Cargando…
Electronic Problem-Solving Treatment: Description and Pilot Study of an Interactive Media Treatment for Depression
BACKGROUND: Computer-automated depression interventions rely heavily on users reading text to receive the intervention. However, text-delivered interventions place a burden on persons with depression and convey only verbal content. OBJECTIVE: The primary aim of this project was to develop a computer...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications Inc.
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3626146/ https://www.ncbi.nlm.nih.gov/pubmed/23611902 http://dx.doi.org/10.2196/resprot.1925 |
_version_ | 1782266153046900736 |
---|---|
author | Cartreine, James Albert Locke, Steven E Buckey, Jay C Sandoval, Luis Hegel, Mark T |
author_facet | Cartreine, James Albert Locke, Steven E Buckey, Jay C Sandoval, Luis Hegel, Mark T |
author_sort | Cartreine, James Albert |
collection | PubMed |
description | BACKGROUND: Computer-automated depression interventions rely heavily on users reading text to receive the intervention. However, text-delivered interventions place a burden on persons with depression and convey only verbal content. OBJECTIVE: The primary aim of this project was to develop a computer-automated treatment for depression that is delivered via interactive media technology. By using branching video and audio, the program simulates the experience of being in therapy with a master clinician who provides six sessions of problem-solving therapy. A secondary objective was to conduct a pilot study of the program’s usability, acceptability, and credibility, and to obtain an initial estimate of its efficacy. METHODS: The program was produced in a professional multimedia production facility and incorporates video, audio, graphics, animation, and text. Failure analyses of patient data are conducted across sessions and across problems to identify ways to help the user improve his or her problem solving. A pilot study was conducted with persons who had minor depression. An experimental group (n = 7) used the program while a waitlist control group (n = 7) was provided with no treatment for 6 weeks. RESULTS: All of the experimental group participants completed the trial, whereas 1 from the control was lost to follow-up. Experimental group participants rated the program high on usability, acceptability, and credibility. The study was not powered to detect clinical improvement, although these pilot data are encouraging. CONCLUSIONS: Although the study was not powered to detect treatment effects, participants did find the program highly usable, acceptable, and credible. This suggests that the highly interactive and immersive nature of the program is beneficial. Further clinical trials are warranted. TRIAL REGISTRATION: ClinicalTrials.gov NCT00906581; http://clinicaltrials.gov/ct2/show/NCT00906581 (Archived by WebCite at http://www.webcitation.org/6A5Ni5HUp) |
format | Online Article Text |
id | pubmed-3626146 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | JMIR Publications Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-36261462013-04-22 Electronic Problem-Solving Treatment: Description and Pilot Study of an Interactive Media Treatment for Depression Cartreine, James Albert Locke, Steven E Buckey, Jay C Sandoval, Luis Hegel, Mark T JMIR Res Protoc Original Paper BACKGROUND: Computer-automated depression interventions rely heavily on users reading text to receive the intervention. However, text-delivered interventions place a burden on persons with depression and convey only verbal content. OBJECTIVE: The primary aim of this project was to develop a computer-automated treatment for depression that is delivered via interactive media technology. By using branching video and audio, the program simulates the experience of being in therapy with a master clinician who provides six sessions of problem-solving therapy. A secondary objective was to conduct a pilot study of the program’s usability, acceptability, and credibility, and to obtain an initial estimate of its efficacy. METHODS: The program was produced in a professional multimedia production facility and incorporates video, audio, graphics, animation, and text. Failure analyses of patient data are conducted across sessions and across problems to identify ways to help the user improve his or her problem solving. A pilot study was conducted with persons who had minor depression. An experimental group (n = 7) used the program while a waitlist control group (n = 7) was provided with no treatment for 6 weeks. RESULTS: All of the experimental group participants completed the trial, whereas 1 from the control was lost to follow-up. Experimental group participants rated the program high on usability, acceptability, and credibility. The study was not powered to detect clinical improvement, although these pilot data are encouraging. CONCLUSIONS: Although the study was not powered to detect treatment effects, participants did find the program highly usable, acceptable, and credible. This suggests that the highly interactive and immersive nature of the program is beneficial. Further clinical trials are warranted. TRIAL REGISTRATION: ClinicalTrials.gov NCT00906581; http://clinicaltrials.gov/ct2/show/NCT00906581 (Archived by WebCite at http://www.webcitation.org/6A5Ni5HUp) JMIR Publications Inc. 2012-09-25 /pmc/articles/PMC3626146/ /pubmed/23611902 http://dx.doi.org/10.2196/resprot.1925 Text en ©James Albert Cartreine, Steven E Locke, Jay C Buckey, Luis Sandoval, Mark T Hegel. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 25.09.2012. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included. |
spellingShingle | Original Paper Cartreine, James Albert Locke, Steven E Buckey, Jay C Sandoval, Luis Hegel, Mark T Electronic Problem-Solving Treatment: Description and Pilot Study of an Interactive Media Treatment for Depression |
title | Electronic Problem-Solving Treatment: Description and Pilot Study of an Interactive Media Treatment for Depression |
title_full | Electronic Problem-Solving Treatment: Description and Pilot Study of an Interactive Media Treatment for Depression |
title_fullStr | Electronic Problem-Solving Treatment: Description and Pilot Study of an Interactive Media Treatment for Depression |
title_full_unstemmed | Electronic Problem-Solving Treatment: Description and Pilot Study of an Interactive Media Treatment for Depression |
title_short | Electronic Problem-Solving Treatment: Description and Pilot Study of an Interactive Media Treatment for Depression |
title_sort | electronic problem-solving treatment: description and pilot study of an interactive media treatment for depression |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3626146/ https://www.ncbi.nlm.nih.gov/pubmed/23611902 http://dx.doi.org/10.2196/resprot.1925 |
work_keys_str_mv | AT cartreinejamesalbert electronicproblemsolvingtreatmentdescriptionandpilotstudyofaninteractivemediatreatmentfordepression AT lockestevene electronicproblemsolvingtreatmentdescriptionandpilotstudyofaninteractivemediatreatmentfordepression AT buckeyjayc electronicproblemsolvingtreatmentdescriptionandpilotstudyofaninteractivemediatreatmentfordepression AT sandovalluis electronicproblemsolvingtreatmentdescriptionandpilotstudyofaninteractivemediatreatmentfordepression AT hegelmarkt electronicproblemsolvingtreatmentdescriptionandpilotstudyofaninteractivemediatreatmentfordepression |