Contextual assessment: evaluating a novel self-guided online therapeutic assessment.

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  • Author(s): Levis M;Levis M;Levis M;Levis M; Levis AJ; Levis AJ
  • Source:
    International journal of psychiatry in clinical practice [Int J Psychiatry Clin Pract] 2021 Jun; Vol. 25 (2), pp. 206-215. Date of Electronic Publication: 2020 Jul 23.
  • Publication Type:
    Evaluation Study; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Informa Healthcare Country of Publication: England NLM ID: 9709509 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1471-1788 (Electronic) Linking ISSN: 13651501 NLM ISO Abbreviation: Int J Psychiatry Clin Pract Subsets: MEDLINE
    • Publication Information:
      Publication: London : Informa Healthcare
      Original Publication: London : Martin Dunitz, c1997-
    • Subject Terms:
      Internet*; Cognitive Behavioral Therapy/*methods ; Depression/*therapy ; Psychotherapy/*methods ; Self Care/*methods; Adult ; Conflict, Psychological ; Depression/diagnosis ; Depression/psychology ; Female ; Humans ; Male ; Middle Aged ; Outcome Assessment, Health Care ; Pilot Projects ; Treatment Outcome
    • Abstract:
      Background: Paper introduces Conflict Analysis (CA), an online self-guided therapeutic assessment. CA combines a diagnostic self-report scale with narrative exercises and self-analytical tasks. CA automatically generates detailed diagnostic records and frameworks for changes.
      Objective: To evaluate therapeutic and diagnostic benefits associated with CA over time.
      Methods: This online study compared CA over 2 weeks on outcome measures predicting psychotherapy outcome. Novel scale measuring perceived diagnostic benefit and perceived therapeutic benefit was delivered at post and follow-up. Cohort (n = 59, average age = 35, 50% female) was either in therapy or interested to start therapy in near future.
      Results: Repeated-measure ANOVAs suggest that scores significantly changed on measures predicting negative affect, depression, performance and appearance self-esteem, insight, and growth initiative. Agreement rates on items measuring perceived diagnostic and therapeutic benefits were at least 74.5% for both post and follow-up.
      Conclusions: Evidence supports further exploration of CA as a self-guided diagnostic and therapeutic resource.Key pointsResults demonstrate feasibility and utility of online self-guided therapeutic assessment.Described model is associated with increased perceived diagnostic and therapeutic benefits.Described model illustrates therapeutic benefits over time.Results demonstrate that even self-guided assessment can have therapeutic implications.
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    • Grant Information:
      VA999999 United States ImVA Intramural VA
    • Contributed Indexing:
      Keywords: Psychology; clinical; online therapy; personality assessment; psychological assessment; psychotherapy; self-administered treatment
    • Publication Date:
      Date Created: 20200724 Date Completed: 20211103 Latest Revision: 20240607
    • Publication Date:
      20240607
    • Accession Number:
      PMC11151187
    • Accession Number:
      10.1080/13651501.2020.1794010
    • Accession Number:
      32701050