Technologies for CBT:

crookpatedhatMobile - Wireless

Dec 10, 2013 (3 years and 8 months ago)

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Adjunctive Mobile
Technologies for CBT:
Part 3

Ryan Hansen, M.S.

Ohio State University

Hansen.282@osu.edu

A very important question:


Why?

Good Reasons:


Interactivity


Reminders


Proximity


Navigation of Information


Communication


Psychoeducation


Bad Reasons:


To replace therapists


To duplicate worksheets


To duplicate webpages


What is an App?

Smartphone Market Share

The Mathew Effect in Market Share


Android and
iOS

Dominate


Less incentive for developers
to make apps for other
markets


Fewer Apps in other markets


Less reason to buy other
phones


Android and
iOS

Dominate


Operating Systems are like Languages

IOS

Android

IOS


Objective C (Free)


X
-
Code (Free)


*need a mac with OS 10 or higher


iOS

D
eveloper Program ($99/Year)


Must use Developer Certificate in Testing


Submission to App Store


Apple gets a cut of all sales and subscriptions


Android


Java (Free)


Eclipse (Free)


Can test apps without account


Submit to Google Play (One time $25 fee, instantaneous
publishing)


Google Play
gets a cut of all sales and subscriptions




Websites are Like Interpreters

HTML5


Free (but requires hosting)


No software needed, but it helps


No curated market (both good and bad)


Able to work offline (if bookmarked)


Able to access many features on newer devices


Sandboxed


No Fees attached


Public doesn’t understand it


www.codecademy.com


Native Wrappers


Phonegap



Titanium


appMobi


Create native apps using HTML5


Provide API’s (Hooks to get out of the sandbox)


Work across platforms (mostly)


Can be submitted to app stores

Limitations of Native Wrappers


Integration with SDK’s (like Google Analytics)


Efficiency


Memory Leaks/Garbage Collection Problems


Difficult to orchestrate large projects


Poor Documentation


Hiring Someone Else


Apps are expensive ($5,000
-
$30,000)


Look at their portfolio


Can you talk to them in plain
E
nglish?


How will you maintain the app?


How will you host the app?


Pitfalls of hiring students/neighbors/nieces


Longer production


Not knowing what you don’t know


Hit by a truck?

DIY apps


High learning curve


Simpler is better


HTML5/
Javascript

is the easiest language to learn


Google can help


Follow the examples online and modify them


Plan out your app on paper first


Spend time on User Interface Design


Write out all the functions in plain English first.


Test it on as many phones as possible


App
C
reation Demonstration

4.01 Maintaining Confidentiality

Psychologists have a primary obligation and take reasonable
precautions to protect confidential information obtained through or
stored in any medium, recognizing that the extent and limits of
confidentiality may be regulated by law or established by
institutional rules or professional or scientific relationship.


Confidentiality

Security


Where is the data stored?


Locally


Password Protection?


Encryption?


Backed up on iTunes/internet
?


Texting?


Viruses?


Remotely


How is it getting there?


HTTP
vs

HTTPS


WiFi

vs

Cell Connection


How
is it stored there?


What is their privacy policy?


How secure are their servers?


How much information do they have about your client
?


Is your location or IP being tracked?


Email





The Real Danger:

Hackers
vs

Lawyers

Ethical Questions


What if your client is tracking illegal activity?


HIPPA


Does it fall under the FDA?


“Suicidal
Siri



What data is collected by the app about the client?


Who is that data shared with?


Advertising?



Legal Considerations


Does your employer own the app?


What liability goes along with making and
distributing an app?


What liability goes along with
recommending an app or using it in
therapy?

Gamification

Zombies, Run!

E
ndomondo

Suicide Prevention Apps


ASK


Guard Your Buddy


RUOK:OSU

ASK

Platforms

iOS
,

Android

Price

Free

Creator

Mental Health America of
Texas

User Rating

3.5 Stars

Features:

National Hotline #

Warning Signs

How to Ask

Hotlines

Veterans

LGBTQ

Internet Resources



ASK

Best

Clean,

Efficient Layout

Easy Navigation

Clear Content

Worst

Lack of Telephone Link on

Opening Page

Lots of Text

Research Base

No

Formal Research

Guard Your Buddy

Platforms

iOS
,

Android

Price

Free

Creator

Tennessee National
Guard,
Parthenon
Publishing

User Rating

4.5 Stars

Features:

Get Help

Now

Warning Signs

How to Help

Do’s/Don’ts

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Money


Feelings

Rascal
Flatts

Pledge



Best

Professional Design

Easy Navigation

Concise Text

Worst

Veteran Specific

Limited

Info In
-
App

Links to website, which
does not load in
iOS

Research Base

No

Formal Research

Guard Your Buddy

RUOK:OSU

Platforms

iOS
,

Android, HTML5

Price

Free

Creator

OSU Suicide Prevention

User Rating

Not Rated

Features:

Local

Crisis Line (Ohio)

National Hotline #

Campus Police #

Warning Signs

How to Ask

Share

the App (QR)

Special Populations


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T呙

OSU Resources

Best

Uses User’s Location

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PTSD


PTSD Coach


PECoach

PTSD Coach

Platforms

iOS
,

Android

Price

Free

Creator

National Center for PTSD, National
Center for
Telehealth

and Technology.

User Rating

4 Stars

Features:

Psychoeducation



PT卄


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Support Network

Professional Referral Information

Best

Both text

and multimedia

Tools for symptom tracking

Tools for symptom management

Rating distress before and after
interventions

Worst

Bug

in Manage Symptoms

Assessment only Tracks Total Score

Research
Base

No

formal research, uses many
techniques from Prolonged
Exposure and CBT

PTSD Coach

PECoach

Platforms

iOS
,

Android

Price

Free

Creator

National Center for PTSD, National
Center for
Telehealth

and Technology.

User Rating

4.5 Stars

Features:

Psychoeducation


Record

Therapy Sessions

Appointment Reminders

Breathing Retraining

Suds Anchors

Symptom Assessment (PCL)

Security Settings

Best

Both text

and multimedia

Tools for symptom tracking

Recording Sessions

Recording Exposure Exercises

Security Settings

Worst

Cant delete recordings

Rigid

Structure

Research
Base

No formal research, Uses
techniques

from Prolonged
Exposure

PECoach

DBT Diary Card and Skills Coach

Platforms

iOS

only

Price

$4.99

Creator

Durham DBT
inc.


User Rating

4.5 Stars

Features:

Diary Card



Skills


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Best

Professional Design

Easy to Navigate

Highly Customizable

Uses Apps and Music for Distraction

Password Protected

Email Diary Card

Worst

Lots of small text

Research
Base

No formal research, Designed to be
incorporated into DBT treatment

DBT Diary Card and Skills Coach

LiveHappy

Platforms

iOS

only

Price

$0.99

Creator

Signal Patterns, Dr. Sonja
Lyubomirsky

User Rating

3 Stars

Features:

Savoring

Activities

Social Activities


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Best

Professional Design

Simple to use

Multimedia

Worst

Relatively Few Features

Complaints

of Bugs/Instability

Slow streaming with videos

Research
Base

No formal research, Uses practices
supported by research in Positive
Psychology

LiveHappy