been developed for borderline personality disorder (Rizvi et al, 2011), depression using context sensing to identify emotional states and intervene appropriately (Burns et al, 2011), and substance abuse using GPS to trigger reminders when someone may be entering an areas previously associated with substance use (Gustafson et al, 2011). Additionally, there are numerous applications that target specific components of CBT and may compliment practice such as programs that target gratitude, meditation, guided relaxation, therapeutic breathing and increasing positive emotion.…”

Section: Mhealthmentioning

confidence: 99%

Digital Technology and Mental Health Interventions: Opportunities and Challenges

Aguilera¹

2015

Arbor

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The growth of the Internet, mobile phones, social media and other digital technologies has changed our world in many ways. It has provided individuals with information that was previously only available to a select few. An example of the reach of technology is data that as of October 2012, there are over 6 billion phones worldwide (BBC, 2012). The availability of data in real time has presented hopes of intervening more efficiently and managing health problems by leveraging limited human resources. It also has an impact in changing the roles of providers and patients and in legal and ethical issues including privacy in digital health interactions. This paper will discuss why digital technology has received recent attention in the area of mental health, present some applications of technology for mental health to date, explore the challenges to full implementation in clinical settings, and present future opportunities for digital technologies.

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A Pilot Study of the DBT Coach: An Interactive Mobile Phone Application for Individuals With Borderline Personality Disorder and Substance Use Disorder

Cited by 239 publications

References 27 publications

“If You Build It, They Will Come”: Attitudes of Medical Residents and Fellows About Seeking Services in a Resident Wellness Program

“If You Build It, They Will Come”: Attitudes of Medical Residents and Fellows About Seeking Services in a Resident Wellness Program

Patients’ perspectives about the design of a mobile application for psychotic disorders

Digital Technology and Mental Health Interventions: Opportunities and Challenges

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