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Bridging the Gap: Creating a Clinician-Facing Dashboard for PTSD

  • Elaine SchertzEmail author
  • Hue WatsonEmail author
  • Ashok KrishnaEmail author
  • Andrew SherrillEmail author
  • Hayley EvansEmail author
  • Rosa I. ArriagaEmail author
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 11746)

Abstract

Post-traumatic stress disorder (PTSD) is a serious mental health condition. Prolonged Exposure (PE) therapy has been shown to have the greatest therapeutic efficacy in treating PTSD. However, clinicians face significant challenges in delivering PE therapy successfully. We conducted a two-part study with 17 clinicians where we (1) gathered requirements for a PE therapy dashboard and (2) had clinicians assess the relevance and usability of our dashboard prototypes. The first part of our study showed that clinicians wanted (1)improved workflow for their PE sessions (2)improved methods of monitoring their patients’ self-report data and (3)a way to assess their patients’ progress outside of sessions. The second part showed that our dashboard prototypes were highly usable. Our study provides preliminary steps in designing user-centered tools that assist clinicians in the delivery of PE therapy by improving data access and workflow efficiency.

Keywords

PTSD Post traumatic stress disorder PE Therapy Prolonged exposure therapy Clinician dashboard 

References

  1. 1.
    Aigner, W., Miksch, S., Schumann, H., Tominski, C.: Visualization of Time-Oriented Data, January 2011.  https://doi.org/10.1007/978-0-85729-079-3CrossRefGoogle Scholar
  2. 2.
    American Psychiatric Association: Diagnostic and statistical manual of mental disorders 5th Edn. American Psychiatric Association (2013)Google Scholar
  3. 3.
    Assistant Secretary for Public Affairs: System usability scale (sus), September 2013. https://www.usability.gov/how-to-and-tools/methods/system-usability-scale.html
  4. 4.
    Bisson, J.I., Roberts, N.P., Andrew, M., Cooper, R., Lewis, C.: Psychologicaltherapies for chronic post-traumatic stress disorder (PTSD) in adults. Cochrane Database of Systematic Reviews (2013)Google Scholar
  5. 5.
    Botella, C., García-Palacios, A., Guillen, V., Baños, R.M., Quero, S., Alcaniz, M.: An Adaptive display for the treatment of diverse trauma PTSD victims. Cyberpsychology Behav. Soc. Networking (2010).  https://doi.org/10.1089/cyber.2009.0353CrossRefGoogle Scholar
  6. 6.
    Botella, C., Serrano, B., Baños, R.M., Garcia-Palacios, A.: Virtual reality exposure-based therapy for the treatment of post-traumatic stress disorder: A review of its efficacy, the adequacy of the treatment protocol, and its acceptability (2015).  https://doi.org/10.2147/NDT.S89542
  7. 7.
    Braun, V., Clarke, V.: Using thematic analysis in psychology. Qual. Res. Psychol. 3, 77–101 (2006)CrossRefGoogle Scholar
  8. 8.
    Cooper, A.A., et al.: Homework “dose,” type, and helpfulness as predictors of clinical outcomes in prolonged exposure for PTSD. Behav. Ther. 48(2), 182–194 (2017)CrossRefGoogle Scholar
  9. 9.
    Evans, H., Lakshmi, U., Ismail, A., Watson, H., Kumar, N., Arriaga, R.: Engaging a plurality of caring perspectives in treating veterans with PTSD. In: CSCW 2019 (2019)Google Scholar
  10. 10.
    Foa, E.B., Hembree, E.A., Rothbaum, B.O.: Prolonged Exposure Therapy for PTSD: Emotional Processing of Traumatic Experiences: Therapist Guide. Oxford University Press, Oxford (2007)CrossRefGoogle Scholar
  11. 11.
    Foong, P.S., Zhao, S., Tan, F., Williams, J.J.: Harvesting caregiving knowledge. In: Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems - CHI 2018, pp. 1–12. ACM Press, New York (2018).  https://doi.org/10.1145/3173574.3173653, http://dl.acm.org/citation.cfm?doid=3173574.3173653
  12. 12.
    Harvey, A.G., Bryant, R.A., Tarrier, N.: Cognitive behaviour therapy for posttraumatic stress disorder. Clin. Psychol. Rev. 23, 501–522 (2003)CrossRefGoogle Scholar
  13. 13.
    Kuhn, E., et al.: Clinician characteristics and perceptions related to use of the pe (prolonged exposure) coach mobile app. Prof. Psychol. Res. Pract. 46, 437–443 (2015)CrossRefGoogle Scholar
  14. 14.
    Lanatà, A., Valenza, G., Nardelli, M., Gentili, C., Scilingo, E.: Complexity index from a personalized wearable monitoring system for assessing remission in mental health. IEEE J. Biomed. Health Inform. 19(1), 132–1339 (2014).  https://doi.org/10.1109/JBHI.2014.2360711CrossRefGoogle Scholar
  15. 15.
    McDonald, S.D., Calhoun, P.S.: The diagnostic accuracy of the PTSD checklist: a critical review. Clin. Psychol. Rev. 30, 976–987 (2010)CrossRefGoogle Scholar
  16. 16.
    Reger, G.M., et al.: The “PE coach” smartphone application: an innovative approach to improving implementation, fidelity, and homework adherence during prolonged exposure. Psychol. Serv. (2013).  https://doi.org/10.1037/a0032774CrossRefGoogle Scholar
  17. 17.
    Rodriguez-Paras, C., et al.: Posttraumatic stress disorder and mobile health: app investigation and scoping literature review. JMIR mHealth and uHealth 5(10) (2017).  https://doi.org/10.2196/mhealth.7318CrossRefGoogle Scholar
  18. 18.
    Rothbaum, B.O., et al.: Virtual realityexposure therapy for ptsd vietnam veterans: a case study. J. Trauma. Stress 12(2), 263–271 (1999).  https://doi.org/10.1023/A:1024772308758CrossRefGoogle Scholar
  19. 19.
    Schnurr, P.P., Green, B.L.: Trauma and Health: Physical Health Consequences of Exposure to Extreme Stress. Washington American Psychological Association, Washington, D.C (2004)Google Scholar
  20. 20.
    Sripada, R.K., Rauch, S.A.: Between-session and within-session habituation in prolonged exposure therapy for posttraumatic stress disorder: a hierarchical linear modeling approach. J. Anxiety Disord. 30, 81–87 (2015)CrossRefGoogle Scholar
  21. 21.
    U.S. Department of Veterans Affairs: Substance abuse in veterans - PTSD: National center for PTSD (2014)Google Scholar
  22. 22.
    User Experience Magazine: Determining what individual sus scores mean: Adding an adjective rating scalejus (2009)Google Scholar
  23. 23.
    Washington University in St. Louis: Growing problem for veterans: Domestic violence (2008)Google Scholar
  24. 24.
    Zoellner, L.A., et al.: Teaching trauma-focused exposure therapy for PTSD: critical clinical lessons for novice exposure therapists. Psychol. Trauma Theory Res. Pract. Policy 3, 300–308 (2011)CrossRefGoogle Scholar

Copyright information

© IFIP International Federation for Information Processing 2019

Authors and Affiliations

  1. 1.Georgia Institute of TechnologyAtlantaUSA
  2. 2.Emory UniversityAtlantaUSA

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