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To blend or not to blend?
Advantages of mixing ACT with new technologies
To blend or not to blend?
Learn2ACT – the handy life compass
Ellen Excelmans
Licensed Clinical Psychologist
www.learn2act.net
Disclosure:
I, Ellen Excelmans, have not received and will
not receive any commercial support related to
this presentation or the work presented in this
presentation.
Help!
Our agendas bulge!
Too much demand for
(individual) therapy
No crisismanagement
No consolidation after
therapy
Too long in therapy
Solution?
Blended ACT
LEARN2ACT FUNCTIONALITIES
To blend or not to blend?
Value Sorting Task
Self-monitoring & -control
Crisis support
Tips and tricks
PRELIMARY RESEARCH FINDINGS
To blend or not to blend?
Lack of research on this topic!
What is the added value of the Learn2ACT app
on the satisfaction and the effectiveness
of an ACT group treatment?
Added value of blending ACT?
8 weeks group treatment
Intake
Pre-test
1. OQ-45
2. VLQ-NL
3. FIT-60
4. UTAUT-NL
Start End
Post-test
1. OQ-45
2. VLQ-NL
3. FIT-60
23 participants of 3 groups
- OQ-45: 78.1 (26.2)
- VLQ-NL: 5.5 (2.0) – 6.7 (2.1)
- FIT-60: 176.8 (54.2)
To app or not to app?
UTAUT-NL M SD Min Max
Performance Expectation 2.4 0.9 0.0 4.0
Effort Expectation 2.1 0.8 0.5 4.0
Facilitating Conditions 2.5 0.8 1.0 4.0
Data Security 2.3 1.2 0.0 4.0
ICT Knowledge 2.3 0.9 0.0 4.0
Van Mele, Van Daele & Excelmans (2016).
I was a little bit afraid
when the group ended.
The app made me feel I
always could fall back
on something.
I really like the
ACT now button: I
practice every day
when I travel to
work.
Initially, the extra workload
scared me. But it isn’t so
bad. On the contrary, it saves
time because I can give the
app to those clients who
don’t really need me
anymore…
All my ACT-
tools are now
at hand
Challenges
“Our clients are totally ready for new technologies,
but our therapists aren’t”
Conclusions
• Blended ACT is promising: the best of 2 worlds:
– Bridging between sessions
– Optimal use of the sessions
– More binding -> less drop-out
• More research is needed
– More data
– Limitations
• Clients are willing to use Learn2ACT
• And now their therapists…
Try it out?
Download our app and
ask for a free account:
info@learn2act.net
Need credit for this session?
Please don’t forget to scan out.
What did you think?....
complete the 3 question quickeval
for this session at
https://contextualscience.org/quickeval
This was presentation was session 105

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Blended act

  • 1. To blend or not to blend? Advantages of mixing ACT with new technologies
  • 2. To blend or not to blend? Learn2ACT – the handy life compass Ellen Excelmans Licensed Clinical Psychologist www.learn2act.net
  • 3. Disclosure: I, Ellen Excelmans, have not received and will not receive any commercial support related to this presentation or the work presented in this presentation.
  • 4. Help! Our agendas bulge! Too much demand for (individual) therapy No crisismanagement No consolidation after therapy Too long in therapy
  • 12. PRELIMARY RESEARCH FINDINGS To blend or not to blend?
  • 13. Lack of research on this topic! What is the added value of the Learn2ACT app on the satisfaction and the effectiveness of an ACT group treatment? Added value of blending ACT?
  • 14. 8 weeks group treatment Intake Pre-test 1. OQ-45 2. VLQ-NL 3. FIT-60 4. UTAUT-NL Start End Post-test 1. OQ-45 2. VLQ-NL 3. FIT-60 23 participants of 3 groups - OQ-45: 78.1 (26.2) - VLQ-NL: 5.5 (2.0) – 6.7 (2.1) - FIT-60: 176.8 (54.2)
  • 15.
  • 16. To app or not to app? UTAUT-NL M SD Min Max Performance Expectation 2.4 0.9 0.0 4.0 Effort Expectation 2.1 0.8 0.5 4.0 Facilitating Conditions 2.5 0.8 1.0 4.0 Data Security 2.3 1.2 0.0 4.0 ICT Knowledge 2.3 0.9 0.0 4.0 Van Mele, Van Daele & Excelmans (2016).
  • 17. I was a little bit afraid when the group ended. The app made me feel I always could fall back on something. I really like the ACT now button: I practice every day when I travel to work. Initially, the extra workload scared me. But it isn’t so bad. On the contrary, it saves time because I can give the app to those clients who don’t really need me anymore… All my ACT- tools are now at hand
  • 18. Challenges “Our clients are totally ready for new technologies, but our therapists aren’t”
  • 19. Conclusions • Blended ACT is promising: the best of 2 worlds: – Bridging between sessions – Optimal use of the sessions – More binding -> less drop-out • More research is needed – More data – Limitations • Clients are willing to use Learn2ACT • And now their therapists…
  • 20. Try it out? Download our app and ask for a free account: info@learn2act.net
  • 21. Need credit for this session? Please don’t forget to scan out. What did you think?.... complete the 3 question quickeval for this session at https://contextualscience.org/quickeval This was presentation was session 105

Editor's Notes

  1. Technology permeates our world: in a relatively short period of time, the internet, smartphones, and tablets have become an essential part of our lives. It is therefore not surprising that these new technologies have also started to play a significant role in mental health care. The possibilities are enormous. To the ACT-therapist, however, the added value of these new technologies is not always clear. Technology surely can’t replace the therapist, but blending technology with our therapeutic work has it’s benefits. In this symposium we present four mobile applications developed by and for ACT-therapists. We examine how these apps can enrich our therapeutic work, provide support to individuals outside of the therapy room, and also reflect on their limitations.
  2. Private practive in a rural region in Flanders -> app was developed to respond to specific needs in our practice
  3. Advantages mHealth: Portable: people have their smartphone always with them Monitoring & tracking: more liabele data: just-in-time & just-in-place Possibility to push customized notifications Support at the moment they need it the most
  4. 8 weeks group treatment + app for the right side of the hexaflex
  5. Weekly score of life quality: every week users are asked how well they live according their values on four live domains (work, love, play, health) and what they can do to bring this value more in their live Goal setting and reminders: These value-bsed actions are kept in a to-do list and if they aren’t checked off within a week, users get an ACT-friendly reminder Progress over time: users can also track their progress over time: in the statistics the can see their mean value scores and the evolution of their scores over time Remote monitoring by therapist: these data are also available for the therapist: therapist will be notified if the value scores of their patients dramatically drop.
  6. ACT now button Here and now exercise: users categorize their experience in a sensory versus a mental experience Reminder of their values What can you do here and now that lies in the line with your values? Reminder of acquired skills in therapy/training
  7. The development of mobile apps is very costly + not much research on the effect of blended therapy -> added value? BUT: problems in the recruitment of therapists/trainers who were willing to participate in the research -> adjustment of the research question: profile and attitude of clients who are willing to use the Learn2ACT app + Attitude toward technologies
  8. 1 week before the treatment: online questionnaires 1 week after the treatment: online questionnaires We wanted to compare the scores of app-users with non-app-users Selection of condition dependent of their device: at the time of the study: only an iOs: so we compared iphone users with other clients OQ-45: Outcome questionnaire: psychosocial problems (0;4) Symtomatic distress (0;100) Interpersonal relationships (0;44) Social role (0;36) Total (0;180) VLQ-NL: satisfaction in 10 life domains (1;10) FIT-60: psychological flexibility: 6 processes (0;60) + totale score (0;360) UTAUT: Unified Theory of Acceptance and Use of Technology Performance expectation: (0;12) Effort expectation (0;8) Facilitating conditions (0;20) Data security (0;4) IT knowledge (0;4) Post-test: hold your nerve inquiry: 12,0%
  9. Participants are willing to try it out ANOVA-analysis: Performance Excpectation: vrouwen (2.5; 0.76) > mannen (1.5; 1.04) – p = .076 Effort Expectation: hoger opleidingsniveau (2.24;0.64) < lager opleidingsniveau (0.5; 0.0) Geen significante verschillen voor leeftijd en burgelijke staat
  10. Our biggest challenge was convincing therapists to step into the trial. Explorative research on the attitude towards technology innovations in mental health care in Flanders (2015) Performance expectation: 4.87 (1;7) Effort expectation: 4.75 (1;7) Attitude toward technologies: 4.65 (1;7) Social influence: 3.73 (1;7) Facilitating conditions: 3.58 (1;7) Self-reliance: 4.38 (1;7) Fear: 2.75 (1;7) Use intention: 4.02 (1;7) Research Van Daele, Vansteenwegen, Hermans, Van Audenhove, & Van den Bergh (2013): nurses and GP’s: SWOT-analysis Weakness: no time for support, technologie problems, extra workload, not individualized, dependent of motivation of users Threaths: not their job, too much protocol-based, alienation of reality, what with suicidality?
  11. Limitations: only iOs: more expensive and attach more importance to design and usability