Southwick Lauren, Sharma Meghana, Rai Sunny, Beidas Rinad S, Mandell David S, Asch David A, Curtis Brenda, Guntuku Sharath Chandra, Merchant Raina M
Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, 3600 Civic Center Boulevard, Philadelphia, PA, 19104, United States, 1-914-582-6995.
Center for Health Care Transformation and Innovation, Penn Medicine, Philadelphia, PA, United States.
JMIR Ment Health. 2024 Dec 16;11:e59785. doi: 10.2196/59785.
Therapists and their patients increasingly discuss digital data from social media, smartphone sensors, and other online engagements within the context of psychotherapy.
We examined patients' and mental health therapists' experiences and perceptions following a randomized controlled trial in which they both received regular summaries of patients' digital data (eg, dashboard) to review and discuss in session. The dashboard included data that patients consented to share from their social media posts, phone usage, and online searches.
Following the randomized controlled trial, patient (n=56) and therapist (n=44) participants completed a debriefing survey after their study completion (from December 2021 to January 2022). Participants were asked about their experience receiving a digital data dashboard in psychotherapy via closed- and open-ended questions. We calculated descriptive statistics for closed-ended questions and conducted qualitative coding via NVivo (version 10; Lumivero) and natural language processing using the machine learning tool latent Dirichlet allocation to analyze open-ended questions.
Of 100 participants, nearly half (n=48, 49%) described their experience with the dashboard as "positive," while the other half noted a "neutral" experience. Responses to the open-ended questions resulted in three thematic areas (nine subcategories): (1) dashboard experience (positive, neutral or negative, and comfortable); (2) perception of the dashboard's impact on enhancing therapy (accountability, increased awareness over time, and objectivity); and (3) dashboard refinements (additional sources, tailored content, and privacy).
Patients reported that receiving their digital data helped them stay "accountable," while therapists indicated that the dashboard helped "tailor treatment plans." Patient and therapist surveys provided important feedback on their experience regularly discussing dashboards in psychotherapy.
治疗师及其患者越来越多地在心理治疗的背景下讨论来自社交媒体、智能手机传感器和其他在线活动的数字数据。
我们在一项随机对照试验后，研究了患者和心理健康治疗师的经历与看法。在该试验中，他们都收到了患者数字数据的定期摘要（如数据仪表盘），以便在治疗过程中进行查看和讨论。该数据仪表盘包含患者同意分享的来自其社交媒体帖子、手机使用情况和在线搜索的数据。
在随机对照试验结束后（2021年12月至2022年1月），患者（n = 56）和治疗师（n = 44）参与者在完成研究后完成了一份汇报调查问卷。通过封闭式和开放式问题，询问参与者在心理治疗中接收数字数据仪表盘的经历。我们计算了封闭式问题的描述性统计数据，并通过NVivo（版本10；Lumivero）进行定性编码，以及使用机器学习工具潜在狄利克雷分配对开放式问题进行自然语言处理分析。
在100名参与者中，近一半（n = 48，49%）将他们使用数据仪表盘的经历描述为“积极的”，而另一半则表示体验“中立”。对开放式问题的回答产生了三个主题领域（九个子类别）：（1）数据仪表盘体验（积极、中立或消极，以及舒适）；（2）对数据仪表盘增强治疗效果的看法（责任感、随着时间推移意识增强，以及客观性）；（3）数据仪表盘的改进（额外来源、量身定制的内容，以及隐私）。
患者报告称，接收他们的数字数据有助于他们保持“责任感”，而治疗师表示，数据仪表盘有助于“制定个性化治疗计划”。患者和治疗师的调查为他们在心理治疗中定期讨论数据仪表盘的经历提供了重要反馈。
