Pilot Evaluation of a Tablet-Based Application to Improve Quality of Care in Child Mental Health Treatment

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dc.contributor.authorDavidson, T. M., Bunnell, B. E., Saunders, B. E., Hanson, R. F., Danielson, C. K., Cook, D., ... & Walker, J. H.
dc.date.accessioned2020-08-11T18:50:44Z
dc.date.available2020-08-11T18:50:44Z
dc.date.issued2019
dc.description.abstractMental health systems need scalable solutions that can reduce the efficacy–effectiveness gap and improve mental health outcomes in community mental health service settings. Two major challenges to delivery of high-quality care are providers’ fidelity to evidence-based treatment models and children’s and caregivers’ engagement in the treatment process. We developed a novel, tablet-based application designed to enhance via technology the quality of delivery of trauma focused cognitive-behavioral therapy (TF-CBT). We piloted its use in four community mental health service organizations using a blocked randomized controlled trial to examine the feasibility of implementing tablet-facilitated TF-CBT versus standard TF-CBT with 13 providers and 27 families. Provider fidelity and child engagement in treatment were observationally measured via session audio recording. Parent and child perceptions of the tablet application were assessed using structured interviews and mixed-method analyses. Providers actively and appropriately used tablet TF-CBT to facilitate treatment activities. Providers and families expressed high satisfaction with its use, demonstrating acceptability of this approach. Youth and caregivers in both conditions reported high alliance with their providers. Overall, we found that tablet-facilitated treatment is accepted by providers and families and may be integrated into mental health treatment with minimal training. Further study is needed to examine the extent to which technology-based applications may enhance the reach, quality, and clinical outcomes of mental health treatment delivered to children and families.en_US
dc.identifier.citationDavidson, T. M., Bunnell, B. E., Saunders, B. E., Hanson, R. F., Danielson, C. K., Cook, D., ... & Walker, J. H. (2019). Pilot evaluation of a tablet-based application to improve quality of care in child mental health treatment. Behavior therapy, 50(2), 367-379.en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6511883/pdf/nihms-1026664.pdf
dc.identifier.urihttp://hdl.handle.net/11212/4833
dc.language.isoen_USen_US
dc.subjecttelemental healthen_US
dc.subjecttreatmenten_US
dc.subjecttechnologyen_US
dc.subjectTF-CBTen_US
dc.subjectresearchen_US
dc.titlePilot Evaluation of a Tablet-Based Application to Improve Quality of Care in Child Mental Health Treatmenten_US
dc.typeArticleen_US

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