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How Inclusive, User-Centered Design Research Can Improve Psychological Therapies for Psychosis: Development of SlowMo
Amy Hardy1,2, Anna Wojdecka3, Jonathan West3
1Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.
This study enhanced a digital therapy for psychosis, SlowMo, using user-centered design to improve usability and engagement. SlowMo shows promise in managing paranoia and improving well-being for diverse users.
Area of Science:
- Psychology
- Human-Computer Interaction
- Digital Health
Background:
- Psychological interventions for psychosis have poor real-world implementation due to usability and usefulness barriers.
- User-centered, inclusive design can enhance therapy uptake, adherence, and effectiveness.
Purpose of the Study:
- To optimize the usability of the psychological intervention 'Thinking Well' for paranoia using a digital interface.
- To develop an inclusive and user-centered digital therapy targeting reasoning processes in psychosis.
Main Methods:
- Employed inclusive, user-centered design research with purposive sampling of extreme users.
- Utilized the UK Design Council's double diamond method (discover, define, develop, deliver) with iterative prototyping.
- Conducted ethnographic investigation, stakeholder interviews, and user profiling to inform design.
Main Results:
- The 'Thinking Well' intervention showed medium to large effects on paranoia and well-being.
- Usability challenges included information complexity and poor accessibility; user feedback guided redesign.
- Developed 'SlowMo,' a minimal viable product featuring visualized thoughts and a therapeutic journey, supported by web and mobile apps.
Conclusions:
- SlowMo utilizes personalization, ambient information, and visual metaphors to enhance therapy appeal and engagement for diverse needs.
- Feasibility testing of SlowMo is promising, with efficacy currently under evaluation in a randomized controlled trial.
- Improving therapy interface usability optimizes the impact of psychological interventions in daily life.
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