Individually tailored digital self-care, with and without therapist-guidance

Introduction: Digital mental health services have been a part of routine care at a few locations worldwide since almost 15 years, most often in the form of Internet-based Cognitive Behavioural Therapy (ICBT) with scheduled weekly therapist-guidance. Personalization in the form of individual tailori...

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Main Author: M. Kraepelien
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821000730/type/journal_article
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author M. Kraepelien
author_facet M. Kraepelien
author_sort M. Kraepelien
collection DOAJ
description Introduction: Digital mental health services have been a part of routine care at a few locations worldwide since almost 15 years, most often in the form of Internet-based Cognitive Behavioural Therapy (ICBT) with scheduled weekly therapist-guidance. Personalization in the form of individual tailoring of treatment content is promising in ICBT. Digital Self-care, interventions constructed to be self-guided, would need to be constructed carefully to achieve equal levels of adherence and symptom reductions compared to therapist-guided interventions, especially when including individually tailored content. Objectives: To construct an individually tailored self-care intervention including a technical solution, acting as a proof of concept that self-guided digital interventions for mental health can be administered in a safe, effective, personalized and cost-effective way. Methods: In step I, a new digital platform is created based on the experience from previous successful implementations of ICBT together with experts on user experience. A series of digital mental health tools based on ICBT are tested for safety, usability and credibility. In step II these tools are combined into individually tailored package interventions for different conditions and optimized for greater efficiency. In step III these optimized interventions would be compared to their counterpart therapist-guided interventions in randomized trials. Results: Preliminary results from step I will be presented, including the current development of the digital platform and feasibility data from the first three studies.
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spelling doaj.art-99d603a20d5f4412b221dfbcf29eca222023-11-17T05:09:12ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S19S1910.1192/j.eurpsy.2021.73Individually tailored digital self-care, with and without therapist-guidanceM. Kraepelien0Clinical Neuroscience, Center For Psychiatry Research, Karolinska Institutet, Stockholm, Sweden Introduction: Digital mental health services have been a part of routine care at a few locations worldwide since almost 15 years, most often in the form of Internet-based Cognitive Behavioural Therapy (ICBT) with scheduled weekly therapist-guidance. Personalization in the form of individual tailoring of treatment content is promising in ICBT. Digital Self-care, interventions constructed to be self-guided, would need to be constructed carefully to achieve equal levels of adherence and symptom reductions compared to therapist-guided interventions, especially when including individually tailored content. Objectives: To construct an individually tailored self-care intervention including a technical solution, acting as a proof of concept that self-guided digital interventions for mental health can be administered in a safe, effective, personalized and cost-effective way. Methods: In step I, a new digital platform is created based on the experience from previous successful implementations of ICBT together with experts on user experience. A series of digital mental health tools based on ICBT are tested for safety, usability and credibility. In step II these tools are combined into individually tailored package interventions for different conditions and optimized for greater efficiency. In step III these optimized interventions would be compared to their counterpart therapist-guided interventions in randomized trials. Results: Preliminary results from step I will be presented, including the current development of the digital platform and feasibility data from the first three studies.https://www.cambridge.org/core/product/identifier/S0924933821000730/type/journal_articlepersonalized treatmentInternetpsychological interventionse-mental health
spellingShingle M. Kraepelien
Individually tailored digital self-care, with and without therapist-guidance
European Psychiatry
personalized treatment
Internet
psychological interventions
e-mental health
title Individually tailored digital self-care, with and without therapist-guidance
title_full Individually tailored digital self-care, with and without therapist-guidance
title_fullStr Individually tailored digital self-care, with and without therapist-guidance
title_full_unstemmed Individually tailored digital self-care, with and without therapist-guidance
title_short Individually tailored digital self-care, with and without therapist-guidance
title_sort individually tailored digital self care with and without therapist guidance
topic personalized treatment
Internet
psychological interventions
e-mental health
url https://www.cambridge.org/core/product/identifier/S0924933821000730/type/journal_article
work_keys_str_mv AT mkraepelien individuallytailoreddigitalselfcarewithandwithouttherapistguidance