skip to main content
10.1145/3173574.3173972acmconferencesArticle/Chapter ViewAbstractPublication PageschiConference Proceedingsconference-collections
research-article

Pocket Skills: A Conversational Mobile Web App To Support Dialectical Behavioral Therapy

Published: 21 April 2018 Publication History

Abstract

Mental health disorders are a leading cause of disability worldwide. Although evidence-based psychotherapy is effective, engagement from such programs can be low. Mobile apps have the potential to help engage and support people in their therapy. We developed Pocket Skills, a mobile web app based on Dialectical Behavior Therapy (DBT). Pocket Skills teaches DBT via a conversational agent modeled on Marsha Linehan, who developed DBT. We examined the feasibility of Pocket Skills in a 4-week field study with 73 individuals enrolled in psychotherapy. After the study, participants reported decreased depression and anxiety and increased DBT skills use. We present a model based on qualitative findings of how Pocket Skills supported DBT. Pocket Skills helped participants engage in their DBT and practice and implement skills in their environmental context, which enabled them to see the results of using their DBT skills and increase their self-efficacy. We discuss the design implications of these findings for future mobile mental health systems.

Supplementary Material

MP4 File (pn3413.mp4)

References

[1]
2002. Guidance on the Use of Computerised Cognitive Behavioural Therapy for Anxiety and Depression. National Institute for Clinical Excellence.
[2]
Adrian Aguilera and Clara Berridge. 2014. Qualitative Feedback from a Text Messaging Intervention for Depression: Benefits, Drawbacks, and Cultural Differences. In JMIR mHealth and Uhealth.
[3]
Adrian Aguilera, Emma Bruehlman-Senecal, Orianna Demasi, and Patricia Avila. 2017. Automated Text Messaging as an Adjunct to Cognitive Behavioral Therapy for Depression: A Clinical Trial. In Journal of Medical Internet Research.
[4]
Nazanin Andalibi, Pinar Oxturk, and Andrea Forte. 2017. Sensitive Self-Disclosures, Responses, and Social Support On Instagram: The Case of #Depression. In Proceedings of the ACM Conference on Computer-Supported Cooperative Work and Social Computing.
[5]
Jakob E Bardram, Mads Frost, Károly Szántó, Maria Faurholt-Jepsen, Maj Vinberg, and Lars Vedel Kessing. 2013. Designing Mobile Health Technology for Bipolar Disorder: A Field Trial of the Monarca System. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. ACM, 2627--2636.
[6]
Dror Ben-Zeev, Susan M Kaiser, Christopher J Brenner, Mark Begale, Jennifer Duffecy, and David C Mohr. 2013. Development and Usability Testing of FOCUS: A Smartphone System for Self-Management of Schizophrenia. Psychiatric Rehabilitation Journal 36, 4 (2013), 289.
[7]
Dror Ben-Zeev, Emily A Scherer, Rui Wang, Haiyi Xie, and Andrew T Campbell. 2015. Next-Generation Psychiatric Assessment: Using Smartphone Sensors to Monitor Behavior and Mental Health. Psychiatric Rehabilitation Journal 38, 4 (2015), 313--313.
[8]
Timothy Bickmore, Amanda Gruber, and Rosalind Picard. 2005. Establishing the Computer-Patient Working Alliance in Automated Health Behavior Change Interventions. Patient Education and Counseling 59, 1 (2005), 21--30.
[9]
Timothy W. Bickmore, Kathryn Puskar, Elizabeth A. Schlenk, Laura M. Pfeifer, and Susan M. Sereika. 2010. Maintaining Reality: Relational Agents for Antipsychotic Medication Adherence. Interacting With Computers 22 (2010), 276--288.
[10]
Nataly Birbeck, Shaun Lawson, Kellie Morrissey, Tim Rapley, and Patrick Olivier. 2017. Self Harmony: Rethinking Hackathons to Design and Critique Digital Technologies for Those Affected By Self-Harm. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. ACM, 146--157.
[11]
Amelia J Birney, Rebecca Gunn, Jeremy K Russell, and Dennis V Ary. 2016. Moodhacker Mobile Web App With Email for Adults to Self-Manage Mild-to-Moderate Depression: Randomized Controlled Trial. In JMIR mHealth and Uhealth.
[12]
Anthony S Bryk and Stephen W Raudenbush. 1992. Hierarchical Linear Models for Social and Behavioral Research: Applications and Data Analysis Methods. Newbury Park, CA: Sage.
[13]
Nigel E Bush, Steven K Dobscha, Rosa Crumpton, Lauren M Denneson, Julia E Hoffman, Aysha Crain, Risa Cromer, and Julie T Kinn. 2015. A Virtual Hope Box Smartphone App as an Accessory to Therapy: Proof-of-Concept in a Clinical Sample of Veterans. Suicide & Life-Threatening Behavior 45, 1 (2015), 1--9.
[14]
Nigel E Bush, Derek J Smolenski, Lauren M Denneson, Holly B Williams, Elissa K Thomas, and Steven K Dobscha. 2017. A Virtual Hope Box: Randomized Controlled Trial of a Smartphone App for Emotional Regulation and Coping With Distress. Psychiatric Services 68, 4 (2017), 330--336.
[15]
Andrew C Butler, Jason E Chapman, Evan M Forman, and Aaron T Beck. 2006. The Empirical Status of Cognitive-Behavioral Therapy: A Review of Meta-Analyses. Clinical Psychology Review 26, 1 (2006), 17--31.
[16]
Brianne Campbell, Kelly Caine, Kay Connelly, Tom Doub, and April Bragg. 2015. Cell Phone Ownership and Use Among Mental Health Outpatients in the USA. Personal and Ubiquitous Computing 19, 2 (2015), 367--378.
[17]
Munmun De Choudhury, Emre Kiciman, Mark Dredze, Glen Coppersmith, and Mrinal Kumar. 2016. Discovering Shifts to Suicidal Ideation From Mental Health Content in Social Media. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems.
[18]
Janine Clarke, Judith Proudfoot, Mary-Rose Birch, Alexis E Whitton, Gordon Parker, Vijaya Manicavasagar, Virginia Harrison, Helen Christensen, and Dusan Hadzi-Pavlovic. 2014. Effects of Mental Health Self-Efficacy On Outcomes of a Mobile Phone and Web Intervention for Mild-to-Moderate Depression, Anxiety and Stress: Secondary Analysis of a Randomised Controlled Trial. In BMC Psychiatry.
[19]
Kate Davidson, John Norrie, Peter Tyrer, Andrew Gumley, Philip Tata, Heather Murray, and Stephen Palmer. 2006. The Effectiveness of Cognitive Behavior Therapy for Borderline Personality Disorder: Results From The Borderline Personality Disorder Study of Cognitive Therapy (BOSCOT) Trial. Journal of Personality Disorders 20, 5 (2006), 450--65.
[20]
Munmun De Choudhury, Michael Gamon, Scott Counts, and Eric Horvitz. 2013. Predicting Depression Via Social Media. ICWSM 13 (2013), 1--10.
[21]
Linda Dimeff and Marsha M Linehan. 2001. Dialectical Behavior Therapy in a Nutshell. The California Psychologist 34, 3 (2001), 10--13.
[22]
Gavin Doherty, David Coyle, and John Sharry. 2012. Engagement With Online Mental Health Interventions: An Exploratory Clinical Study of a Treatment for Depression. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems.
[23]
Stefan Rennick Egglestone, Sarah Knowles, Gill Toms, Penny Bee, Karina Lovell, and Peter Bower. 2016. Health Technologies 'In the Wild': Experiences of Engagement With Computerised CBT. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems.
[24]
Martin Fitzgerald and Tracy McClelland. 2017. What Makes a Mobile App Successful in Supporting Health Behaviour Change? Health Education journal 76, 3 (2017), 373--381.
[25]
Kathleen Kara Fitzpatrick, Alison Darcy, and Molly Vierhile. 2017. Delivering Cognitive Behavior Therapy to Young Adults With Symptoms of Depression and Anxiety Using A Fully Automated Conversational Agent (Woebot): A Randomized Controlled Trial. In JMIR Mental Health.
[26]
Centers for Disease Control and Prevention. 2015. 10 Leading Causes of Death By Age Group, United States, 2015. (2015).
[27]
Agency for Healthcare Research and The Department of Health & Human Services Quality. 2009. HCUP Facts and Figures: Statistics On Hospital-Based Care in the United States, 2009. (2009). https://www.ncbi.nlm.nih.gov/books/NBK91984/
[28]
Joseph C Franklin, Kathryn R Fox, Christopher R Franklin, Evan M Kleiman, Jessica D Ribeiro, Adam C Jaroszewski, Jill M Hooley, and Matthew K Nock. 2016. A Brief Mobile App Reduces Nonsuicidal and Suicidal Self-Injury: Evidence From Three Randomized Controlled Trials. Journal of Consulting and Clinical Psychology 84, 6 (2016), 544--57.
[29]
Lina Gega, Isaac Marks, and David Mataix-Cols. 2004. Computer-Aided CBT Self-help for Anxiety and Depressive Disorders: Experience of a London Clinic and Future Directions. Journal of Clinical Psychology 60, 2 (2004), 147--57.
[30]
Itzhak Gilat, Yishai Tobin, and Golan Shahar. 2011. Offering Support to Suicidal Individuals in An Online Support Group. Archives of Suicide Research : Official Journal of the International Academy for Suicide Research 15, 3 (2011), 195--206.
[31]
Marianne Goodman, Uday Patil, Lauren Steffel, Jennifer Avedon, Scott Sasso, Joseph Triebwasser, and Barbara Stanley. 2010. Treatment Utilization By Gender in Patients With Borderline Personality Disorder. Journal of Psychiatric Practice 16, 3 (2010), 155--63.
[32]
Jan Horsfall, Michelle Cleary, Glenn E Hunt, and Garry Walter. 2009. Psychosocial Treatments for People With Co-Occurring Severe Mental Illnesses and Substance Use Disorders (dual Diagnosis): A Review of Empirical Evidence. Harvard Review of Psychiatry 17, 1 (2009), 24--34.
[33]
Anna Huguet, Sanjay Rao, Patrick J Mcgrath, Lori Wozney, Mike Wheaton, Jill Conrod, and Sharlene Rozario. 2016. A Systematic Review of Cognitive Behavioral Therapy and Behavioral Activation Apps for Depression. PLOS One 11, 5 (2016), E0154248.
[34]
Neil S Jacobson and Paula Truax. 1991. Clinical Significance: A Statistical Approach to Defining Meaningful Change in Psychotherapy Research. Journal of consulting and clinical psychology 59, 1 (1991), 12. https://www.ncbi.nlm.nih.gov/ /2002127
[35]
Sooyeon Jeong and Cynthia Lynn Breazeal. 2016. Improving Smartphone Users' Affect and Wellbeing With Personalized Positive Psychology Interventions. In Proceedings of the Fourth International Conference On Human Agent Interaction. ACM, 131--137.
[36]
Predrag Klasnja, Sunny Consolvo, and Wanda Pratt. 2011. How to Evaluate Technologies for Health Behavior Change in HCI Research. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. ACM, 3063--3072.
[37]
Kenneth A. Kobak, James C. Mundt, and Betsy Kennard. 2015. Integrating Technology Into Cognitive Behavior Therapy for Adolescent Depression: A Pilot Study. In Annals of General Psychiatry.
[38]
Rafal Kocielnik and Gary Hsieh. 2017. Send Me A Different Message: Utilizing Cognitive Space to Create Engaging Message Triggers. In Proceedings of the ACM Conference on Computer-Supported Cooperative Work and Social Computing.
[39]
Robert Kohn, Shekhar Saxena, Itzhak Levav, and Benedetto Saraceno. 2004. The Treatment Gap in Mental Health Care. Bulletin of the World health Organization 82, 11 (2004), 858--866. https://doi.org//S0042--96862004001100011
[40]
K Kroenke, R L Spitzer, and J B Williams. 2001. The Phq-9: Validity of a Brief Depression Severity Measure. Journal of General Internal Medicine 16, 9 (2001), 606--13. https://www.ncbi.nlm.nih.gov/ /11556941
[41]
Marsha Linehan. 1993. Cognitive-Behavioral Treatment of Borderline Personality Disorder. Guilford Press.
[42]
Marsha Linehan. 2014. DBT Skills Training Manual. Guilford Publications.
[43]
M M Linehan, H L Heard, and H E Armstrong. 1993. Naturalistic Follow-Up of a Behavioral Treatment for Chronically Parasuicidal Borderline Patients. Archives of General Psychiatry 50, 12 (1993), 971--4. https://www.ncbi.nlm.nih.gov/ /8250683
[44]
Christine L. Lisetti, Reza Amini, Ugan Yasavur, and Naphtali Rishe. 2013. I Can Help You Change! An Empathic Virtual Agent Delivers Behavior Change Health Interventions. ACM Trans. Management Inf. Syst 4 (2013), 19:1--19:28.
[45]
Gale M. Lucas, Jonathan Gratch, Aisha King, and Louis-Philippe Morency. 2014. It's Only A Computer: Virtual Humans Increase Willingness to Disclose. Computers in Human Behavior 37 (2014), 94--100.
[46]
Christina Lyons, P Hopley, and J Horrocks. 2009. A Decade of Stigma and Discrimination in Mental Health: Plus ça Change, Plus C'est La Même Chose (the More Things Change, The More They Stay The Same). Journal of psychiatric and mental health nursing 16, 6 (2009), 501--507.
[47]
Lydia Manikonda and Munmun De Choudhury. 2017. Modeling and Understanding Visual Attributes of Mental Health Disclosures in Social Media. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems.
[48]
Gloria Mark, Shamsi Iqbal, Mary Czerwinski, and Paul Johns. 2014. Capturing the Mood: Facebook and Face-to-Face Encounters in the Workplace. In Proceedings of the ACM conference on Computer supported cooperative work & social computing. ACM, 1082--1094.
[49]
Mark Matthews, Gavin Doherty, David Coyle, and John Sharry. 2008. Designing Mobile Applications to Support Mental Health Interventions. In Handbook of research on user interface design and evaluation for mobile technology. IGI Global, 635--656.
[50]
David C Mohr, Michelle Nicole Burns, Stephen M Schueller, Gregory Clarke, and Michael Klinkman. 2013. Behavioral Intervention Technologies: Evidence Review and Recommendations for Future ResearchÆ?Mental Health. General Hospital Psychiatry 35, 4 (2013), 332--338.
[51]
David C Mohr, Kathryn Noth Tomasino, Emily G Lattie, Hannah L Palac, Mary J Kwasny, Kenneth Weingardt, Chris J Karr, Susan M Kaiser, Rebecca C Rossom, Leland R Bardsley, Lauren Caccamo, Colleen Stiles-Shields, and Stephen M Schueller. 2017. IntelliCare: An Eclectic, Skills-Based App Suite for The Treatment of Depression and Anxiety. Journal of Medical Internet Research 19, 1 (2017).
[52]
Frederick Muench and Amit Baumel. 2017. More Than A Text Message: Dismantling Digital Triggers to Curate Behavior Change in Patient-Centered Health Interventions. In Journal of Medical Internet Research.
[53]
Frederick Muench, Katherine Van Stolk-Cooke, Alexis Kuerbis, Gertraud Stadler, Amit Baumel, Sijing Shao, James R Mckay, and Jon Morgenstern. 2017. A Randomized Controlled Pilot Trial of Different Mobile Messaging Interventions for Problem Drinking Compared to Weekly Drink Tracking. In PLOS One.
[54]
Frederick Muench, Katherine Van Stolk-Cooke, Jon Morgenstern, Alexis N Kuerbis, and Kendra Markle. 2014. Understanding Messaging Preferences to Inform Development of Mobile Goal-Directed Behavioral Interventions. Journal of Medical Internet Research 16, 2 (2014).
[55]
Andrada D Neacsiu, Shireen L Rizvi, and Marsha M Linehan. 2010a. Dialectical Behavior Therapy Skills Use as a Mediator and Outcome of Treatment for Borderline Personality Disorder. Behaviour Research and Therapy 48, 9 (2010), 832--9.
[56]
Andrada D Neacsiu, Shireen L Rizvi, Peter P Vitaliano, Thomas R Lynch, and Marsha M Linehan. 2010b. The Dialectical Behavior Therapy Ways of Coping Checklist: Development and Psychometric Properties. Journal of clinical psychology 66, 6 (2010), 563--582.
[57]
Sonya B Norman, Laura Campbell-Sills, Carla A Hitchcock, Sarah Sullivan, Alexis Rochlin, Kendall C Wilkins, and Murray B Stein. 2011. Psychometrics of a Brief Measure of anxiety to Detect Severity and Impairment: The Overall Anxiety Severity and Impairment Scale (OASIS). Journal of psychiatric research 45, 2 (2011), 262--268.
[58]
Sonya B Norman, Shadha Hami Cissell, Adrienne J Means-Christensen, and Murray B Stein. 2006. Development and Validation of an Overall Anxiety Severity and Impairment Scale (oasis). Depression and Anxiety 23, 4 (2006), 245--9. https://www.ncbi.nlm.nih.gov/ /16688739
[59]
National Institutes of Health: National Institute of Mental Health. 2015. Any Mental Illness (AMI) Among U.S. Adults. (2015). https://www.nimh.nih.gov/health/statistics/prevalence/ any-mental-illness-ami-among-us-adults.shtml
[60]
Mark Olfson, Ramin Mojtabai, Nancy A Sampson, Irving Hwang, Benjamin Druss, Philip S Wang, Kenneth B Wells, Harold Alan Pincus, and Ronald C Kessler. 2009. Dropout From Outpatient Mental Health Care in the United States. Psychiatric Services 60, 7 (2009), 898--907.
[61]
Pablo Paredes, Ran Gilad-Bachrach, Mary Czerwinski, Asta Roseway, Kael Rowan, and Javier Hernandez. 2014. PopTherapy: Coping with Stress Through Pop-Culture. In Proceedings of the International Conference on Pervasive Computing Technologies for Healthcare. Institute for Computer Sciences, Social-Informatics and Telecommunications Engineering, 109--117.
[62]
Judith Proudfoot, Janine Clarke, Mary-Rose Birch, Alexis E Whitton, Gordon Parker, Vijaya Manicavasagar, Virginia Harrison, Helen Christensen, and Dusan Hadzi-Pavlovic. 2013. Impact of a Mobile Phone and Web Program On Symptom and Functional Outcomes for People With Mild-to-Moderate Depression, Anxiety and Stress: A Randomised Controlled Trial. In BMC Psychiatry.
[63]
Paul Quinnett, Philip Batterham, Wouter Van Ballegooijen, Ursula Whiteside, Anita Lungu, Julie Richards, Gregory E Simon, Sarah Clingan, Jaeden Siler, Lorilei Snyder, and Evette Ludman. 2014. Designing Messaging to Engage Patients in An Online Suicide Prevention Intervention: Survey Results From Patients With Current Suicidal Ideation. In Journal of Medical Internet Research.
[64]
Derek Richards and Thomas Richardson. 2012. Computer-Based Psychological Treatments for Depression: A Systematic Review and Meta-Analysis. Clinical Psychology Review 32, 4 (2012), 329--42.
[65]
Shireen L Rizvi, Linda A Dimeff, Julie Skutch, David Carroll, and Marsha M Linehan. 2011. A Pilot Study of the DBT Coach: An Interactive Mobile Phone Application for Individuals With Borderline Personality Disorder and Substance Use Disorder. Behavior Therapy 42, 4 (2011), 589--600.
[66]
Shireen L Rizvi, Christopher D Hughes, and Marget C Thomas. 2016. The DBT Coach Mobile Application as an Adjunct to Treatment for Suicidal and Self-Injuring Individuals With Borderline Personality Disorder: A Preliminary Evaluation and Challenges to Client Utilization. Psychological Services 13, 4 (2016), 380--388.
[67]
Caryn Kseniya Rubanovich, David C Mohr, and Stephen M Schueller. 2017. Health App Use Among Individuals With Symptoms of Depression and Anxiety: A Survey Study With Thematic Coding. In JMIR Mental Health.
[68]
Randy A Sansone and Lori A Sansone. 2011. Gender Patterns in Borderline Personality Disorder. Innovations in Clinical Neuroscience 8, 5 (2011), 16--20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3115767/
[69]
Jeff Sauro. 2011. Measuring Usability With The System Usability Scale (SUS). (2011). https://measuringu.com/sus/
[70]
Stephen M Schueller, Jason J Washburn, and Matthew Price. 2016. Exploring Mental Health Providers' Interest in Using Web and Mobile-Based Tools in Their Practices. Internet Interventions 4, 2 (2016), 145--151.
[71]
Colleen Stiles-Shields, Enid Montague, Emily G Lattie, Mary J Kwasny, and David C Mohr. 2017. What Might Get in the Way: Barriers to the Use of apps for Depression. Digital Health 3 (2017).
[72]
Anselm Strauss and Juliet Corbin. 1967. Discovery of Grounded Theory. Citeseer.
[73]
Victor J Strecher, Matthew Kreuter, Dirk-Jan Den Boer, Sarah Kobrin, Harm J Hospers, and Celette S Skinner. 1994. The Effects of Computer-Tailored Smoking Cessation Messages in Family Practice Settings. Journal of Family Practice 39, 3 (1994), 262--270. https://www.ncbi.nlm.nih.gov/ /8077905
[74]
Anja Thieme, John Mccarthy, Paula Johnson, Stephanie Phillips, Jayne Wallace, Siân Lindley, Karim Ladha, Daniel Jackson, Diana Nowacka, Ashur Rafiev, Cassim Ladha, Thomas Nappey, Mathew Kipling, Peter Wright, Thomas D Meyer, and Patrick Olivier. 2016. Challenges for Designing New Technology for Health and Wellbeing in a Complex Mental Healthcare Context. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. ACM, 2136--2149.
[75]
SM Turner, DC Beidel, SA Spaulding, and JM Brown. 1995. The Practice of Behavior Therapy: A National Survey of Cost and Methods. Behaviour Therapist 18 (1995), 1--1.
[76]
G Verbeke and G Molenberghs. 1997. Linear Mixed Models in Practice: a SAS-Oriented Approach. Vol. 126. Springer-Verlag New York, LLC, New York, NY.
[77]
John T Vessey and Kenneth I Howard. 1993. Who Seeks Psychotherapy? Psychotherapy: Theory, Research, Practice, Training 30, 4 (1993), 546.
[78]
Bruce E Wampold and Zac E Imel. 2015. The Great Psychotherapy Debate: The Evidence for What Makes Psychotherapy Work. Routledge.
[79]
Philip S Wang, Michael Lane, Mark Olfson, Harold A Pincus, Kenneth B Wells, and Ronald C Kessler. 2005. Twelve-Month Use of Mental Health Services in the United States: Results From The National Comorbidity Survey Replication. Archives of General Psychiatry 62, 6 (2005), 629--640.
[80]
Rui Wang, Andrew T Campbell, and Xia Zhou. 2015. Using Opportunistic Face Logging from Smartphone to Infer Mental Health: Challenges and Future Directions. In Adjunct Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing and Proceedings of the 2015 ACM International Symposium on Wearable Computers. ACM, 683--692.
[81]
Tyler Watson, Scot Simpson, and Christine Hughes. 2016. Text Messaging Interventions for Individuals With Mental Health Disorders Including Substance Use: A Systematic Review. Psychiatry Research 243 (2016), 255--62.
[82]
Joseph Weizenbaum. 1966. ELIZA - A Computer Program for The Study of Natural Language Communication Between Man and Machine. Commun. ACM 26 (1966), 23--28.
[83]
Kathleen M Wright, Oscar A Cabrera, Paul D Bliese, Amy B Adler, Charles W Hoge, and Carl A Castro. 2009. Stigma and Barriers to Care in Soldiers Postcombat. Psychological Services 6, 2 (2009), 108.

Cited By

View all
  • (2025)LLM-based Conversational AI Therapist for Daily Functioning Screening and Psychotherapeutic Intervention via Everyday Smart DevicesACM Transactions on Computing for Healthcare10.1145/3712299Online publication date: 23-Jan-2025
  • (2025)The DBT Coach App as an adjunct to a comprehensive DBT programme for adolescents: an acceptability and feasibility studyThe Cognitive Behaviour Therapist10.1017/S1754470X2500001718Online publication date: 24-Feb-2025
  • (2025)TextSavvy: Exploring the Effectiveness of a Text Messaging Adjunct to a Dialectical Behavior Therapy (DBT) Skills Training InterventionJournal of Technology in Behavioral Science10.1007/s41347-025-00492-4Online publication date: 24-Feb-2025
  • Show More Cited By

Index Terms

  1. Pocket Skills: A Conversational Mobile Web App To Support Dialectical Behavioral Therapy

      Recommendations

      Comments

      Information & Contributors

      Information

      Published In

      cover image ACM Conferences
      CHI '18: Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems
      April 2018
      8489 pages
      ISBN:9781450356206
      DOI:10.1145/3173574
      Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than the author(s) must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected].

      Sponsors

      Publisher

      Association for Computing Machinery

      New York, NY, United States

      Publication History

      Published: 21 April 2018

      Permissions

      Request permissions for this article.

      Check for updates

      Author Tags

      1. behavioral therapy
      2. dbt
      3. health informatics
      4. mental health

      Qualifiers

      • Research-article

      Conference

      CHI '18
      Sponsor:

      Acceptance Rates

      CHI '18 Paper Acceptance Rate 666 of 2,590 submissions, 26%;
      Overall Acceptance Rate 6,199 of 26,314 submissions, 24%

      Upcoming Conference

      CHI 2025
      ACM CHI Conference on Human Factors in Computing Systems
      April 26 - May 1, 2025
      Yokohama , Japan

      Contributors

      Other Metrics

      Bibliometrics & Citations

      Bibliometrics

      Article Metrics

      • Downloads (Last 12 months)289
      • Downloads (Last 6 weeks)12
      Reflects downloads up to 27 Feb 2025

      Other Metrics

      Citations

      Cited By

      View all
      • (2025)LLM-based Conversational AI Therapist for Daily Functioning Screening and Psychotherapeutic Intervention via Everyday Smart DevicesACM Transactions on Computing for Healthcare10.1145/3712299Online publication date: 23-Jan-2025
      • (2025)The DBT Coach App as an adjunct to a comprehensive DBT programme for adolescents: an acceptability and feasibility studyThe Cognitive Behaviour Therapist10.1017/S1754470X2500001718Online publication date: 24-Feb-2025
      • (2025)TextSavvy: Exploring the Effectiveness of a Text Messaging Adjunct to a Dialectical Behavior Therapy (DBT) Skills Training InterventionJournal of Technology in Behavioral Science10.1007/s41347-025-00492-4Online publication date: 24-Feb-2025
      • (2024)Feasibility, Acceptability, and Potential Efficacy of a Self-Guided Internet-Delivered Dialectical Behavior Therapy Intervention for Substance Use Disorders: Randomized Controlled TrialJMIR Mental Health10.2196/5039911(e50399)Online publication date: 16-Jan-2024
      • (2024)Demographic and clinical characteristics associated with anxiety and depressive symptom outcomes in users of a digital mental health intervention incorporating a relational agentBMC Psychiatry10.1186/s12888-024-05532-624:1Online publication date: 30-Jan-2024
      • (2024)Exploring the characteristics of conversational agents in chronic disease management interventions: A scoping reviewDIGITAL HEALTH10.1177/2055207624127769310Online publication date: 29-Oct-2024
      • (2024)Chapter 8. Therapeutic Modalities in the Treatment of Emerging AdultsEmerging Adulthood: A Psychodynamic Approach to the New Developmental Phase of the 21st Century10.1176/appi.books.9781615379842.lg08(237-274)Online publication date: 5-Dec-2024
      • (2024)Chapter 13. Dialectical Behavior TherapyThe American Psychiatric Association Publishing Textbook of Personality Disorders, Third Edition10.1176/appi.books.9781615379699.lg13(361-382)Online publication date: 5-Dec-2024
      • (2024)The American Psychiatric Association Publishing Textbook of Personality Disorders, Third Edition10.1176/appi.books.9781615379699Online publication date: 5-Dec-2024
      • (2024)HelpBot: A Web-Based Chatbot to Handle Depression Among AdolescentsProceedings of the 2024 10th International Conference on Computing and Artificial Intelligence10.1145/3669754.3669777(149-154)Online publication date: 26-Apr-2024
      • Show More Cited By

      View Options

      Login options

      View options

      PDF

      View or Download as a PDF file.

      PDF

      eReader

      View online with eReader.

      eReader

      Figures

      Tables

      Media

      Share

      Share

      Share this Publication link

      Share on social media