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Cognitive Adaptation Training for healthcare professionals & relatives: The development of a web-application through User Centered Design

Published online by Cambridge University Press:  26 August 2025

T. van Brouwershaven*
Affiliation:
Department of Rehabilitation, Lentis Psychiatric Institute, Zuidlaren
B. J. Hoekman
Affiliation:
Lectorship digital transformation, Hanzehogeschool Groningen, Groningen
M. de Koning
Affiliation:
Department of Research, Arkin Institute for Mental Health Department of Research, Amsterdam UMC, Amsterdam
S. Gangadin
Affiliation:
Department of Psychiatry, UMC Groningen, Groningen
N. Boonstra
Affiliation:
Department of Neuroscience, UMC Utrecht, Utrecht Department of Research and Innovation, KieN VIP Mental Health Care Services, Leeuwarden
L. van der Meer
Affiliation:
Department of Rehabilitation, Lentis Psychiatric Institute, Zuidlaren Department of Clinical and Developmental Neuropsychology, University of Groningen, Groningen, Netherlands
*
*Corresponding author.

Abstract

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Introduction

Cognitive impairments often hinder daily functioning in people with severe mental illness (SMI). Cognitive Adaptation Training (CAT) is an effective psychosocial intervention that reduces this impact. However, barriers such as the two-day training and lack of neuropsychological expertise in some professionals hinder CAT implementation.

Objectives

To make CAT more accessible to healthcare professionals and relatives of people with SMI by developing a web application (House-CAT) that guides users through the intervention.

Methods

For the development, User Centered Design (UCD) is used: a design process where close cooperation with future users (healthcare professionals, relatives, service users) is important to make sure that their needs are met. Although UCD is circular and iterative, three phases can be distinguished: analysis, design, and evaluation. In the analysis phase, users’ needs are identified and translated into design criteria. A testable prototype of House-CAT is created (design phase), followed by implementation and evaluation on efficiency, acceptability, and user-friendliness (evaluation phase).

Results

Three focus groups were conducted in the analysis phase: CAT-experienced professionals (n=5); professionals unfamiliar with CAT (n=4); and relatives (n=5). Further, individual meetings with family members (n=8), and professionals (n=6) were conducted. Design criteria included the app’s ability to (1) support with setting up individual goals; (2) find personalized strategies or tools; (3) improve communication between professionals; (4) encourage cooperation between professionals, relatives, and service users; (5) be available in hybrid form; (6) use simple language. The design- and evaluation phase are currently in process: the web app and results from the evaluation phase will be presented at the conference.

Conclusions

House-CAT should support users in creating individual goals and personalized strategies, stimulate contact between professionals, relatives and service users, and be simple to use.

Disclosure of Interest

None Declared

Information

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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