Gaffney Hannah, Mansell Warren, Tai Sara
Division of Psychology & Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, UK.
Digit Health. 2020 Mar 16;6:2055207620911580. doi: 10.1177/2055207620911580. eCollection 2020 Jan-Dec.
To understand the therapeutic processes associated with the helpfulness of an online relational agent intervention, Manage Your Life Online (MYLO).
Fifteen participants experiencing a mental health related problem used Manage Your Life Online for 2 weeks. At follow-up, the participants each identified two helpful and two unhelpful questions posed by Manage Your Life Online within a single intervention session. Qualitative interviews were conducted and analyzed using thematic and content analysis to gain insight into the process of therapy with Manage Your Life Online.
MYLO appeared acceptable to participants with a range of presenting problems. Questions enabling free expression, increased awareness, and new insights were key to a helpful intervention. The findings were consistent with the core processes of therapeutic change, according to Perceptual Control Theory, a unifying theory of psychological distress. Questions that elicited intense emotions, were repetitive, confusing, or inappropriate were identified as unhelpful and were associated with disengagement or loss of faith in Manage Your Life Online.
The findings provide insight into the likely core therapy processes experienced as helpful or hindering and outlines further ways to optimize acceptability of Manage Your Life Online.
了解与在线关系代理干预“在线管理你的生活”（MYLO）的有效性相关的治疗过程。
15名有心理健康相关问题的参与者使用“在线管理你的生活”2周。在随访时，参与者每人在一次干预疗程中分别指出“在线管理你的生活”提出的两个有帮助和两个无帮助的问题。进行定性访谈，并采用主题分析和内容分析进行分析，以深入了解使用“在线管理你的生活”进行治疗的过程。
MYLO对有一系列呈现问题的参与者来说似乎是可接受的。能够促进自由表达、提高意识和产生新见解的问题是有效干预的关键。根据感知控制理论（一种心理困扰的统一理论），这些发现与治疗改变的核心过程一致。引发强烈情绪、重复、令人困惑或不适当的问题被认为是无帮助的，并且与脱离接触或对“在线管理你的生活”失去信心有关。
这些发现深入了解了可能被体验为有帮助或有阻碍的核心治疗过程，并概述了进一步优化“在线管理你的生活”可接受性的方法。
