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

Tatiana M. Davidson, Brian E. Bunnell, Benjamin E. Saunders, Rochelle F. Hanson, Carla K. Danielson, Danna Cook, Brian C. Chu, Shannon Dorsey, Zachary W. Adams, Arthur R Andrews III, Jesse H. Walker, Kathryn E. Soltis, Judith A. Cohen, Esther Deblinger, Kenneth J. Ruggiero

Research output: Contribution to journalArticle

Abstract

Mental 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.

Original languageEnglish (US)
Pages (from-to)367-379
Number of pages13
JournalBehavior Therapy
Volume50
Issue number2
DOIs
StatePublished - Mar 1 2019

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Quality of Health Care
Tablets
Mental Health
Cognitive Therapy
Community Mental Health Services
Wounds and Injuries
Therapeutics
Caregivers
Technology
Child Health
Randomized Controlled Trials
Organizations
Interviews

Keywords

  • child mental health treatment
  • engagement
  • fidelity
  • mobile health
  • traumatic stress

ASJC Scopus subject areas

  • Clinical Psychology

Cite this

Davidson, T. M., Bunnell, B. E., Saunders, B. E., Hanson, R. F., Danielson, C. K., Cook, D., ... Ruggiero, K. J. (2019). Pilot Evaluation of a Tablet-Based Application to Improve Quality of Care in Child Mental Health Treatment. Behavior Therapy, 50(2), 367-379. https://doi.org/10.1016/j.beth.2018.07.005

Pilot Evaluation of a Tablet-Based Application to Improve Quality of Care in Child Mental Health Treatment. / Davidson, Tatiana M.; Bunnell, Brian E.; Saunders, Benjamin E.; Hanson, Rochelle F.; Danielson, Carla K.; Cook, Danna; Chu, Brian C.; Dorsey, Shannon; Adams, Zachary W.; Andrews III, Arthur R; Walker, Jesse H.; Soltis, Kathryn E.; Cohen, Judith A.; Deblinger, Esther; Ruggiero, Kenneth J.

In: Behavior Therapy, Vol. 50, No. 2, 01.03.2019, p. 367-379.

Research output: Contribution to journalArticle

Davidson, TM, Bunnell, BE, Saunders, BE, Hanson, RF, Danielson, CK, Cook, D, Chu, BC, Dorsey, S, Adams, ZW, Andrews III, AR, Walker, JH, Soltis, KE, Cohen, JA, Deblinger, E & Ruggiero, KJ 2019, 'Pilot Evaluation of a Tablet-Based Application to Improve Quality of Care in Child Mental Health Treatment', Behavior Therapy, vol. 50, no. 2, pp. 367-379. https://doi.org/10.1016/j.beth.2018.07.005
Davidson, Tatiana M. ; Bunnell, Brian E. ; Saunders, Benjamin E. ; Hanson, Rochelle F. ; Danielson, Carla K. ; Cook, Danna ; Chu, Brian C. ; Dorsey, Shannon ; Adams, Zachary W. ; Andrews III, Arthur R ; Walker, Jesse H. ; Soltis, Kathryn E. ; Cohen, Judith A. ; Deblinger, Esther ; Ruggiero, Kenneth J. / Pilot Evaluation of a Tablet-Based Application to Improve Quality of Care in Child Mental Health Treatment. In: Behavior Therapy. 2019 ; Vol. 50, No. 2. pp. 367-379.
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