Abstract
Suicide is a health concern among Veterans with depression. We had previously reported on scripted dialogues adapted for an e-health system that engages at-risk veterans with schizophrenia. Here we report a further adaptation of the dialogues for Veterans with depression. Usability was assessed with nine outpatients with a history of major depression and suicidality. We noted that participants preferred greater specificity in the wording of questions. Topics that elicited an emotional response dealt with questions on suicide, social isolation and family relationships. Based on feedback, dialogues were revised for patients with depression. We also compared responses between those with depression and those with schizophrenia who were previously tested. The two groups shared similar themes. Also, individuals with a history of major depression had less trouble with vocabulary comprehension but were less willing to answer more questions daily.
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References
Colton, C. W., & Manderscheid, R. W. (2006). Congruencies in increased mortality rates, years of potential life lost, and causes of death among public mental health clients in eight states. Preventing Chronic Disease, 3, A42.
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-Mental State: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.
Hamilton, M. (1960). A rating scale for depression. Journal of Neurol, Neurosurg and Psychiatry, 23, 56–62.
Ilgen, M. A., Bohnert, A. S., Ignacio, R. V., McCarthy, J. F., Valenstein, M. M., Kim, H. M., et al. (2010). Psychiatric diagnoses and risk of suicide in veterans. Archives of General Psychiatry, 67, 1152–1158.
Jaspers, M.W. (2009) A comparison of usability methods for testing interactive health technologies: Methodological aspects and empirical evidence. International Journal of Medical Informatics, 78, 340–353.
Kasckow, J., Zickmund, S., Rotondi, A., Mrkva, A., Gurklis, J., Chinman, M., et al. (2014). Development of telehealth dialogues for monitoring suicidal patients with schizophrenia: Consumer feedback. Community Mental Health Journal, 50, 339–342.
Leucht, S., & Engel, R. R. (2006). The relative sensitivity of the Clinical Global Impressions Scale and the Brief Psychiatric Rating Scale in antipsychotic drug trials. Neuropsychopharmacology, 31, 406–412.
Miller, W., & Crabtree, B. F. (1992). Primary care research: a multi typology and qualitative road map. In B. F. Crabtree & W. L. Miller (Eds.), Doing qualitative research. London: Sage Press.
Nielsen, J. (1994). Estimating the number of subjects needed for a thinking aloud test. International Journal of Human Computer Studies, 41, 385–397.
Rotondi, A. J., Sinkule, J., Haas, G. L., Spring, M. B., Litschge, C. M., Newhill, C. E., et al. (2007). Designing websites for persons with cognitive deficits: Design and usability of a psychoeducational intervention for persons with severe mental illness. Psychological Services, 4, 202–224.
Sheehan, D. V., Lecrubier, Y., Harnett-Sheehan, K., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The M.I.N.I. International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59 (Suppl 20), 22–33.
Valenstein, M., Eisenberg, D., McCarthy, J. F., Austin, K. L., Ganoczy, D., Kim, H. M., et al. (2009). Service implications of providing intensive monitoring during high-risk periods for suicide among VA patients with depression. Psychiatric Services, 60, 439–444.
Acknowledgments
Supported by VA HSR&D PPO 10-249-2 (JWK), the VISN4 MIRECC and CHERP Centers of Excellence. The contents do not represent the views of the US Department of Veterans Affairs or those of the US government.
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Kasckow, J., Zickmund, S., Rotondi, A. et al. Optimizing Scripted Dialogues for an e-Health Intervention for Suicidal Veterans with Major Depression. Community Ment Health J 51, 509–512 (2015). https://doi.org/10.1007/s10597-014-9775-y
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DOI: https://doi.org/10.1007/s10597-014-9775-y