Document Type

Journal Article

Study Type

Randomized Controlled Trial

Publication Date

10-1-2006

Journal

Cyberpsychology & behavior : the impact of the Internet, multimedia and virtual reality on behavior and society

Volume

9

Issue

5

Inclusive Pages

603-7

DOI

10.1089/cpb.2006.9.603

Keywords

Adult; Alcoholism; Attitude to Computers; Computer Simulation; Feedback, Psychological; Female; Humans; Male; Middle Aged; Online Systems; Patient Compliance; Patient Satisfaction; Physician-Patient Relations; Psychotherapy; Software; Surveys and Questionnaires; Treatment Outcome

Abstract

The quality of the therapeutic alliance has robust effects on the outcome of psychotherapy and psychopharmacologic interventions. Automated behavioral health programs that are being developed to increase access to mental health treatment are administered in the absence of direct human participation, thereby precluding the development of a traditional therapeutic relationship. The aim of this study was to develop a personified guide designed to stimulate reactions similar to those experienced in a therapeutic relationship, and evaluate the effect of the guide on adherence to and satisfaction with an online alcohol use evaluation program. After completing a battery of four standard questionnaires used to evaluate problem drinking, 288 subjects were randomized to receive feedback on their results in text form or via a multimedia condition involving a personified guide. Those who received feedback via the guide demonstrated greater levels of program adherence by completing more modules. Reported satisfactions levels did not differ between the two conditions. Encouraging the personification of an automated behavioral health intervention may lead to greater levels of engagement with the program.

Peer Reviewed

1

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