Getting Hands-on with Tele-Board MED: Experiencing Computer-Supported Teamwork in Therapist-Patient Sessions
Doctor-patient sessions require more than the mere application of the doctor’s medical knowledge with respect to the patient. Correct diagnoses and effective treatments depend strongly on a functioning interaction between doctor and patient, as well as on high-quality case documentation. We develop the software system Tele-Board MED (TBM), which offers unique support for medical consultations by allowing doctors and patients to take digital notes jointly. This chapter describes the hands-on experience psychotherapists make when using TBM for the first time in consultation sessions with patients. We look at three interlinked aspects of computer-supported therapist-patient teamwork: (i) the therapists’ user experience regarding TBM, (ii) the interaction between therapist, patient and the TBM system and (iii) the effectiveness of a TBM feature to generate official clinical documents automatically. The study shows that even in the very first treatment session with TBM, therapists come to feel comfortable taking open, digital notes. TBM is used by therapists and patients not only for documentary purposes, but also as a tool to facilitate the therapeutic conversation. Regarding the therapist’s administrative task of writing official clinical case reports, the study shows that even therapists who use TBM for the first time save 60% of their regular working hours when compiling official clinical documents after treatment sessions.
We would like to express our gratefulness to the psychotherapists and the volunteer patient actors who participated in this study. We thank Dr. Sharon Nemeth for copyediting this chapter.
- Bundesgesetz. (2013). Gesetz zur Verbesserung der Rechte von Patientinnen und Patienten, Bonn.Google Scholar
- Bundesvereinigung, K. (2017). Leitfaden zum Erstellen des Berichts an die Gutachterin oder den Gutachter, http://www.kbv.de/media/PTV3_Ausfuellhilfe.pdf.
- Grawe, K. (2005). Empirisch validierte Wirkfaktoren statt Therapiemethoden. Report Psychologie, 7(8), 311.Google Scholar
- Gumienny, R., Gericke, L., Quasthoff, M., Willems, C., & Meinel, C. (2011). Tele-Board: Enabling efficient collaboration in digital design spaces. In Proceedings of the 15th International Conference on Computer Supported Cooperative Work in Design (CSCWD), (pp. 47–54).Google Scholar
- Jung, M. F. (2011). Engineering team performance and emotion: Affective interaction dynamics as indicators of design team performance. Dissertation, Stanford University. Available online at: http://purl.stanford.edu/th996ft5752.
- Peluso, P. R., Diaz, P., & Tabib, G. (2018). Quantitative video coding of therapist-client sessions. In U. Strawinska-Zanko & L. Liebovitch (Eds.), Mathematical modeling of social relationships. Computational social sciences. Cham: Springer.Google Scholar
- Perlich, A., & Meinel, C. (2016). Patient-provider teamwork via cooperative note taking on Tele-Board MED. In Exploring complexity in health: An interdisciplinary systems approach (pp 117–121).Google Scholar
- Perlich, A., & Meinel, C. (2018). Cooperative note-taking in psychotherapy sessions: An evaluation of the therapist’s user experience with tele-board MED. In Proceedings of the IEEE International Conference on e-Health Networking, Applications and Services (Healthcom) (pp. 1–6).Google Scholar
- Perlich, A., von Thienen, J. P. A., Wenzel, M., & Meinel, C. (2018). Learning from success and failure in healthcare innovation: The story of tele-board MED. In H. Plattner, C. Meinel, & L. Leifer (Eds.), Design thinking research: Making distinctions: collaboration versus cooperation (pp. 327–345). Cham: Springer.Google Scholar
- Reinecker, H. (1999). Fallbuch der klinischen Psychologie: Modelle psychischer Störungen, Einzelfallstudien zum Lehrbuch der klinischen Psychologie. In Hogrefe, Verl. für Psychologie, pp. 23–27, 73–78.Google Scholar
- Topor, D. R., AhnAllen, C. G., Mulligan, E. A., & Dickey, C. C. (2017). Using video recordings of psychotherapy sessions in supervision: Strategies to reduce learner anxiety. Academic Psychiatry: The Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 41(1), 40–43.CrossRefGoogle Scholar
- von Thienen, J. P. A., Perlich, A., & Meinel, C. (2015). Tele-Board MED: Supporting twenty-first century medicine for mutual benefit. In H. Plattner, C. Meinel, & L. Leifer (Eds.), Design thinking research: Building innovators (pp. 101–130). Cham: Springer.Google Scholar