Bunnell Brian E, Schuler Kaitlyn R, Ivanova Julia, Flynn Lea, Barrera Janelle F, Niazi Jasmine, Turner Dylan, Welch Brandon M
Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa, FL, United States.
Department of Psychology, University of North Carolina Wilmington, Wilmington, NC, United States.
JMIR Hum Factors. 2024 Dec 12;11:e56567. doi: 10.2196/56567.
Homework is implemented with variable effectiveness in real-world therapy settings, indicating a need for innovative solutions to homework challenges. We developed Adhere.ly, a user-friendly, Health Insurance Portability and Accountability Act-compliant web-based platform to help therapists implement homework with youth clients and their caregivers. The initial version had limited functionality, was designed for youth clients and their caregivers, and required expanding available features and exercises to suit adult clients.
The purpose of this study was to better understand barriers and potential solutions to homework implementation experienced by therapists seeing adult clients and obtain their input on new features and exercises that would enable Adhere.ly to better meet their needs when working with this population.
This study used an exploratory, sequential mixed methods design that included 13 semistructured focus groups with mental health therapists and clinic leaders and a survey administered to 100 therapists. Analyses were performed using the NVivo qualitative analysis software and SPSS.
The findings revealed common barriers, such as clients and therapists being busy, forgetting to complete homework, managing multiple platforms and homework materials, and clients lacking motivation. Adhere.ly was perceived as a potential solution, particularly its user-friendly interface and SMS text-message based reminders. Therapists suggested integrating Adhere.ly with telemedicine and electronic health record platforms and adding more exercises to support manualized therapy protocols and therapy guides.
This study highlights the importance of technology-based solutions in addressing barriers to homework implementation in mental health treatment with adult clients. Adhere.ly shows promise in addressing these challenges and has the potential to improve therapy efficiency and homework completion rates. The input from therapists informed the development of Adhere.ly, guiding the expansion of features and exercises to better meet the needs of therapists working with adult clients.
在现实世界的治疗环境中，家庭作业的实施效果参差不齐，这表明需要创新解决方案来应对家庭作业方面的挑战。我们开发了Adhere.ly，这是一个用户友好、符合《健康保险流通与责任法案》的基于网络的平台，旨在帮助治疗师与青少年客户及其照顾者开展家庭作业。初始版本功能有限，是为青少年客户及其照顾者设计的，需要扩展可用功能和练习以适用于成年客户。
本研究的目的是更好地了解治疗成年客户的治疗师在实施家庭作业时遇到的障碍和潜在解决方案，并获取他们对新功能和练习的意见，以使Adhere.ly在与这一人群合作时能更好地满足他们的需求。
本研究采用探索性、序贯混合方法设计，包括与心理健康治疗师和诊所负责人进行的13次半结构化焦点小组讨论，以及对100名治疗师进行的一项调查。使用NVivo定性分析软件和SPSS进行分析。
研究结果揭示了一些常见障碍，比如客户和治疗师忙碌、忘记完成家庭作业、管理多个平台和家庭作业材料，以及客户缺乏动力。Adhere.ly被视为一种潜在的解决方案，尤其是其用户友好的界面和基于短信的提醒功能。治疗师建议将Adhere.ly与远程医疗和电子健康记录平台整合，并增加更多练习以支持手册化治疗方案和治疗指南。
本研究强调了基于技术的解决方案在解决成年客户心理健康治疗中家庭作业实施障碍方面的重要性。Adhere.ly在应对这些挑战方面显示出前景，并有潜力提高治疗效率和家庭作业完成率。治疗师的意见为Adhere.ly的开发提供了参考，指导了功能和练习的扩展，以更好地满足治疗成年客户的治疗师的需求。
