Week 3 Topic 2

Question 1

What is Digital Mental Health?

Answer 1

Development and Implementation of Digital Mental Health technologies in psychological therapies services

Question 2

How many hours a week do UK adults spend on average online?

Answer 2

24 hours

Question 3

__% of UK households have internet access

Answer 3

90

Question 4

Name 3 ways that Digital Technologies are changing mental healthcare?

Answer 4

1) Digital front door e.g. www.NHS.uk
2) Simple digital transactions e.g. appointments, prescriptions
3) Seeking health information or advice online/Peer support

Question 5

Name 2 ways that Digital is changing the healthcare experience

Answer 5

1) Online assessment using standardised questionnaires

2) Wearables and real-time self-report

Question 6

What evidence is there that digitally delivered and digitally supported therapies are widespread?

Answer 6

They are recommended by NICE as a first line treatment for mild-moderate depression, panic and anxiety disorder, e.g. computer therapy, widespread in NHS

Question 7

In the 1970’s, Computerised CBT was used for generalised anxiety, not severe anxiety, but what was the process?

Answer 7

Patient would sit in front of a computer screen, shown an image of either something they feared or something to relax by, and were told to press one key to indicate they were comfortable, or another key to indicate they were uncomfortable

Question 8

In Systematic Desensitisation, what was said about the therapist?

Answer 8

Is not necessary and can be a hindrance

Question 9

What was found about Virtual Reality Exposure Therapy?

Answer 9

For a plane phobia, it was just as effective as the real thing and had long-lasting effects

Question 10

What are the 2 main forms of Digitally delivered/supported therapies?

Answer 10

Unguided digital interventions and Guided digital interventions (minimal support, face-to-face, phone, email)

Question 11

With face-to-face, there is 50-50 wit the support, why is that?

Answer 11

Theres a therapist, but you do independent work

Question 12

What do Modern Programmes do?

Answer 12

They are designed to simulate inter-personal features of therapy, and they guide the user through the important ingredients of therapy e.g. CBT, in a self-help, multi-media format

Question 13

Name 2 examples of Modern Programmes?

Answer 13

Psycho-education, Action plans and goals

Question 14

In a randomised controlled trial of Beating the Blues, what were the results when compared to treatment as usual?

Answer 14

Depression did drop, more drastically in the computerised treatment than the usual treatment, and benefits were maintained 6 months post-treatment, more so than usual treatment

Question 15

Lost employment costs are significantly _____ following Beating the Blues than treatment as usual

Answer 15

Lower

Question 16

Do computerised therapies work?

Answer 16

Yes, and they are less intensive and more cost effective

Question 17

Name 3 advantages of computerised digital therapies?

Answer 17

1) Flexible
2) Reduce stigma
3) Up to date and consistent info

Question 18

Name 3 disadvantages of computerised digital therapies?

Answer 18

1) Digital exclusion - what about those who cant access the internet?
2) Absence of human/therapeutic relationship
3) Drop out rates can be high with no human interaction

Question 19

Therapists are ___ hopeful about Computerised CBT than their ______

Answer 19

Less, Clients