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Evaluation ViewAttendees 10

Technology/Digital Health
Symposia

Symposium 17 - Tutorials in Leveraging Technology for Clinical Assessment and Intervention

Friday, November 15, 2024
10:00 AM – 11:00 AM EST
Location: Grand Ballroom A, Level 5, Downtown Marriott
CE: 1

Keywords: Technology / Mobile Health, Assessment, Treatment
Level of Familiarity: All
Recommended Readings: Teachman, B. A., Werntz, A., & Silverman, A. L. (2022). Digital mental health services: Moving from promise to results. Cognitive and Behavioral Practice, 29(1), 97-104.,   Henry, L. M., Hansen, E., Chimoff, J., Pokstis, K., Kiderman, M., Naim, R., ... & Brotman, M. A. (2024). Selecting an Ecological Momentary Assessment Platform: Tutorial for Researchers. Journal of Medical Internet Research, 26, e51125.,   Grasser, L. R., Erjo, T., Goodwin, M. S., Naim, R., German, R. E., White, J., ... & Brotman, M. A. (2023). Can peripheral psychophysiological markers predict response to exposure-based cognitive behavioral therapy in youth with severely impairing irritability? A study protocol. BMC psychiatry, 23(1), 926.,   Cardinale, E. M., Naim, R., Haller, S. P., German, R., Botz-Zapp, C., Bezek, J., ... & Brotman, M. A. (2021). Rationale and validation of a novel mobile application probing motor inhibition: Proof of concept of CALM-IT. Plos one, 16(6), e0252245.,   Kornfield, R., Stamatis, C. A., Bhattacharjee, A., Pang, B., Nguyen, T., Williams, J. J., ... & Meyerhoff, J. (2023). A text messaging intervention to support the mental health of young adults: User engagement and feedback from a field trial of an intervention prototype. Internet Interventions, 34, 100667.

Recent technological advances hold promise for identifying and predicting cognitions, emotions, behaviors, physiological responses, and psychological symptoms and developing novel treatments (Mohr et al., 2020). Critically, emerging digital tools may be highly scalable and so have public health relevance (Marsch, 2021). Given the novelty and rapid evolution of digital tools for assessment and intervention, scientists and clinicians can benefit from direct guidance on selecting specific tools for their clinical research and practice, as well as exemplar processes for developing and validating new tools as part of their research programs.  

Through four presentations showcasing quantitative and qualitative research, this symposium will guide scientists and clinicians in integrating technology into their research and practice. Presentation 1 will provide attendees with specific strategies for selecting an ecological momentary assessment platform that best meets their research and clinical needs. A qualitative case study of selecting platforms for studies of youth with clinical irritability, chronic pain, and substance use will illustrate these strategies. Presentation 2 will discuss wearable biosensing for measuring psychophysiology during psychotherapy. Attendees will be oriented to specific tools and data analytic systems, and empirical evidence will be presented to support their use. Presentation 3 will provide a roadmap for developing mechanism-based mobile applications (“apps”) for clinical assessment. A novel gamified mobile app that assesses inhibitory control with data supporting feasibility, reliability, validity, and clinical relevance will be presented. Presentation 4 will showcase an automated text messaging intervention for young adult depression and anxiety self-management. Insights from the user-centered design process will be discussed, including interactive dialogues collecting data to inform reinforcement learning algorithms that adaptively adjust the content and timing of future messages.
Presenters will introduce a range of tools for clinical assessment and intervention that leverage technological advances, including ecological momentary assessment, in-situ biosensing (e.g., photoplethysmography and electrodermal activity), mobile apps, and user-centered design processes. Presenters combine expertise in the in-vivo measurement of cognitive processes, psychophysiology, and psychological symptoms, as well as digital therapeutics for children, adolescents, and adults with a range of psychiatric disorders and problems (e.g., irritability, anxiety, depression). Potential benefits (e.g., accessibility) and challenges (e.g., ethical considerations, racial biases in measures) of leveraging technology in clinical assessment and intervention will be discussed. The panel (including the chair, co-chair, and discussant) contains practicing clinical psychologists and trainees. Considerations for diversity, equity, and inclusion are included in each presentation, and material presented is well-suited to ABCT’s 2024 conference theme, Inspiring Community Engagement, Advocacy, and Innovation to Advance CBT.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Identify and describe multiple digital tools for clinical assessment and intervention.
  2. Identify, compare, and select specific digital equipment for the collection of clinically-relevant data and systems for analyzing those data.
  3. Describe the opportunities and challenges of using and developing digital tools for research and practice.
  4. Describe opportunities and challenges in scaling and sustaining digital assessment and intervention tools to meet the needs of the community.
  5. Describe work needed to develop/implement tools for vulnerable, historically marginalized individuals rather than exacerbating inequities.

Presentations:

  • 10:00 AM – 11:00 AM EST
    (SYM 17) Selecting an Ecological Momentary Assessment Platform: A Tutorial for Researchers and Clinicians

    Speaker: Lauren M. Henry, Ph.D. (she/her/hers) – National Institute of Mental Health

    Co-author: Eleanor Hansen, B.A. – National Institute of Mental Health

    Co-author: Justin Chimoff, BS – Boston Children's Hospital

    Co-author: Kimberly Pokstis, BS – Boston Children's Hospital

    Co-author: Miryam Kiderman, PsyD – NIMH

    Co-author: Reut Naim, PhD – Tel Aviv University

    Co-author: Joe Kossowsky, MMSc, PhD – Boston Children's Hospital

    Co-author: Meghan E. Byrne, Ph.D. – National Institute of Mental Health

    Co-author: Silvia Lopez-Guzman, MD, PhD – NIMH

    Co-author: Katharina Kircanski, PhD – NIMH

    Co-author: Daniel Pine, M.D. – National Institute of Mental Health

    Co-author: Melissa Brotman, PhD – Emotion and Development Branch, NIMH

  • 10:00 AM – 11:00 AM EST
    (SYM 17) Leveraging Wearables in Clinical and Research Settings: Recommendations for Collection Platforms and Analytic Software

    Speaker: Lana R. Grasser, Ph.D. (she/her/hers) – Wayne State University

  • 10:00 AM – 11:00 AM EST
    (SYM 17) A Framework for Leveraging Technology to Probe Mechanism: A Proof of Concept Exploring Inhibitory Control

    Speaker: Elise Cardinale, Ph.D. (she/her/hers) – The Catholic University of America

    Co-author: Jennifer Meigs, BA – The Catholic University of america

    Co-author: Simone Haller, PhD – NIMH

    Co-author: Kenny Fling, BA – NIMH

    Co-author: Urmi Pandya, BA – University of Washington

    Co-author: Olivia Seigal, BA – Yale University

    Co-author: Anjali Poe, B.A. – National Institute of Mental Health

    Co-author: Shannon Shaughnessy, B.A. – University of Miami

    Co-author: Christian Zapp, BA – Kaiser Permanente Bernard J Tyson School of Medicine

    Co-author: Jessica Bezek, BA – University of Michigan

    Co-author: Kyunghun Lee, Ph.D. – National Institute of Mental Health

    Co-author: Parmis Khosravi, Ph.D. – National Institute of Mental Health

    Co-author: Lauren M. Henry, Ph.D. (she/her/hers) – National Institute of Mental Health

    Co-author: Meghan E. Byrne, Ph.D. – National Institute of Mental Health

    Co-author: Katharina Kircanski, PhD – NIMH

    Co-author: Ellen Leibenluft, PhD – National Institute of Mental Health (NIMH)

    Co-author: Reut Naim, PhD – Tel Aviv University

    Co-author: Daniel Pine, M.D. – National Institute of Mental Health

    Co-author: Melissa Brotman, PhD – Emotion and Development Branch, NIMH

  • 10:00 AM – 11:00 AM EST
    (SYM 17) User-centered Design Methods for Digital Interventions: An Application to the Design of an Automated Messaging Intervention for Mental Health Self-management

    Speaker: Rachel Kornfield, Ph.D. – Northwestern University Feinberg School of Medicine

    Co-author: Sarah A. Popowski, B.A. – Northwestern University Feinberg School of Medicine

    Co-author: Theresa Nguyen, MSW – Mental Health America

    Co-author: David C. Mohr, Ph.D. (he/him/his) – Northwestern University Feinberg School of Medicine

    Co-author: Jonah Meyerhoff, Ph.D. – Northwestern University