AbstractIn the course of patient treatments, psychotherapists aim to meet the challenges of being both a trusted, knowledgeable conversation partner and a diligent documentalist. We are developing the digital whiteboard system Tele-Board MED (TBM), which allows the therapist to take digital notes during the session together with the patient. This study investigates what therapists are experiencing when they document with TBM in patient sessions for the first time and whether this documentation saves them time when writing official clinical documents. As the core of this study, we conducted four anamnesis session dialogues with behavior psychotherapists and volunteers acting in the role of patients. Following a mixed-method approach, the data collection and analysis involved self-reported emotion samples, user experience curves and questionnaires. We found that even in the very first patient session with TBM, therapists come to feel comfortable, develop a positive feeling and can concentrate on the patient. Regarding administrative documentation tasks, we found with the TBM report generation feature the therapists save 60% of the time they normally spend on writing case reports to the health insurance.
Evaluation of the Technology Acceptance of a Collaborative Documentation System for Addiction Therapists and Clients.Perlich, Anja; Meinel, Christoph; Zeis, Daniel (2018). 695-699.
AbstractAddiction treatment outcomes are strongly determined by relational factors. We present the interactive documentation system Tele-Board MED (TBM) developed as an adjunct to therapy sessions aimed at enhancing the therapeutic alliance and patient empowerment. The objective of this work is to find factors that predict the acceptance of TBM in face-to-face addiction treatment sessions. We combined the methodologies of survey and focus group and based the data collection and analysis on the Unified Theory of Acceptance and Use of Technology. The studies, which involved therapists (n=13) and clients (n=33), were conducted in an addiction counselling center in Germany. Therapists see a flexible, contextdependent usage as a basic condition for TBM acceptance and its greatest benefit in providing a discussion framework and quick access to worksheets—in both individual and group sessions. Clients are inclined to use the system with the expectation of improved communication and better recall of the discussed topics based on a personal copy of the session notes.
Establishing Therapeutic Alliance in Mental Health Care via Cooperative Documentation.Perlich, Anja; Thienen, Julia von; Meinel, Christoph (2017).
AbstractIn talk-based mental health interventions, treatment outcomes can be decisively improved by enhancing the relationship between patient and therapist. We developed the interactive documentation system Tele-Board MED (TBM) with the goal of supporting patients and doctors in their cooperative task of patient care. The system offers a whiteboard-inspired graphical user interface which allows them to take notes jointly during the treatment session. Two proxy studies were conducted whereby TBM was introduced in a role play that showcased the dialogue in a therapy session. The patient role was played by a volunteer. The audience of human-centered design as well as eHealth experts rated the therapist-patient relationship in a session with and without TBM. The data collected via questionnaires shows that TBM consistently receives a positive rating from study participants (N=36) in the areas of: collaboration, communication, patient-doctor relationship, as well as patient empowerment.
Patient-provider teamwork via cooperative note taking on Tele-Board MED.Perlich, Anja; Meinel, Christoph (2016).
AbstractThere is significant, unexploited potential to improve the patients’ engagement in psychotherapy treatment through technology use. We develop Tele-Board MED (TBM), a digital tool to support documentation and patient-provider collaboration in medical encounters. Our objective is the evaluation of TBM's practical effects on patient-provider relationships and patient empowerment in the domain of talk-based mental health interventions. We tested TBM in individual therapy sessions at a psychiatric ward using action research methods. The qualitative results in form of therapist observations and patient stories show an increased acceptance of diagnoses and patient-therapist bonding. We compare the observed effects to patient-provider relationship and patient empowerment models. We can conclude that the functions of TBM – namely that notes are shared and cooperatively taken with the patient, that diagnostics and treatment procedures are depicted via visuals and in plain language, and that patients get a copy of their file – lead to increased patient engagement and an improved collaboration, communication and integration in consultations.
Automatic Treatment Session Summaries in Psychotherapy – a Step towards Therapist-Patient Cooperation.Perlich, Anja; Meinel, Christoph (2015).
AbstractTherapeutic documentation is a crucial part in psychotherapy and should first and foremost support the patient’s therapy progress. Yet, the notes taken throughout a therapy, mainly serve the use of therapists. In line with the movement of patient empowerment, the calls for patients’ access to their records are growing louder and were incorporated into the German patients’ rights law. Hence, with Tele-Board MED, an interactive system for joint documentation of therapist and patient was developed. In this paper, we introduce one of its many features: the automatic creation of treatment session summaries. Our contribution also consists of the evaluation of its potential for practical use by psychotherapists. The aim of our work is twofold, namely the involvement of patients in the documentation, and the support of therapists with their documentation duties. The aspects of investigation include the therapists’ documentation habits (regarding time, amount, and method), their purposes to manually create session summaries and opinion about the automatically created summaries. It was discovered that the bigger part of the motivation for treatment session documentation lies in the therapists’ personal purposes, such as remembering a case right before the next session. Nevertheless therapists are willing to turn documentation in a cooperative activity if they had effective and efficient tools at hand. With the system presented, they can well imagine summarizing important issues together with the patient at the end of a session and also handing out printed summaries to them.
A Document-Centric Method For Combined Synchronous And Asynchronous Applications.Gericke, Lutz; Meinel, Christoph (2013).
Exploring the Synthesis of Information in Design Processes - Opening the Black-Box.Gumienny, Raja; Lindberg, Tilmann; Meinel, Christoph (2011). (Culley, S.J., Hicks, B.J., McAloone, T.C., Howard, T.J. & Chen, W. ) 446-455.