Developing Mobile App Features and Functions for ...

Developing Mobile App Features and Functions for Parents with Psychiatric Disorders T R A N S G E N E R AT I O N A L M E N TA L H E A LT H AUGUST 17–19, 2016 BASEL, SWITZERLAND JOANNE NICHOLSON, PHD LY N N M A C P H E R S O N , B S

Supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069)

Project Team Geisel School of Medicine at Dartmouth Joanne Nicholson, Lynn MacPherson, Sarah Lord, Justin Tauscher Fort Point Design, LLC Chris Burns, Katherine Kelly This work is supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and by the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069) Supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069)

Why mobile apps for parents with SMI? Results for similar populations are promising. • Smoking Cessation •

Ferron JC, Brunette MF, McHugo GJ, Devitt TS, Martin WM, Drake RE (2013)

• Supported Employment •

Haslett WR, McHugo GJ, Bond GR, Drake RE (2014)

• Shared Decision-Making •

Deegan P (2010)

• Substance Use Disorders •

Marsch L (2011)

Image source: https://mgtvwspa.files.wordpress.com/2016/06/parenton-phone1.jpg?w=650

Supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069)

What do we know about app design? In e-health for users with SMI, design matters. Recommendations: • Minimize layers • Use explicit text • Employ navigational memory aids • Group hyperlinks in one area • Provide clear focus Rotondi AJ, Eack SM, Hanusa BH, Spring MB, & Hass GL (2013) Supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069)

What do parents need from an app? Parents have recommended specific functions. Suggestions from pilot work: • Resources for parents of teens, “so you’re not alone” • Advice on discussing mental health; “How to talk to your kids, have a positive relationship” • Peer support for parents and kids

Supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069)

Knowledge translation • Need to Know: model for new product development • 3 Phases • 9 Stages • 50+ Steps • 3 Phases: • Research/Discovery • Development/Invention • Production/Innovation

Flagg, J. L., Lane, J. P., & Lockett, M. M. (2013).

The KT4TT NtK model

Supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069)

Knowledge translation The KT4TT NtK model

Flagg, J. L., Lane, J. P., & Lockett, M. M. (2013).

Research Phase: Identify end users’ unmet needs and assess feasibility of potential solutions

Supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069)

Knowledge translation The KT4TT NtK model

Flagg, J. L., Lane, J. P., & Lockett, M. M. (2013).

Development Phase: Apply knowledge generated from Research Phase to create a plan for development

Supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069)

Knowledge translation The KT4TT NtK model

Flagg, J. L., Lane, J. P., & Lockett, M. M. (2013).

Production Phase: Plan and execute production activities (e.g., manufacturing, test marketing, ongoing product monitoring)

Supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069)

Knowledge translation in action: What might an app for parents with SMI look like? WorkingWell: App to support adults with SMI at work and at home • KT4TT user-centered development process • Accessible, self-directed, individually tailored design

Supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069)

Knowledge translation in action: Developing WorkingWell Formative work: Focus groups and surveys (n = 25) to assess need

Data analysis: Capture design recommendations + challenge areas to address

Development: Utilize data + stakeholder input to develop wireframe prototype

Development: Integrate feedback, consult stakeholders to build fully functional prototype

Data analysis: Identify ways to improve (usability, usefulness)

Usability testing Focus group (n = 10) testing to assess usability of wireframe

Feasibility Pilot Testing Supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069)

Knowledge translation in action: WorkingWell

• Four main components • Minimal layers • Icons as navigational memory aids

Supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069)

Knowledge translation in action: WorkingWell • Coping skills and tips for work and home life • Tips organized into four “challenge domains” that emerged from focus group data

Supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069)

Knowledge translation in action: WorkingWell • Sample tip from the “Staying Well to Work” challenge domain • Accessible language vetted by consumer consultant

Supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069)

So, what can we say about developing apps for parents with SMI? • Apps for parents with psychiatric disorders have potential to be efficacious • Parents are ready and willing to use apps • KT4TT NtK model can be applied to mobile app development for parents with SMI

Supported by the Dartmouth Center for Technology and Behavioral Health (CTBH), a US NIDA Center of Excellence (P30 DA029926) and the National Institute on Disability, Independent Living, and Rehabilitation Research (#90IF0069)