Mobile App Integration Into Dialectical Behavior Therapy for Persons With Borderline Personality Disorder: Qualitative and Quantitative Study.
app
blended intervention
dialectical behavior therapy
mHealth
mobile application
Journal
JMIR mental health
ISSN: 2368-7959
Titre abrégé: JMIR Ment Health
Pays: Canada
ID NLM: 101658926
Informations de publication
Date de publication:
11 Jun 2020
11 Jun 2020
Historique:
received:
03
06
2019
accepted:
19
03
2020
revised:
18
10
2019
entrez:
12
6
2020
pubmed:
12
6
2020
medline:
12
6
2020
Statut:
epublish
Résumé
The advancement of and access to technology such as smartphones has implications for psychotherapeutic health care and how interventions for a range of mental health disorders are provided. The objective of this study was to describe the experiences of participants while using a mobile phone app that was designed to enhance and support dialectical behavior therapy for personality disorders. A combination of in-depth interviews and questionnaires were used to capture the experiences of participants who used the app while undergoing dialectical behavior therapy treatment. A mixed methods approach was used; qualitative data from the interviews were analyzed using thematic analysis and were combined with quantitative data from the questionnaires. Participants (N=24) who were receiving dialectical behavior therapy used the trial app. Participants (n=20) completed an evaluation questionnaire and a subset of this group (n=8) participated in semistructured interviews. Major themes that were identified from the interviews were (1) an overall positive experience of using the app-participants perceived that the app facilitated access and implementation of dialectical behavior therapy strategies (to regulate mood and behavior in challenging situations)-and (2) that the app provided a common source of information for patient and therapist interactions-app-based interactions were perceived to facilitate therapeutic alliance. Qualitative themes from the interviews were largely congruent with the quantitative responses from the questionnaires. Participants welcomed the integration of technology as a supplement to clinical treatment. The app was perceived to facilitate and support many of the therapeutic techniques associated with dialectical behavior therapy treatment. The incorporation of technology into psychotherapeutic interventions may facilitate the transfer of knowledge and strategies that are learned in therapy to use in real-world settings thereby promoting recovery from mental health problems.
Sections du résumé
BACKGROUND
BACKGROUND
The advancement of and access to technology such as smartphones has implications for psychotherapeutic health care and how interventions for a range of mental health disorders are provided.
OBJECTIVE
OBJECTIVE
The objective of this study was to describe the experiences of participants while using a mobile phone app that was designed to enhance and support dialectical behavior therapy for personality disorders.
METHODS
METHODS
A combination of in-depth interviews and questionnaires were used to capture the experiences of participants who used the app while undergoing dialectical behavior therapy treatment. A mixed methods approach was used; qualitative data from the interviews were analyzed using thematic analysis and were combined with quantitative data from the questionnaires.
RESULTS
RESULTS
Participants (N=24) who were receiving dialectical behavior therapy used the trial app. Participants (n=20) completed an evaluation questionnaire and a subset of this group (n=8) participated in semistructured interviews. Major themes that were identified from the interviews were (1) an overall positive experience of using the app-participants perceived that the app facilitated access and implementation of dialectical behavior therapy strategies (to regulate mood and behavior in challenging situations)-and (2) that the app provided a common source of information for patient and therapist interactions-app-based interactions were perceived to facilitate therapeutic alliance. Qualitative themes from the interviews were largely congruent with the quantitative responses from the questionnaires.
CONCLUSIONS
CONCLUSIONS
Participants welcomed the integration of technology as a supplement to clinical treatment. The app was perceived to facilitate and support many of the therapeutic techniques associated with dialectical behavior therapy treatment. The incorporation of technology into psychotherapeutic interventions may facilitate the transfer of knowledge and strategies that are learned in therapy to use in real-world settings thereby promoting recovery from mental health problems.
Identifiants
pubmed: 32525488
pii: v7i6e14913
doi: 10.2196/14913
pmc: PMC7317633
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e14913Informations de copyright
©Stephen F Austin, Jens Einar Jansen, Charlotte Juul Petersen, Rasmus Jensen, Erik Simonsen. Originally published in JMIR Mental Health (http://mental.jmir.org), 11.06.2020.
Références
Evid Based Ment Health. 2018 Aug;21(3):116-119
pubmed: 29871870
Behav Modif. 2015 Nov;39(6):785-804
pubmed: 26187164
Perspect Psychiatr Care. 2017 Oct;53(4):289-298
pubmed: 27439663
J Ment Health. 2015;24(5):321-32
pubmed: 26017625
J Psychiatr Ment Health Nurs. 2014 Aug;21(6):518-25
pubmed: 24191948
Cochrane Database Syst Rev. 2012 Aug 15;(8):CD005652
pubmed: 22895952
Int J Bipolar Disord. 2019 Jan 4;7(1):1
pubmed: 30610400
J Consult Clin Psychol. 2010 Dec;78(6):936-51
pubmed: 21114345
JAMA Psychiatry. 2017 Apr 1;74(4):319-328
pubmed: 28249086
Acta Psychiatr Scand. 2011 May;123(5):327-38
pubmed: 21166785
Psychiatr Serv. 2011 Nov;62(11):1381-3
pubmed: 22211222
Res Soc Work Pract. 2014 Mar;24(2):213-223
pubmed: 30853773
Behav Ther. 2011 Dec;42(4):589-600
pubmed: 22035988
Nurs Stand. 2015 Apr 8;29(32):41-7
pubmed: 25850508
Borderline Personal Disord Emot Dysregul. 2014 Dec 18;1:20
pubmed: 26401303
BMC Health Serv Res. 2010 Jun 25;10:181
pubmed: 20579332
J Behav Ther Exp Psychiatry. 2016 Sep;52:147-156
pubmed: 27132175
Psychotherapy (Chic). 2019 Jun;56(2):260-273
pubmed: 30869973
J Med Internet Res. 2017 Nov 28;19(11):e399
pubmed: 29187342
J Behav Med. 2008 Apr;31(2):169-77
pubmed: 18165893
Aust N Z J Psychiatry. 2018 Oct;52(10):949-961
pubmed: 30091375
Harv Rev Psychiatry. 2017 May/Jun;25(3):146-154
pubmed: 28234658
Psychiatr Prax. 2009 Jan;36(1):23-9
pubmed: 18777461
Psychol Serv. 2016 Nov;13(4):380-388
pubmed: 27797571
J Med Syst. 2015 Jan;39(1):181
pubmed: 25486895