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Psychologists’ motivations for integrating apps into therapy with secondary school-aged young people

Published online by Cambridge University Press:  21 October 2019

Simone Gindidis Open the ORCID record for Simone Gindidis [Opens in a new window] ,
Sandra E. Stewart  and
John Roodenburg
Simone Gindidis*
Affiliation:
Education Psychology Activities, Monash University, Melbourne, Victoria, Australia
Sandra E. Stewart
Affiliation:
Education Psychology Activities, Monash University, Melbourne, Victoria, Australia
John Roodenburg
Affiliation:
Education Psychology Activities, Monash University, Melbourne, Victoria, Australia
*
*Corresponding author. Email: simone.gindidis@monash.edu
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Abstract

Psychologists play an important role in the provision of mental health support to young people. Some psychologists are incorporating apps into therapy with young people; however, little is understood about why such incorporation is taking place. Ten semi-structured qualitative interviews exploring why psychologists augment therapy by recommending or using apps alongside therapy were undertaken. Findings suggest that psychologists were prompted to update their therapeutic approach in response to client-initiated discussion of apps. Personal use of apps, higher engagement in therapy, increased access to therapeutic strategies between sessions, and a reduction of the stigma associated with externalising therapeutic strategies were also facilitating factors. Implications for practice such as apps currently complementing structured therapy over unstructured talk therapy, and further research are explored.

Keywords

young peoplemHealthappsmental healthqualitative
Type
Articles
Information
Journal of Psychologists and Counsellors in Schools , Volume 30 , Issue 1 , June 2020 , pp. 2 - 12
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Copyright
© The Author(s) 2019. Published by Cambridge University Press

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References

Ambresin, A.-E., Bennett, K., Patton, G.C., Sanci, L.A., & Sawyer, S.M. (2013). Assessment of youth-friendly health care: A systematic review of indicators drawn from young people’s perspectives. Journal of Adolescent Health, 52, 670–681.CrossRefGoogle ScholarPubMed
American Psychiatric Association. (2018). App evaluation model. Retrieved from https://www.psychiatry.org/psychiatrists/practice/mental-health-apps/app-evaluation-modelGoogle Scholar
Andersson, G., & Titov, N. (2014). Advantages and limitations of Internet-based interventions for common mental disorders. World Psychiatry, 13, 4–11.CrossRefGoogle ScholarPubMed
Australian Communications and Media Authority. (2014). Aussie teens online. Retrieved from http://www.acma.gov.au/theACMA/engage-blogs/engage-blogs/Research-snapshots/Aussie-teens-onlineGoogle Scholar
Australian Communications and Media Authority. (2016). Aussie teens and kids online. Retrieved from http://www.acma.gov.au/theACMA/engage-blogs/engage-blogs/Research-snapshots/Aussie-teens-and-kids-onlineGoogle Scholar
Australian Communications and Media Authority. (2017). Communications report 2016–17. Retrieved from https://www.acma.gov.au/theACMA/communications-reportGoogle Scholar
Australian Psychological Society. (2014). Ethical guidelines for the use of the internet and telecommunication technologies in the provision of psychological services. Retrieved from https://www.psychologyboard.gov.au/documents/default.aspx?record=WD10%2f270%5Bv2%5D&dbid=AP&chksum=22gzudigcRL%2bqviAncg2jw%3d%3dGoogle Scholar
Australian Psychological Society. (2018). Ethical guidelines for working with young people. Retrieved from https://www.psychology.org.au/getmedia/f03dfc38-c839-4fab-95af-1b16557742c3/Ethical-guideline-young-people.pdfGoogle Scholar
Blanchard, M., Herrman, H., Frere, M., & Burns, J.M. (2012). Attitudes informing the use of technologies by the youth health workforce to improve young people’s wellbeing: Understanding the nature of the ‘digtal disconnect’. Interrupting Transmission, 31, S14–24.Google Scholar
Bradford, S., & Rickwood, D. (2012). Psychosocial assessments for young people: a systematic review examining acceptability, disclosure and engagement, and predictive utility. Adolescent Health, Medicine and Therapeutics, (3), 111–125. https://doi.org/10.2147/AHMT.S38442CrossRefGoogle Scholar
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101.CrossRefGoogle Scholar
Burns, J.M., Birrell, E., Bismark, M., Pirkis, J., Davenport, T.A., Hickie, I.B., … Ellis, L.A. (2016). The role of technology in Austrailan youth mental health reform. Australian Health Review, 40, 584–590.CrossRefGoogle ScholarPubMed
Clarke, V., & Braun, V. (2013). Successful qualitative research: A practical guide for beginners (1st ed.). London: SAGE Publications.Google Scholar
Curtin University. (2019). OCD? Not Me! Retrieved from ocdnotmet.com.auGoogle Scholar
Das, G., Cheung, C., Nebeker, C., Bietz, M., & Bloss, C. (2018). Privacy policies for apps targeted toward youth: Descriptive analysis of readability. JMIR MHealth and UHealth, 6, e3.CrossRefGoogle ScholarPubMed
Drumm, J., White, N., Swiegers, M., & Davey, M. (2017). Mobile consumer survey 2017. Retrieved from Deloitte website: http://landing.deloitte.com.au/rs/761-IBL-328/images/tmt-mobile-consumer-survey-2017_pdf.pdfGoogle Scholar
Evans, S. (2014). The challenge and potential of the digital age: Young people and the internet. Transactional Analysis Journal, 44, 153–166.CrossRefGoogle Scholar
Gibson, K., Cartwright, C., Kerrisk, K., Campbell, J., & Seymour, F. (2016). What young people want: A qualitative study of adolescents’ priorities for engagement across psychological services. Journal of Child and Family Studies, 25, 1057–1065.CrossRefGoogle Scholar
Gindidis, S., Stewart, S., & Roodenburg, J. (2018). A systematic scoping review of adolescent mental health treatment using mobile apps. Advances in Mental Health, 17, 161–177.CrossRefGoogle Scholar
Grist, R., Porter, J., & Stallard, P. (2017). Mental health mobile apps for preadolescents and adolescents: A systematic review. Journal of Medical Internet Research, 19, e176.CrossRefGoogle ScholarPubMed
Grist, R., Porter, J., & Stallard, P. (2018). Acceptability, use and safety of a mobile phone app (BlueIce) for young people who self-harm: Qualitative study of service users’ experience. JMIR Mental Health, 5, e16.CrossRefGoogle ScholarPubMed
Guest, G., MacQueen, K.M., & Namey, E.E. (2012). Applied thematic analysis. Thousand Oaks, CA: Sage Publications.CrossRefGoogle Scholar
Gulliver, A., Griffiths, K., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry, 10, 113.CrossRefGoogle ScholarPubMed
Hilty, D.M., & Mucic, D. (2016). Technology, health, and contemporary practice: How does e-mental health fit it and what does it offer? In Hilty, D.M. (Ed.), e-Mental Health (pp. 3–27). Switzerland: Springer International Publishing.CrossRefGoogle Scholar
Juarascio, A.S., Goldstein, S.P., Manasse, S.M., Forman, E.M., & Butryn, M.L. (2015). Perceptions of the feasibility and acceptability of a smartphone application for the treatment of binge eating disorders: Qualitative feedback from a user population and clinicians. International Journal of Medical Informatics, 84, 808–816.CrossRefGoogle ScholarPubMed
Kuhn, E., Eftekhari, A., Hoffman, J.E., Crowley, J.J., Ramsey, K.M., Reger, G.M., & Ruzek, J.I. (2014). Clinician perceptions of using a smartphone app with prolonged exposure therapy. Administration and Policy in Mental Health and Mental Health, 41, 800–807.CrossRefGoogle ScholarPubMed
Kyrios, M., Abbott, J., Reynolds, J., & Thomas, N. (2015). Ethical aspects of psychological assessment, treatment and research over the internet. In Morrissey, S., Reddy, P., & Davidson, G. (Eds.), Ethics and professional practice for psychologists (2nd ed., pp. 122–133). Melbourne, Australia: Cengage Learning Australia.Google Scholar
Larsen, M.E., Nicholas, J., & Christensen, H. (2016). Quantifying app store dynamics: Longitudinal tracking of mental health apps. JMIR MHealth and UHealth, 4, e96.CrossRefGoogle ScholarPubMed
Lavik, K.O., Veseth, M., Frøysa, H., Binder, P.-E., & Moltu, C. (2018). ‘Nobody else can lead your life’: What adolescents need from psychotherapists in change processes. Counselling and Psychotherapy Research, 18, 262–273.CrossRefGoogle Scholar
Lawrence, D., Johnson, S., Hafekost, J., Haan, K.B.,de, Sawyer, M., Ainley, J., & Zubrick, S.R. (2015). The mental health of children and adolescents: Report on the second Australian child and adolescent survey of mental health and wellbeing. Retrieved from http://www.health.gov.au/internet/main/publishing.nsf/Content/9DA8CA21306FE6EDCA257E2700016945/$File/child2.pdfGoogle Scholar
Lee, P., Stewart, D., & Calugar-Pop, C. (2018). Technology, Media and Telecommunicatios Predictions. Retrieved from https://www2.deloitte.com/content/dam/Deloitte/tr/Documents/technology-media-telecommunications/gx-deloitte-tmt-2018-predictions-report.pdfGoogle Scholar
McGorry, P., Bates, T., & Birchwood, M. (2013). Designing youth mental health services for the 21st century: Examples from Australia, Ireland and the UK. The British Journal of Psychiatry, 202, S30–S35.CrossRefGoogle Scholar
Mission Australia. (2016). Youth mental health report: Youth survey 2012–2016. Retrieved from https://www.missionaustralia.com.au/publications/research/young-people/706-five-year-mental-health-youth-report/fileGoogle Scholar
Mission Australia. (2017). Youth Survey report 2017. Retrieved from https://www.missionaustralia.com.au/publications/research/young-people/746-youth-survey-2017-report/fileGoogle Scholar
Nicholas, J., Larsen, M.E., Proudfoot, J.G., & Christensen, H. (2015). Mobile apps for bipolar disorder: A systematic review of features and content quality. Journal of Medical Internet Research, 17, e198.CrossRefGoogle ScholarPubMed
One Mind. (2017). PsyberGuide. Retrieved 1 January 2017, from www.psyberguide.orgGoogle Scholar
Patton, M.Q. (2001). Qualitative research & evaluation methods (3rd ed.). Saint Paul, MN: Sage Publications.Google Scholar
QSR International. (2018). NVivo for Mac. Retrieved from https://www.qsrinternational.com/nvivo/nvivo-products/nvivo-12-macGoogle Scholar
Raskin, N.J., Rogers, C.R., & Witty, M.C. (2011). Client-centered therapy. In Current psychotherapies (9th ed., pp. 148–195). Belmont, CA: Brooks/Cole, Cengage Learning.Google Scholar
Richards, P., & Simpson, S. (2015). Beyond the therapeutic hour: An exploratory pilot study of using technology to enhance alliance and engagement within face-to-face psychoterapy. British Journal of Guidance & Counselling, 43, 57–93. https://doi.org/10.1080/03069885.2014.936824CrossRefGoogle Scholar
Roy Morgan Research. (2016). Article No. 6929: 9 in 10 Aussie teens now have a mobile (and most are already on to their second or subsequent handset). roymorgan.com.Google Scholar
Sagar, R., & Pattanayak, R. (2015). Use of smartphone apps for mental health: Can they translate to a smart and effective mental health care? Journal of Mental Health and Human Behavior, 20, 1–3.CrossRefGoogle Scholar
Schueller, S.M., Washburn, J.J., & Price, M. (2016). Exploring mental health providers’ interest in using web and mobile-based tools in their practices. Internet Interventions, 4, 145–151.CrossRefGoogle ScholarPubMed
Stawarz, K., Preist, C., Tallon, D., Wiles, N., & Coyle, D. (2018). User experience of cognitive behavioural therapy apps for depression: An analysis of app functionality and user reviews. Journal of Medical Internet Research, 20, e10120.CrossRefGoogle ScholarPubMed
Werner-Seidler, A., O’Dea, B., Shand, F., Johnston, L., Frayne, A., Fogarty, A.S., & Christensen, H. (2017). A smartphone app for adolescents with sleep disturbance: Development of the Sleep Ninja. JMIR Mental Health, 4, e28.CrossRefGoogle ScholarPubMed
Wilansky, P., Eklund, J.M., Milner, T., Kreindler, D., Cheung, A., Kovacs, T., … Mills, R.S. (2016). Cognitive behavior therapy for anxious and depressed youth: Improving homework adherence through mobile technology. JMIR Research Protocols, 5, e209.CrossRefGoogle ScholarPubMed
Yuan, E.S. (2018). Zoom. Retrieved from zoom.usGoogle Scholar