The Impact of Digital Technology on Psychological Treatments and Their Dissemination

Fairburn, Christopher G.; Patel, Vikram

doi:10.1176/appi.focus.16405

Cited by 48 publications

(67 citation statements)

References 53 publications

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“…On the other hand, users with social anxiety or agoraphobia, or with conditions associated with shame and stigma such as alcohol and substance misuse disorders or bulimia nervosa, may find it easier to engage with digital interventions compared to face-to-face therapy. 42 A key question identified in the top ten priorities is whether the promise that digital interventions can increase reach and access to treatment for underserved groups is actually realised in practice. This requires health services research to investigate the reach and uptake of digital technology interventions in different populations.…”

Section: Discussionmentioning

confidence: 99%

Identifying research priorities for digital technology in mental health care: results of the James Lind Alliance Priority Setting Partnership

Hollis

Sampson

Simons

et al. 2018

The Lancet Psychiatry

143

114

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Digital technology, including the internet, smartphones, and wearables, provides the possibility to bridge the mental health treatment gap by offering flexible and tailored approaches to mental health care that are more accessible and potentially less stigmatising than those currently available. However, the evidence base for digital mental health interventions, including demonstration of clinical effectiveness and cost-effectiveness in real-world settings, remains inadequate. The James Lind Alliance Priority Setting Partnership for digital technology in mental health care was established to identify research priorities that reflect the perspectives and unmet needs of people with lived experience of mental health problems and use of mental health services, their carers, and health-care practitioners. 644 participants contributed 1369 separate questions, which were reduced by qualitative thematic analysis into six overarching themes. Following removal of out-of-scope questions and a comprehensive search of existing evidence, 134 questions were verified as uncertainties suitable for research. These questions were then ranked online and in workshops by 628 participants to produce a shortlist of 26. The top ten research priorities, which were identified by consensus at a stakeholder workshop, should inform research policy and funding in this field. Identified priorities primarily relate to the safety and efficacy of digital technology interventions in comparison with face-to-face interventions, evidence of population reach, mechanisms of therapeutic change, and the ways in which the effectiveness of digital interventions in combination with human support might be optimised.

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Section: Discussionmentioning

confidence: 99%

Identifying research priorities for digital technology in mental health care: results of the James Lind Alliance Priority Setting Partnership

Hollis

Sampson

Simons

et al. 2018

The Lancet Psychiatry

143

114

View full text Add to dashboard Cite

show abstract

“…Results demonstrate that such interventions can achieve similar outcomes as conventional face‐to‐face delivered therapies . Potential benefits of digital interventions could reduce health costs as less hours of therapists are required, but this largely depends on the design of the intervention . Furthermore, considering the stigma surrounding seeking help for mental health, the digital setting could overcome the barrier of low adherence to mental health treatments and increase its reach to people in need of psychological treatments…”

Section: Discussionmentioning

confidence: 99%

Lung cancer stigma: A concept with consequences for patients

et al. 2019

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Background: Patients with lung cancer (LC) report lower quality of life (QoL) and higher levels of psychological distress compared with other cancer populations. Lung cancer stigma (LCS) may in part explain these findings. Aim:We investigated the prevalence of patient-perceived lung cancer stigma (LCS) and its relationships to symptom burden/severity, depression, and deficits in healthrelated quality of life (HR-QoL). Methods:In this descriptive, observational, and cross-sectional study, 201 participants were sent questionnaires. These included the Cataldo Lung Cancer Stigma Scale (CLCSS), the Lung Cancer Symptom Scale, the Centre for Epidemiologic Studies-Depression Scale, and the Quality of Life Inventory.Results: Participants were on average 69 years old, 52% women, 95% ever smokers, and 18.5% current smokers. The mean total CLCSS score was 53.

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“…However, there has been substantially less empirical testing of mindfulness apps compared to CBT-based apps. 19 Commercial mindfulness apps typically provide meditation guides, rather than full, evidence-based standardised training programmes. For instance, one review of the available 'mindfulness' apps identified more than 700 apps on the iTunes store.…”

Section: Technology In Mindfulness-based Interventionsmentioning

confidence: 99%

“…Each teacher had extensive experience delivering MBSR courses (median number of years teaching MBSR: 11 years, range 3-12). The teachers also reported extensive experience practising mindfulness meditation themselves (median years ¼ 17, range [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25].…”

Section: Participantsmentioning

confidence: 99%

Designing technology tools to support engagement in mindfulness-based interventions: an analysis of teacher and student experiences

et al. 2019

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Standard mindfulness-based interventions have significant at-home assignments of formal mindfulness practice as a key component. Engagement with formal home practice has been correlated with treatment outcomes, but participants often complete less than the assigned amounts. Here, we explore the requirements for technology tools that can support and encourage home practice, in a way that is appropriate and consistent with the core principles of mindfulness-based interventions. Interviews were held with a group of five highly experienced mindfulness teachers and a group of five participants who had previously completed an eight-week course. Data was subjected to thematic analysis. A key finding was that providing teachers with information on how students practice could support communication around difficulties with home practice. We also identified questions around the appropriateness of adapting the course in response to participant difficulties and participant preferences. Both teachers and students made numerous suggestions for ways to augment their training using technology, such as via practice reminders and provision of teacher-specific content. Finally, a major design issue for technology developers is how to support participants in reflecting on their experiences of mindfulness practice, and subsequent learning, but not to critically evaluate their practice.

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The Impact of Digital Technology on Psychological Treatments and Their Dissemination

Cited by 48 publications

References 53 publications

Identifying research priorities for digital technology in mental health care: results of the James Lind Alliance Priority Setting Partnership

Identifying research priorities for digital technology in mental health care: results of the James Lind Alliance Priority Setting Partnership

Lung cancer stigma: A concept with consequences for patients

Designing technology tools to support engagement in mindfulness-based interventions: an analysis of teacher and student experiences

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