20 – Technology Integration and Behavioral Assessment

Publisher Summary This chapter reveals that the technological advances in handheld computer technology have provided new opportunities for the collection of self-monitoring data. Although the handheld computing technology that makes ecological momentary assessment (EMA) studies possible is relatively new, self-monitoring as a behavioral assessment technique is not. Compared to other self-monitoring approaches, EMA is a desirable option for several reasons. Data may be easily collected on an interval, event-contingent, or random schedule. If a signal-contingent interval sampling strategy is used, data-collection periods can be scheduled at equal or random intervals using commercially available software. Collected data may be time-stamped and stored in a database accessible by routinely used statistical packages. Another advantage of EMA, and all computerized adaptive testing, is that branching algorithms may be programmed into the software to create sophisticated questionnaires that dynamically reconfigure based on an individual's prior response.

[1]  J. Yager,et al.  E-mail as a therapeutic adjunct in the outpatient treatment of anorexia nervosa: Illustrative case material and discussion of the issues. , 2001, The International journal of eating disorders.

[2]  R. Dahl,et al.  Measuring mood and complex behavior in natural environments: use of ecological momentary assessment in pediatric affective disorders. , 2003, Journal of child and adolescent psychopharmacology.

[3]  S. Kenford,et al.  Comparability of Telephone and Face-to-Face Interviews in Assessing Patients with Posttraumatic Stress Disorder , 2004, Journal of psychiatric practice.

[4]  M. Dixon,et al.  Visual Basic for Behavioral Psychologists , 2003 .

[5]  S. Shiffman,et al.  A comparison of coping assessed by ecological momentary assessment and retrospective recall. , 1998, Journal of personality and social psychology.

[6]  J O'Laughlen,et al.  Pilot studies of telemedicine for patients with obsessive-compulsive disorder. , 1995, The American journal of psychiatry.

[7]  Tom Buchanan,et al.  Internet-based Questionnaire Assessment: Appropriate Use in Clinical Contexts , 2003, Cognitive behaviour therapy.

[8]  B. Daniels,et al.  Long-term follow-up of computer-aided vicarious exposure versus live graded exposure in the treatment of spider phobia , 2003 .

[9]  David W. Nickelson Behavioral Telehealth: Emerging Practice, Research, and Policy Opportunities , 1996 .

[10]  D. Peck,et al.  The consistency of neuropsychological assessments performed via telecommunication and face to face , 2000, Journal of telemedicine and telecare.

[11]  D. Eedy,et al.  Patient satisfaction with realtime teledermatology in Northern Ireland , 1998, Journal of telemedicine and telecare.

[12]  K Cavanagh,et al.  Computerized cognitive-behaviour therapy for anxiety and depression: a practical solution to the shortage of trained therapists. , 2004, Journal of psychiatric and mental health nursing.

[13]  G. Wilson,et al.  Self-monitoring in the assessment of eating disorders , 1999 .

[14]  Annie J. Hill,et al.  Assessment of motor speech disorders online: A pilot study , 2003, Journal of telemedicine and telecare.

[15]  Michel Hersen,et al.  Comprehensive handbook of psychological assessment , 2004 .

[16]  G. Riva,et al.  Common daily activities in the virtual environment: a preliminary study in parkinsonian patients , 2002, Neurological Sciences.

[17]  R. L. Collins,et al.  The feasibility of using cellular phones to collect ecological momentary assessment data: application to alcohol consumption. , 2003, Experimental and clinical psychopharmacology.

[18]  Robert L. Glueckauf,et al.  Home-based, interactive videoconferencing for adolescents with epilepsy and their families. , 1999 .

[19]  P. Carlbring,et al.  Internet-based Treatment for Panic Disorder , 2003, Cognitive behaviour therapy.

[20]  R. Stephens,et al.  Assessing substance abuse treatment needs among the homeless: a telephone-based interactive voice response system. , 1996, American journal of public health.

[21]  Jeonghun Ku,et al.  A Virtual Reality System for the Assessment and Rehabilitation of the Activities of Daily Living , 2003, Cyberpsychology Behav. Soc. Netw..

[22]  E-Mail Communication as an Adjunct to Systemic Psychotherapy , 2003 .

[23]  B. Rothbaum,et al.  A controlled study of virtual reality exposure therapy for the fear of flying. , 2000, Journal of consulting and clinical psychology.

[24]  Beth Bock,et al.  Smoking cessation treatment on the Internet: content, quality, and usability. , 2004, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco.

[25]  A. Farrell Evaluation of the Computerized Assessment System for Psychotherapy Evaluation and Research (CASPER) as a measure of treatment effectiveness in an outpatient training clinic , 1999 .

[26]  H. Emslie,et al.  Comparison of pocket-computer memory aids for people with brain injury. , 2001, Brain injury.

[27]  Deborah Blacker,et al.  Development and Validation of a Structured Telephone Interview for Dementia Assessment (STIDA): The NIMH Genetics Initiative , 1997, Journal of geriatric psychiatry and neurology.

[28]  J. L. Rogers,et al.  Using significance tests to evaluate equivalence between two experimental groups. , 1993, Psychological bulletin.

[29]  A. Stone,et al.  Strategies for analyzing ecological momentary assessment data. , 1998, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[30]  S. Shiffman,et al.  Ecological Momentary Assessment (Ema) in Behavioral Medicine , 1994 .

[31]  Stefan E. Schulenberg,et al.  Ethical issues in the use of computerized assessment , 2004, Comput. Hum. Behav..

[32]  B. Rothbaum,et al.  Twelve-month follow-up of virtual reality and standard exposure therapies for the fear of flying. , 2002, Journal of consulting and clinical psychology.

[33]  C. Taylor,et al.  A Palmtop Computer Program for the Treatment of Generalized Anxiety Disorder , 1999, Behavior modification.

[34]  Max M. North,et al.  Brief Virtual Reality Therapy for Public Speaking Anxiety , 2002, Cyberpsychology Behav. Soc. Netw..

[35]  L. Bickman,et al.  Telephone counselling for adolescent suicide prevention: changes in suicidality and mental state from beginning to end of a counselling session. , 2003, Suicide & life-threatening behavior.

[36]  Albert D. Farrell,et al.  Impact of computers on professional practice: A survey of current practices and attitudes. , 1989 .

[37]  Cristina Botella,et al.  A self-applied, Internet-based intervention for fear of public speaking. , 2004, Journal of clinical psychology.

[38]  D. Thordarson,et al.  Efficacy of Telephone-Administered Cognitive Behaviour Therapy for Obsessive-Compulsive Spectrum Disorders: Case Studies , 2003, Cognitive behaviour therapy.

[39]  Richard A. Bryant,et al.  A Therapist-Assisted Internet Self-Help Program for Traumatic Stress. , 2004 .

[40]  P. Emmelkamp,et al.  Interapy: a controlled randomized trial of the standardized treatment of posttraumatic stress through the internet. , 2003, Journal of consulting and clinical psychology.

[42]  C. Ball,et al.  The assessment of cognitive function in the elderly using videoconferencing , 1998, Journal of telemedicine and telecare.

[43]  J. Treasure,et al.  Factors determining uptake of a CD-ROM-based CBT self-help treatment for bulimia: Patient characteristics and subjective appraisals of self-help treatment , 2003 .

[44]  H White,et al.  A randomized, controlled trial of child psychiatric assessments conducted using videoconferencing , 2000, Journal of telemedicine and telecare.

[45]  C. Morin,et al.  Cognitive-behavioral therapy for insomnia: comparison of individual therapy, group therapy, and telephone consultations. , 2004, Journal of consulting and clinical psychology.

[46]  James P. Stevens,et al.  Intermediate Statistics: A Modern Approach , 1990 .

[47]  E-mail as an adjunctive tool in psychotherapy: response and responsibility. , 2003, American journal of psychotherapy.

[48]  Karen Farchaus Stein,et al.  Ecologic momentary assessment of eating-disordered behaviors. , 2003, The International journal of eating disorders.

[49]  P. Robinson,et al.  Computers, e-mail and therapy in eating disorders , 2003 .

[50]  T. Cowain Cognitive–Behavioural Therapy via Videoconferencing to a Rural Area , 2001, The Australian and New Zealand journal of psychiatry.

[51]  E. Nelson,et al.  Treating childhood depression over videoconferencing. , 2003, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[52]  Per Carlbring,et al.  Screening of psychiatric disorders via the Internet. A pilot study with tinnitus patients , 2004, Nordic journal of psychiatry.

[53]  Cristina Botella,et al.  Redefining Therapeutic Success with Virtual Reality Exposure Therapy , 2001, Cyberpsychology Behav. Soc. Netw..

[54]  J. Yager Clinical computing: monitoring patients with eating disorders by using e-mail as an adjunct to clinical activities. , 2003, Psychiatric services.

[55]  G. Sideridis,et al.  Is Human Behavior Autocorrelated? An Empirical Analysis , 1997 .

[56]  James S. Williford,et al.  Virtual Reality Graded Exposure in the Treatment of Acrophobia: A Case Report , 1995 .

[57]  J. Kenardy,et al.  The Use of Hand-Held Computers as an Adjunct to Cognitive-Behavior Therapy , 1996 .

[58]  Jason S. Zack,et al.  The Online and Face-to-Face Counseling Attitudes Scales: A Validation Study , 2004 .

[59]  Kypros Kypri,et al.  Web-based screening and brief intervention for hazardous drinking: a double-blind randomized controlled trial. , 2004, Addiction.

[60]  B. Daniels,et al.  Controlled Comparison of Computer-Aided Vicarious Exposure Versus Live Exposure in the Treatment of Spider Phobia , 2000 .

[61]  C. Botella,et al.  Virtual reality in the treatment of spider phobia: a controlled study. , 2002, Behaviour research and therapy.

[62]  J. Butcher,et al.  Computers in clinical assessment: historical developments, present status, and future challenges. , 2004, Journal of clinical psychology.

[63]  Tom Buchanan,et al.  Online assessment: Desirable or dangerous? , 2002 .

[64]  S Shiffman,et al.  Coping in real time: using Ecological Momentary Assessment techniques to assess coping with the urge to smoke. , 1998, Research in nursing & health.

[65]  B. Rothbaum,et al.  Virtual Reality Exposure Therapy for PTSD Vietnam Veterans: A Case Study , 1999, Journal of traumatic stress.

[66]  Terry L. Schell,et al.  Computer-assisted self-assessment in persons with severe mental illness. , 2004, The Journal of clinical psychiatry.

[67]  Development and evaluation of problem frequency scales from version 3 of the computerized assessment system for psychotherapy evaluation and research (CASPER). , 1999, Journal of clinical psychology.

[68]  Larry D. Rosen,et al.  Psychologists and technology: A look at the future. , 1996 .

[69]  C. B. Taylor,et al.  Comparison of palmtop-computer-assisted brief cognitive-behavioral treatment to cognitive-behavioral treatment for panic disorder. , 1997, Journal of consulting and clinical psychology.

[70]  Maxine Rosenfield,et al.  Group Counselling by Telephone. , 1998 .

[71]  Mark R. McMinn,et al.  TECHNOLOGY, PROFESSIONAL PRACTICE, AND ETHICS : SURVEY FINDINGS AND IMPLICATIONS , 1999 .

[72]  R. Wootton,et al.  Preliminary experience of allied health assessments delivered face to face and by videoconference to a residential facility for elderly people , 2003, Journal of telemedicine and telecare.

[73]  D Hemsley,et al.  Retrospective versus prospective self-rating of anxiety symptoms and cognitions. , 1999, Journal of anxiety disorders.

[74]  Concepción Perpiñá,et al.  Internet-Based Telehealth System for the Treatment of Agoraphobia , 2003, Cyberpsychology Behav. Soc. Netw..

[75]  Michelle G. Newman,et al.  Computers in Assessment and Cognitive Behavioral Treatment of Clinical Disorders: Anxiety as a Case in Point , 1997 .

[76]  D. Lester,et al.  Suicide prevention by e-mail , 1998 .

[77]  Stéphane Bouchard,et al.  Cognitive Behavior Therapy for Panic Disorder with Agoraphobia in Videoconference: Preliminary Results , 2000, Cyberpsychology Behav. Soc. Netw..

[78]  R. N. Davis,et al.  Web-based administration of a personality questionnaire: Comparison with traditional methods , 1999, Behavior research methods, instruments, & computers : a journal of the Psychonomic Society, Inc.

[79]  S. Berns,et al.  Telephone administration of neuropsychological tests can facilitate studies in schizophrenia , 2004, Schizophrenia Research.

[80]  Curt J. Dommeyer,et al.  Comparing Two Forms of an E-mail Survey: Embedded vs Attached , 2000 .

[81]  James A. Hall,et al.  A Comparison of Computer-Based Versus Pencil-and-Paper Assessment of Drug Use , 2002 .

[82]  A. Farrell,et al.  Identification of target complaints by computer interview: evaluation of the computerized assessment system for psychotherapy evaluation and research. , 1987, Journal of consulting and clinical psychology.

[83]  John L. Smith,et al.  Research on the Internet: Validation of a World-Wide Web mediated personality scale , 1999, Behavior research methods, instruments, & computers : a journal of the Psychonomic Society, Inc.

[84]  J. McKay,et al.  Comparability of Telephone and In-Person Structured Clinical Interview for DSM-III-R (SCID) Diagnoses , 1999, Assessment.

[85]  Computerized intrapersonal conflict assessment in cognitive therapy , 1999 .

[86]  L. Koran,et al.  In vivo measurement of obsessive-compulsive disorder symptoms using palmtop computers , 1998 .

[87]  Gregory E Simon,et al.  Telephone psychotherapy and telephone care management for primary care patients starting antidepressant treatment: a randomized controlled trial. , 2004, JAMA.