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A Just-in-Time Adaptive Intervention (Shift) to Manage Problem Anger After Trauma: Co-Design and Development Study
Olivia Metcalf1,2, David Forbes2, Lauren M Henry3
1Centre for Digital Transformation of Health, University of Melbourne, 700 Swanston St, Carlton, 3053, Australia, 61 404040817.
JMIR Human Factors
|May 22, 2025
Summary
This study co-designed "Shift," a digital tool for managing problem anger after trauma. It offers personalized, just-in-time adaptive interventions (JITAI) to support individuals coping with posttraumatic anger.
Area of Science:
- Digital mental health
- Trauma recovery
- Anger management
Background:
- Problem anger is a common yet under-recognized issue following trauma.
- Digital mental health tools show promise for supporting individuals with posttraumatic anger.
Purpose of the Study:
- To describe the co-design and development of a just-in-time adaptive intervention (JITAI) for problem anger in trauma survivors.
Main Methods:
- A participatory design process using the double-diamond framework.
- Qualitative interviews with trauma-exposed individuals (n=10) to inform design principles.
- Expert review and user feedback workshops to refine intervention content and prototypes.
Main Results:
- Key considerations included personalized content, self-led support, and stage-specific anger management.
- The JITAI, "Shift," incorporates psychoeducation, mood monitoring, cognitive-behavioral skills, and a digital coach.
- Features like social networking were excluded due to safety and cost concerns.
Conclusions:
- "Shift" is the first digital mental health tool specifically co-designed with end-users for managing anger after trauma.
Keywords:
angerco-designdesigndevelopmentdigital toolfeedbackjust-in-time adaptive interventionmanagemental healthmonitoringmoodparticipatory designpost-traumaticsupporttooltraumauserMore Related Videos
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