Evaluation of a Mobile App to Enhance Relational Awareness and Change During Cognitive Analytic Therapy: Mixed Methods Case Series

KELLETT, Stephen, EASTON, Katherine, COOPER, Martin, MILLINGS, Abigail, SIMMONDS-BUCKLEY, Melanie and PARRY, Glenys (2020). Evaluation of a Mobile App to Enhance Relational Awareness and Change During Cognitive Analytic Therapy: Mixed Methods Case Series. JMIR Mental Health, 7 (12): 19888.

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Official URL: https://mental.jmir.org/2020/12/e19888
Open Access URL: https://mental.jmir.org/2020/12/e19888/PDF (Published version)
Link to published version:: https://doi.org/10.2196/19888


Background: There has been a lack of technological innovation regarding improving the delivery of integrative psychotherapies. This project sought to evaluate an app designed to replace previous paper-based methods supporting relational awareness and change during cognitive analytic therapy (CAT). Objective: We aimed to assess patients’ and therapists’ experience of using the technology (ie, the “CAT-App”) and to evaluate the relationship between app usage and clinical outcome. Methods: The design was a mixed methods case series. Patients completed the Clinical Outcomes in Routine Evaluation-Outcome Measure pre- and post-CAT. Mood data plus the frequency and effectiveness of relational awareness and change were collected via the app. Therapists and patients were interviewed about their experiences using the app. Results: Ten patients (treated by 3 therapists) were enrolled; seven completed treatment and 4 had a reliable improvement in their mental health. App usage and mood change did not differ according to clinical outcome, but there was a statistically significant difference in app usage between completers and dropouts. The qualitative themes described by the therapists were (1) the challenge of incorporating the technology into their clinical practice and (2) the barriers and benefits of the technology. Clients’ themes were (1) data protection, (2) motivation and engagement, and (3) restrictions versus flexibility. Conclusions: The CAT-App is capable of supporting relational awareness and change and is an upgrade on older, paper-based formats. Further clinical evaluation is required.

Item Type: Article
Additional Information: A correction was made to this article on 15.01.2021 - https://mental.jmir.org/2021/1/e27159/
Identification Number: https://doi.org/10.2196/19888
SWORD Depositor: Symplectic Elements
Depositing User: Symplectic Elements
Date Deposited: 21 Jun 2022 14:44
Last Modified: 12 Oct 2023 11:30
URI: https://shura.shu.ac.uk/id/eprint/30324

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