Clinician Perceptions of Using a Smartphone App with Prolonged Exposure Therapy

Kuhn, Eric; Eftekhari, Afsoon; Hoffman, Julia E.; Crowley, Jill J.; Ramsey, Kelly M; Reger, Greg M.; Ruzek, Josef I.

doi:10.1007/s10488-013-0532-2

Cited by 47 publications

(46 citation statements)

References 19 publications

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“…With regard to mobile apps “PFA Mobile” is a preventive mobile app developed for responders who provide Psychological First Aid (PFA), an evidence-informed approach for assisting individuals in the aftermath of disaster or emergencies (Kuhn, Eftekhari, et al, 2014 ). The app is not intended to replace PFA training and efficacy still needs to be shown.…”

Section: M-health Developments For Traumatic Stressmentioning

confidence: 99%

Mobile mental health: a challenging research agenda

Olff

2015

European Journal of Psychotraumatology

220

211

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The field of mobile health (“m-Health”) is evolving rapidly and there is an explosive growth of psychological tools on the market. Exciting high-tech developments may identify symptoms, help individuals manage their own mental health, encourage help seeking, and provide both preventive and therapeutic interventions. This development has the potential to be an efficient cost-effective approach reducing waiting lists and serving a considerable portion of people globally (“g-Health”). However, few of the mobile applications (apps) have been rigorously evaluated. There is little information on how valid screening and assessment tools are, which of the mobile intervention apps are effective, or how well mobile apps compare to face-to-face treatments. But how feasible is rigorous scientific evaluation with the rising demands from policy makers, business partners, and users for their quick release? In this paper, developments in m-Health tools—targeting screening, assessment, prevention, and treatment—are reviewed with examples from the field of trauma and posttraumatic stress disorder. The academic challenges in developing and evaluating m-Health tools are being addressed. Evidence-based guidance is needed on appropriate research designs that may overcome some of the public and ethical challenges (e.g., equity, availability) and the market-driven wish to have mobile apps in the “App Store” yesterday rather than tomorrow.

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Section: M-health Developments For Traumatic Stressmentioning

confidence: 99%

Mobile mental health: a challenging research agenda

Olff

2015

European Journal of Psychotraumatology

220

211

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“…Rather, the focus of activity has been on development and dissemination of new mhealth applications (apps) designed to facilitate delivery of EBT's for PTSD and related disorders. These include two widely disseminated EBT's for PTSD, Prolonged Exposure (Kuhn et al, 2015;Kuhn et al, 2014;Reger et al, 2013) and Cognitive Processing Therapy (CPT Coach), in addition to EBP apps for common PTSD-related symptoms, such as insomnia (Koffel et al;Kuhn et al, 2016), depression (Acceptance and Commitment Therapy: ACT Coach and problemsolving: Moving Forward), and smoking cessation (Stay Quit Coach). Kuhn and colleagues (2015) evaluated adjunctive use of the PE Coach patient-facing smartphone app by 271 mental health clinicians trained in use of PE.…”

Section: The Role Of Mobile Technology In Clinician Training and Ebt mentioning

confidence: 99%

Evidence-based training in the era of evidence-based practice: Challenges and opportunities for training of PTSD providers

Rosen

Ruzek

Karlin

2017

Behaviour Research and Therapy

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There is a pressing global need for trained and competent mental health clinicians to deliver evidence-based psychological therapies to millions of trauma survivors in need of care. Three model, large-scale training programs were initiated a decade ago, one in the United Kingdom (U.K.), and two in the United States (U.S.), to disseminate high-quality, evidence-based psychological care to traumatized children and adults in need of assistance. Milestone contributions to implementation science have been made by each of these training programs, although limitations and challenges remain to be considered. In contrast, culturally adapted and simplified PTSD interventions and therapy training programs have also been developed and tested during the past decade, three of which show particular promise for broader implementation. These simplified but evidence-based interventions have been developed for use by lay counsellors or health technicians with minimal or no prior mental health training. Finally, a growing range of technology-based and technology-assisted training models for PTSD providers have also been developed and disseminated in the past decade. This trend is expected to accelerate as more providers become accustomed to acquiring clinical training in this modality or format, although significant barriers to technology-based training will need to be overcome.

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“…Prior work demonstrated that among patients, demographic characteristics and prior experience is largely unrelated to willingness to use technology for healthcare (Price et al., ). There is evidence, however, to suggest that prior use is relevant for clinicians (Kuhn et al., ). Clinicians with experience using mobile devices or who own a personal mobile device were more receptive to use such technologies in treatment.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the PTSD Checklist (PCL) Administered via a Mobile Device Relative to a Paper Form

Price

Kuhn

Hoffman

et al. 2015

Journal of Traumatic Stress

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Mobile devices are increasingly used to administer self-report measures of mental health symptoms. There are significant differences, however, in the way that information is presented on mobile devices compared to the traditional paper forms that were used to administer such measures. Such differences may systematically alter responses. The present study evaluated if and how responses differed for a self-report measure, the PTSD Checklist (PCL), administered via mobile device relative to paper and pencil. Participants were 153 trauma-exposed individuals who completed counterbalanced administrations of the PCL on a mobile device and on paper. PCL total scores (d = 0.07) and item responses did not meaningfully or significantly differ across administrations. Power was sufficient to detect a difference in total score between administrations determined by prior work of 3.46 with a d = 0.23. The magnitude of differences between administration formats was unrelated to prior use of mobile devices or participant age. These findings suggest that responses to self-report measures administered via mobile device are equivalent to those obtained via paper and they can be used with experienced as well as naïve users of mobile devices.

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Clinician Perceptions of Using a Smartphone App with Prolonged Exposure Therapy

Cited by 47 publications

References 19 publications

Mobile mental health: a challenging research agenda

Mobile mental health: a challenging research agenda

Evidence-based training in the era of evidence-based practice: Challenges and opportunities for training of PTSD providers

Comparison of the PTSD Checklist (PCL) Administered via a Mobile Device Relative to a Paper Form

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