scholarly journals Correction: Evaluation of a Mobile App to Enhance Relational Awareness and Change During Cognitive Analytic Therapy: Mixed Methods Case Series

10.2196/27159 ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. e27159
Author(s):  
Stephen Kellett ◽  
Katherine Easton ◽  
Martin Cooper ◽  
Abigail Millings ◽  
Melanie Simmonds-Buckley ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Case Series ◽  
Mobile App ◽  
Analytic Therapy ◽  
Cognitive Analytic Therapy

scholarly journals Evaluation of a Mobile App to Enhance Relational Awareness and Change During Cognitive Analytic Therapy: Mixed Methods Case Series

10.2196/19888 ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. e19888
Author(s):  
Stephen Kellett ◽  
Katherine Easton ◽  
Martin Cooper ◽  
Abigail Millings ◽  
Melanie Simmonds-Buckley ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Clinical Outcome ◽  
Outcome Measure ◽  
Case Series ◽  
Mobile App ◽  
Significant Difference ◽  
Analytic Therapy ◽  
Evaluation Outcome ◽  
The Relationship ◽  
Cognitive Analytic Therapy

Background There has been a lack of technological innovation regarding improving the delivery of integrative psychotherapies. This project sought to evaluate an app designed to replace previous paper-based methods supporting relational awareness and change during cognitive analytic therapy (CAT). Objective We aimed to assess patients’ and therapists’ experience of using the technology (ie, the “CAT-App”) and to evaluate the relationship between app usage and clinical outcome. Methods The design was a mixed methods case series. Patients completed the Clinical Outcomes in Routine Evaluation-Outcome Measure pre- and post-CAT. Mood data plus the frequency and effectiveness of relational awareness and change were collected via the app. Therapists and patients were interviewed about their experiences using the app. Results Ten patients (treated by 3 therapists) were enrolled; seven completed treatment and 4 had a reliable improvement in their mental health. App usage and mood change did not differ according to clinical outcome, but there was a statistically significant difference in app usage between completers and dropouts. The qualitative themes described by the therapists were (1) the challenge of incorporating the technology into their clinical practice and (2) the barriers and benefits of the technology. Clients’ themes were (1) data protection, (2) motivation and engagement, and (3) restrictions versus flexibility. Conclusions The CAT-App is capable of supporting relational awareness and change and is an upgrade on older, paper-based formats. Further clinical evaluation is required.

scholarly journals Evaluation of a Mobile App to Enhance Relational Awareness and Change During Cognitive Analytic Therapy: Mixed Methods Case Series (Preprint)

2020 ◽  
Author(s):  
Stephen Kellett ◽  
Katherine Easton ◽  
Martin Cooper ◽  
Abigail Millings ◽  
Melanie Simmonds-Buckley ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Clinical Outcome ◽  
Outcome Measure ◽  
Case Series ◽  
Mobile App ◽  
Significant Difference ◽  
Analytic Therapy ◽  
Evaluation Outcome ◽  
The Relationship ◽  
Cognitive Analytic Therapy

BACKGROUND There has been a lack of technological innovation regarding improving the delivery of integrative psychotherapies. This project sought to evaluate an app designed to replace previous paper-based methods supporting relational awareness and change during cognitive analytic therapy (CAT). OBJECTIVE We aimed to assess patients’ and therapists’ experience of using the technology (ie, the “CAT-App”) and to evaluate the relationship between app usage and clinical outcome. METHODS The design was a mixed methods case series. Patients completed the Clinical Outcomes in Routine Evaluation-Outcome Measure pre- and post-CAT. Mood data plus the frequency and effectiveness of relational awareness and change were collected via the app. Therapists and patients were interviewed about their experiences using the app. RESULTS Ten patients (treated by 3 therapists) were enrolled; seven completed treatment and 4 had a reliable improvement in their mental health. App usage and mood change did not differ according to clinical outcome, but there was a statistically significant difference in app usage between completers and dropouts. The qualitative themes described by the therapists were (1) the challenge of incorporating the technology into their clinical practice and (2) the barriers and benefits of the technology. Clients’ themes were (1) data protection, (2) motivation and engagement, and (3) restrictions versus flexibility. CONCLUSIONS The CAT-App is capable of supporting relational awareness and change and is an upgrade on older, paper-based formats. Further clinical evaluation is required.

scholarly journals Correction: Evaluation of a Mobile App to Enhance Relational Awareness and Change During Cognitive Analytic Therapy: Mixed Methods Case Series (Preprint)

2021 ◽  
Author(s):  
Stephen Kellett ◽  
Katherine Easton ◽  
Martin Cooper ◽  
Abigail Millings ◽  
Melanie Simmonds-Buckley ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Case Series ◽  
Mobile App ◽  
Analytic Therapy ◽  
Cognitive Analytic Therapy

UNSTRUCTURED REMOVE

scholarly journals Cognitive analytic therapy for obsessive morbid jealousy: A case series.

2018 ◽  
Vol 28 (4) ◽  
pp. 537-555 ◽  
Author(s):  
Louise Curling ◽  
Stephen Kellett ◽  
Peter Totterdell
Keyword(s):  
Case Series ◽  
Analytic Therapy ◽  
Cognitive Analytic Therapy

scholarly journals Blending Cognitive Analytic Therapy with a digital support tool: co-design of a prototype application (Preprint)

2020 ◽  
Author(s):  
Katherine Easton ◽  
Stephen Kellett ◽  
Martin Cooper ◽  
Abigail Millings ◽  
Jo Varela ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Mobile Application ◽  
Online Survey ◽  
Mobile App ◽  
Prototype System ◽  
Dynamic Feedback ◽  
User Testing ◽  
Data Governance ◽  
Analytic Therapy ◽  
Cognitive Analytic Therapy

BACKGROUND As patients can struggle to make good use of psychotherapy due to deficits in awareness, digital technologies that support awareness are at a premium. Currently, when patients participate in cognitive analytic therapy (CAT), the technology supporting relational awareness work has been via completion of paper-based worksheets as between-session tasks. OBJECTIVE To co-design, with therapists and patients, a prototype digital mobile application. This was to help patients better engage in the ‘recognition’ phase of the CAT treatment model, through providing an unobtrusive means for practicing relational awareness with dynamic feedback on progress. METHODS A national online survey with CAT therapists (n = 50) to determine readiness for adoption of a mobile application in clinical practice, identify core content, functionality and potential barriers to adoption. A prototype mobile-app based on these data and the existing paper-based worksheets was built. Initial face-to-face user testing of the prototype system was completed with N=3 therapists and N=3 ex-CAT patients. RESULTS Of therapists surveyed, 72% reported not currently using any digital tools during CAT. However, the potential value of a mobile app to support patient awareness was widely endorsed. Areas of therapist’s concern were data security, data governance and equality of access. These concerns were mirrored during subsequent user-testing by CAT therapists. Ex-patients generated additional user specifications on the design, functionality and usability of the app. Results from both streams were integrated to produce five key changes for the reiteration of the app. CONCLUSIONS The co-design process has enabled a prototype ‘CAT-app’ to be developed to enhance the relational awareness work of CAT This means that patients can now practice relational awareness in a much more unobtrusive manner and with ongoing dynamic feedback of progress. Testing the acceptability and feasibility of this technological innovation in clinical practice is the next stage in the research process, which has since been conducted and is in submission (Kellett et al). Important challenges of data protection and governance must be navigated in order to ensure implementation and adoption, should the CAT-app be found to be acceptable and clinically effective.

scholarly journals Cognitive Analytic Therapy for psychosis: A case series

2018 ◽  
Vol 92 (3) ◽  
pp. 359-378 ◽  
Author(s):  
Peter J. Taylor ◽  
Alex Perry ◽  
Paul Hutton ◽  
Ranil Tan ◽  
Naomi Fisher ◽  
...  
Keyword(s):  
Case Series ◽  
Analytic Therapy ◽  
Cognitive Analytic Therapy

scholarly journals Blending Cognitive Analytic Therapy With a Digital Support Tool: Mixed Methods Study Involving a User-Centered Design of a Prototype App

10.2196/20213 ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. e20213
Author(s):  
Katherine Easton ◽  
Stephen Kellett ◽  
Martin Cooper ◽  
Abigail Millings ◽  
Jo Varela ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Online Survey ◽  
Mobile App ◽  
Prototype System ◽  
User Centered Design ◽  
Dynamic Feedback ◽  
User Testing ◽  
Analytic Therapy ◽  
Cognitive Analytic Therapy ◽  
User Centered

Background Patients can struggle to make good use of psychotherapy owing to deficits in awareness, and digital technologies that support awareness are at a premium. Currently, when patients participate in cognitive analytic therapy (CAT), the technology supporting relational awareness work involves completion of paper-based worksheets as between-session tasks. Objective We aimed to design, with therapists and patients, a prototype digital mobile app. This was to help patients better engage in the “recognition” phase of the CAT treatment model by providing an unobtrusive means for practicing relational awareness with dynamic feedback on progress. Methods A national online survey was conducted with CAT therapists (n=50) to determine readiness for adoption of a mobile app in clinical practice and to identify core content, functionality, and potential barriers to adoption. A prototype mobile app based on data and existing paper-based worksheets was built. Initial face-to-face user testing of the prototype system was completed with three therapists and three CAT expatients. Results Among the therapists surveyed, 72% (36/50) reported not currently using any digital tools during CAT. However, the potential value of a mobile app to support patient awareness was widely endorsed. Areas of therapist concern were data security, data governance, and equality of access. These concerns were mirrored during subsequent user testing by CAT therapists. Expatients generated additional user specifications on the design, functionality, and usability of the app. Results from both streams were integrated to produce five key changes for the reiteration of the app. Conclusions The user-centered design process has enabled a prototype CAT-App to be developed to enhance the relational awareness work of CAT. This means that patients can now practice relational awareness in a much more unobtrusive manner and with ongoing dynamic feedback of progress. Testing the acceptability and feasibility of this technological innovation in clinical practice is the next stage in the research process, which has since been conducted and has been submitted. The important challenges of data protection and governance must be navigated in order to ensure implementation and adoption if the CAT-App is found to be acceptable and clinically effective.

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