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Optimizing SloMo, a Digitally Supported Therapy Targeting Paranoia, for Implementation: Inclusive, Human-Centered

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Summary
This summary is machine-generated.

This study optimized SloMo, a digital therapy for psychosis, by reducing complexity and enhancing user experience. The redesigned software is more accessible and usable for scalable, equitable mental health care.

Keywords:
co-designdesign thinkingdigital healtheHealthengagementmHealthparticipatory designpsychosisschizophreniatherapyuser experienceuser-centered design

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Area of Science:

  • Digital Therapeutics
  • Psychosis Interventions
  • Human-Centered Design

Background:

  • Digital therapeutics offer scalable interventions for psychosis but face implementation challenges in routine care.
  • SloMo is an evidence-based, digitally supported cognitive behavioral therapy for psychosis.
  • A NICE Early Value Assessment recommended SloMo for the NHS, pending real-world evidence.

Purpose of the Study:

  • To optimize the SloMo software for real-world implementation.
  • To address limitations of the initial release, reduce technological complexity, and improve user experience.
  • To enhance equitable outcomes for diverse user groups.

Main Methods:

  • An inclusive, human-centered design methodology and the Double Diamond framework were employed.
  • Co-design involved patient and public involvement consultants, therapists, and a transdisciplinary team through 24 workshops.
  • Iterative development included user testing with 32 service user consultants and validation with 10 therapists and 11 service users.

Main Results:

  • User feedback highlighted needs for usability, trustworthiness, personalization, normalization, and memorability.
  • The redesign features a minimalist UI, diverse vignettes, enhanced data agency, and improved representation.
  • User testing confirmed a strong user experience, particularly in usability and usefulness, validating the redesign.

Conclusions:

  • A redesigned SloMo software was developed, optimized for real-world use while maintaining therapeutic fidelity.
  • The human-centered approach reduced complexity and increased accessibility, addressing adoption barriers.
  • Integrating lived experience is crucial for scalable, equitable, and sustainable digital mental health solutions.