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  • Technological Adjuncts to Increase Adherence to Therapy: The Role of Mobile Phones

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    Clough_2016_01Thesis.pdf (41.26Mb)
    Author(s)
    Clough, Bonnie A.
    Primary Supervisor
    Casey, Leanne
    Other Supervisors
    O'Donovan, Analise
    Year published
    2016
    Metadata
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    Abstract
    The aim of this thesis was to investigate the use of mobile phones as an adjunct to face-to-face psychotherapy. This aim was developed from two structured reviews of the literature concerning the types of adjunctive technologies in use, and the ways in which they have been used to increase adherence. Adjunctive use of the mobile phone was investigated in regards to its capacity to achieve greater client adherence and engagement in therapy, in order to facilitate improved treatment outcomes and client satisfaction. This overarching aim and hypothesis was investigated in three empirical studies, presented as a series of published ...
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    The aim of this thesis was to investigate the use of mobile phones as an adjunct to face-to-face psychotherapy. This aim was developed from two structured reviews of the literature concerning the types of adjunctive technologies in use, and the ways in which they have been used to increase adherence. Adjunctive use of the mobile phone was investigated in regards to its capacity to achieve greater client adherence and engagement in therapy, in order to facilitate improved treatment outcomes and client satisfaction. This overarching aim and hypothesis was investigated in three empirical studies, presented as a series of published and unpublished papers. Study One investigated the use of Short Message Service (SMS) appointment reminders. It was predicted that the SMS prompts, delivered the day prior to a scheduled appointment at an outpatient psychology clinic, would decrease client non­ attendance and dropout. In a Randomised Controlled Trial (RCT), 140 participants were allocated to either receive SMS appointment reminders or to receive no reminders. No significant differences were found between the two conditions in relation to client attendance. Dropout was higher in the SMS condition than in the no SMS condition. It was concluded that the SMS reminders did not increase client adherence to appointment attendance behaviours. This study also highlighted the importance of careful examination of technological interventions before dissemination.
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    Thesis Type
    Thesis (PhD Doctorate)
    Degree Program
    Doctor of Philosophy in Clinical Psychology (PhD ClinPsych)
    School
    School of Applied Psychology
    DOI
    https://doi.org/10.25904/1912/1596
    Copyright Statement
    The author owns the copyright in this thesis, unless stated otherwise.
    Item Access Status
    Public
    Subject
    Adjunctive technologies
    Mobile phones
    Short Message Service (SMS)
    Randomised Controlled Trial (RCT)
    Therapy appointments
    Publication URI
    http://hdl.handle.net/10072/366844
    Collection
    • Theses - Higher Degree by Research

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