Reeva Lederman's research while affiliated with University of Melbourne and other places
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Publications (128)
With interest growing in social robots for older people, it is crucial to consider how robots can be designed to support wellbeing and ethical values in residential aged care. By applying Tronto’s ethics of care framework and the Care Centred Value-Sensitive Design methodology to existing literature, this paper investigates how caring values are ex...
Background:
Digital interventions have potential applications in promoting long-term recovery and improving outcomes in first-episode psychosis (FEP). This study aimed to evaluate the cost-effectiveness of Horyzons, a novel online social therapy to support young people aged 16-27 years following discharge from FEP services, compared with treatment...
Technology can be valuable for providing social and emotional enrichment for people living in residential aged care, but its use is difficult to sustain because of the complexity of the aged care environment. This paper aims to advance understanding of care environments to inform the sensitive design of technologies for social benefit in those sett...
Fully automated mental health apps provide a promising opportunity for increasing access to mental health care and resources. Given this opportunity, continued research into the utility and effectiveness of mental health apps is crucial. Therapeutic alliance (TA) refers to the relationship between a client and a healthcare professional, and has bee...
Background
Family carers of youth recovering from early psychosis experience significant stress; however, access to effective family interventions is poor. Digital interventions provide a promising solution.
Objective
Our objective was to evaluate across multiple Australian early psychosis services the effectiveness of a novel, web-based early psyc...
BACKGROUND
Family carers of youth recovering from early psychosis experience significant stress however, access to effective family interventions is poor. Digital interventions provide a promising solution.
OBJECTIVE
Our objective was to evaluate across multiple Australian early psychosis services the effectiveness of a novel online early psychosi...
Background:
Family members, who provide the majority of informal care during the recovery period from first-episode psychosis (FEP), experience high levels of psychological distress. However, there is a lack of effective and accessible interventions for FEP carers.
Objective:
To determine the effectiveness of an online intervention ("Altitudes")...
Social robots have the potential to augment the care provided to older adults in residential aged care homes. However, social robots can only be valuable in aged care if care staff successfully incorporate them into their ongoing care practices beyond a limited research period. This study examines the benefits and challenges of using different type...
Personal sensing is a promising approach for enabling the delivery of timely and personalised recommendations to improve mental health and well-being. However, existing research has revealed numerous barriers to personal sensing acceptance. This paper explores the influence of explanations on the acceptability of recommendations based on personal s...
Electronic medical records are increasingly used to store patient information in hospitals and other clinical settings. There has been a corresponding proliferation of clinical natural language processing (cNLP) systems aimed at using text data in these records to improve clinical decision-making, in comparison to manual clinician search and clinic...
Background
Early warning signs monitoring by service users with schizophrenia has shown promise in preventing relapse but the quality of evidence is low. We aimed to establish the feasibility of undertaking a definitive randomised controlled trial to determine the effectiveness of a blended digital intervention for relapse prevention in schizophren...
Fully automated mental health smartphone apps show strong promise in increasing access to psychological support. Therefore, it is crucial to understand how to make these apps effective. The therapeutic alliance (TA), or the relationship between healthcare professionals and clients, is considered fundamental to successful treatment outcomes in face-...
Background
Relapse is a major determinant of outcome for people with a diagnosis of schizophrenia. Early warning signs frequently precede relapse. A recent Cochrane Review found low-quality evidence to suggest a positive effect of early warning signs interventions on hospitalisation and relapse.
Objective
How feasible is a study to investigate the...
Recommender systems assist users in receiving preferred or relevant services and information. Using such technology could be instrumental in addressing the lack of relevance digital mental health apps have to the user, a leading cause of low engagement. However, the use of recommender systems for digital mental health apps, particularly those drive...
Videoconferencing has been increasingly used for social connectedness in residential aged care (RAC). In sensitive settings such as RAC, it is important that technologies are introduced with careful consideration of people's needs and experiences with the technology, to ensure that the desired benefits are realised. This paper reviews research evid...
The growing prevalence of digital approaches to mental health care raises a range of questions and considerations. A notion that has recently emerged is that of the digital therapeutic alliance, prompting consideration of whether and how the concept of therapeutic alliance, which has proven to be a central ingredient of successful traditional psych...
Purpose
This narrative review surveys the literature on the Internet of Things (IoT) in healthcare, organising it according to dominant trends to provide instructive examples of how the IoT is used. It extends previous categorisations, providing an extensive framework for understanding IoT implementation in healthcare. It reflects on the nature of...
UNSTRUCTURED
The growing prevalence of digital approaches to mental health care raises a range of questions and considerations. A notion that has recently emerged is that of the digital therapeutic alliance, prompting consideration of whether and how the concept of therapeutic alliance, which has proven to be a central ingredient of successful trad...
This study aimed to determine whether, following two years of specialized support for first-episode psychosis, the addition of a new digital intervention (Horyzons) to treatment as usual (TAU) for 18 months was more effective than 18 months of TAU alone. We conducted a single-blind randomized controlled trial. Participants were people with first-ep...
Purpose
Capture, consumption and use of person-centred information presents challenges for hospitals when operating within the scope of limited resources and the push for organisational routines and efficiencies. This paper explores these challenges for patients with Acute Coronary Syndrome (ACS) and the examination of information that supports suc...
Despite there being evident benefits of using virtual reality (VR) in aged care, it is not yet widely used in residential aged care homes. One factor that may contribute to this is the willingness of staff to use VR as part of the social program offered in aged care homes. Therefore, we need to understand staff perceptions of VR programs, especiall...
The therapeutic alliance (TA), the relationship that develops between a therapist and a client/patient, is a critical factor in the outcome of psychological therapy. As mental health care is increasingly adopting digital technologies and offering therapeutic interventions that may not involve human therapists, the notion of a TA in digital mental h...
Aim
We evaluated the acceptability, usability and safety of Kindred, a novel online intervention for carers of young people with borderline personality disorder (BPD) using a pre–post pilot trial design. The secondary aim explored whether Kindred use was associated with clinical improvements for caregivers on measures of burden of caregiving, stres...
Virtual Reality (VR) has been increasingly used for enrichment in later life. This review aims to investigate what is currently known about this topic. Following the PRISMA guidelines, fifteen articles were included for in-depth review. The review indicates that this topic is being explored by researchers in multiple disciplines. The VR systems in...
Virtual Reality (VR) has been increasingly adopted by residential aged care facilities (RACFs) for enriching residents' experiences. RACFs are sensitive settings with complex sociocultural elements, thus aged care providers might experience challenges when introducing new technologies. This paper presents findings from a descriptive analysis of sur...
The use of audio and textual chatbots, one type of digital intermediary, is pervasive and changing the way that we engage with computers and each other. Chatbots raise a wide range of legal and ethical issues, including questions about suitability for the user group, data collection, security of data storage and privacy, later linking of data, repu...
UNSTRUCTURED
The therapeutic alliance (TA), the relationship that develops between a therapist and a client/patient, is a critical factor in the outcome of psychological therapy. As mental health care is increasingly adopting digital technologies and offering therapeutic interventions that may not involve human therapists, the notion of a TA in dig...
Previous studies about online health communities (OHCs) have investigated their formation and persistence. Due to the impact of technological advancement on the structure of OHCs and the behaviour of their members, OHCs within social media platforms have adopted different forms of communication besides text. A tremendous number of images are shared...
Increasing recognition of youth mental-health problems has created demand for expanded services and more equitable service access. This has put pressure on face-to-face clinical services, leading to
growing interest in the efficacy of technology-based mental-health interventions and the values and ethical perspectives that inform these intervention...
Background
Relapse in schizophrenia is a major cause of distress and disability and is predicted by changes in symptoms such as anxiety, depression, and suspiciousness (early warning signs [EWSs]). These can be used as the basis for timely interventions to prevent relapse. However, there is considerable uncertainty regarding the implementation of E...
Background:
Health care practitioners (HPs), in particular general practitioners (GPs), are increasingly adopting Web-based social media platforms for continuing professional development (CPD). As GPs are restricted by time, distance, and demanding workloads, a health virtual community of practice (HVCoP) is an ideal solution to replace face-to-fac...
This paper describes a study where consultants in an emergency department will be observed and interviewed with the aim of evaluating the impact of the progressive implementation of an information system in an emergency department in a metropolitan hospital in Australia. The study is the third stage of a 3-stage longitudinal study which is building...
The first annual Symposium on the Digital Therapeutic Alliance (DigitalTA 2019) was held in Melbourne on August 7th, 2019 in response to growing interest in this important topic. This introduction to proceedings describes the problem space to which the symposium responded and the central ideas in the papers featured in the symposium.
This paper describes the plan for the third stage of a longitudinal assessment of the progressive implementation of IS in an emergency department. The assessment adopts a case study approach with nested mixed methods where quantitative data will be collected through observations and qualitative data will be collected through focus group interviews....
This paper describes the plan for the third stage of a longitudinal assessment of the progressive implementation of IS in an emergency department. The assessment adopts a case study approach with nested mixed methods where quantitative data will be collected through observations and qualitative data will be collected through focus group interviews....
The first annual Symposium on the Digital Therapeutic Alliance (DigitalTA 2019) was held in Melbourne on August 7th, 2019 in response to growing interest in this important topic. This introduction to proceedings describes the problem space to which the symposium responded and the central ideas in the papers featured in the symposium.
BACKGROUND
Relapse in schizophrenia is a major cause of distress and disability and is predicted by changes in symptoms such as anxiety, depression, and suspiciousness (early warning signs [EWSs]). These can be used as the basis for timely interventions to prevent relapse. However, there is considerable uncertainty regarding the implementation of E...
This research examines how current hospital information systems support patient discharge processes. It attempts to understand the role of information provision in the problem of significant readmission rates within 28 days of discharge. This research follows 24 patients through the discharge and post-discharge process using a series of interviews...
Visual management is much used in practice, particularly in association with process improvement initiatives in diverse areas such as production and healthcare. The practitioner literature abounds with suggested best practice. However, there is little attempt to theorise about why the design and use of visual devices for such process improvement wo...
In this article, we show how a technology-mediated mental health therapy involving psycho-education, therapist moderators, and social networking can provide support for carers of young people with mental illness. This multi-faceted tool provides opportunities for users to adapt the system to their needs, leading us to refocus the goal of treatment...
The rise of online photo sharing platforms has encouraged an increasing number of people to share online their lived experience as a carer of a child with a chronic condition. This study aims to explore the effectiveness of using online photo sharing platforms to support parents of chronically ill children. We use individual interviews and an analy...
Introduction: Specialised early intervention services have demonstrated improved outcomes in first episode psychosis (FEP); however, clinical gains may not be sustained after patients are transferred to regular care. Moreover, many FEP patients remain socially isolated with poor functional outcomes. To address this, our multidisciplinary team has d...
Background:
Psychological and pharmacological treatments have been shown to reduce rates of transition to psychosis in Ultra High Risk (UHR) young people. However, social functioning deficits have been unresponsive to current treatments.
Aims:
The study aims were to: i) describe the theoretical basis and therapeutic targets of a novel interventi...
Access to knowledge forms an integral part of the continuous learning processes of medical and other health professionals throughout their career. Modern technologies have become instrumental in ex-tending learning processes to the online realm, particularly through the use of social media technologies. Health Practitioners’ (HPs) exploitation of o...
This paper details a novel response to the problem of how to provide technology-enhanced feedback to students undertaking projects as part of a Masters in Information Systems. It contributes an approach to designing a promising new user-centered tool to motivate active learning. It reports on a case study where staff join a participatory design pro...
Background: There is substantial need for youth e-mental health services. In addressing this need, our team has developed a novel moderated online social therapy intervention called MOST+. MOST+ integrates real-time clinician delivered web-chat counselling, interactive user directed online therapy, expert and peer moderation, and a private, and sec...
Online Health Communities (OHCs) have become a popular avenue for people to share common concerns about a health topic. However, because users of these forums tend not to have formal medical training, they often cannot verify objectively the soundness of the advice provided. Thus, there is a need to understand better the mechanism through which peo...
As sources of medical information grow online, Virtual Communities of Practice (VCoPs) have evolved into a potential tool that allows General Practitioners (GPs) to interact through the sharing of their experience and knowledge. However, literature reports that GPs are reluctant to participate in VCoPs especially for their continuing medical educat...
Major depressive disorder (MDD) has a high prevalence and relapse rate among young people. For many individuals depression exhibits a severe course, and it is therefore critical to invest in innovative online interventions for depression that are cost-effective, acceptable and feasible. At present, there is a scarcity of research reporting on quali...
Introduction: Benefits from mental health early interventions may not be sustained over time, and longer-term intervention programs may be required to maintain early clinical gains. However, due to the high intensity of face-to-face early intervention treatments, this may not be feasible. Adjunctive internet-based interventions specifically designe...
Family members caring for a young person diagnosed with the onset of mental health problems face heightened stress, depression, and social isolation. Despite evidence for the effectiveness of family based interventions, sustaining access to specialist family interventions is a major challenge. The availability of the Internet provides possibilities...
Background:
First-episode psychosis most often has its onset during late adolescence. In caring for the young person, families endure high levels of stress and depression. Meanwhile, the social networks of families often erode. Our group has previously shown that family cognitive behaviour therapy (CBT) leads to significantly improved perceived st...
Online social networks are increasingly utilised by health practitioners, leading to development of virtual communities of practice (VCoP) where practitioners share knowledge and learn from other peers in the network. Yet, there is limited research on identifying design methods to retain participation in health VCoPs based on the learning theory im...
Visual management is much used within operations management practice, particularly in association with process improvement initiatives in diverse areas such as production and healthcare. The practitioner literature abounds with suggested best practice. However, there is little attempt to theorise about why the design and use of ‘visual’ devices for...
Aim:
Implementation of targeted e-mental health interventions offers a promising solution to reducing the burden of disease associated with youth depression. A single-group pilot study was conducted to evaluate the acceptability, feasibility, usability and safety of a novel, moderated online social therapy intervention (entitled Rebound) for depre...
The global increase of adult mental illness (Dementia and Alzheimer) in the 65 years and older age group, pose unique treatment challenges to residential aged care facility staff. Current residential aged care mental illness treatment plans for elderly adults are not customised according to individual personal needs. Such customization requires inp...
Despite significant advances in Clinical Decision Support Systems, they have not been extensively used in nursing practice to date. One key problem is the failure of these systems to fully support actionable nursing practices that guide nurse decision-making. In addition, current workflow-related systems have failed to consider the specific workflo...
This paper proposes a new method for tailoring health information based on an individual's dominant attitudes and information processing style which can be digitally operationalized and delivered direct to the patient. This individualized approach is based on principles previously used as the basis for mass-marketing campaigns, including smoking an...
Mobile applications for mental health are being used by people suffering from mental health disorders. However, there is a paucity of knowledge in relation to their opinions about such applications. The aim of this study is to understand users' needs and expectations to self-manage their mental health through the use of mobile apps for mental healt...
A growing proportion of human-computer interaction research now takes place in sensitive settings with participants who might be considered vulnerable, such as the chronically ill, older adults, and people living with mental health issues. Alongside this move into complex "real life" settings there is growing interest in the ethical challenges HCI...
Long patient waiting periods and a high administrative load plagued the Emergency Department of a major Australian hospital. In response, the department installed a new information system. Technically, the new system worked perfectly. Yet, within 9 months the department suffered a catastrophic loss of patient revenue. The financial disaster led to...
Technological developments over the past decade have had a strong impact on education bringing significant opportunities for changing teaching models. This has led to an interest in the development of shareable, scalable and reusable learning objects. This paper builds on the ideas of Parrish (2004) and other recognised theorists in this area who s...
Positive social and emotional wellbeing are essential for peoples' general health and quality of life. This workshop will bring together an inter-disciplinary community of wellbeing researchers, designers and practitioners to explore how digital technology can increase wellbeing by enabling users to develop new skills, build on existing personal st...
In this paper we consider HCI's role in technology interventions for health and well-being. Three projects carried out by the authors are analysed by appropriating the idea of a value chain to chart a causal history from proximal effects generated in early episodes of design through to distal health and well-being outcomes. Responding to recent arg...
The information revolution in all its facets presents challenges and opportunities for the media. One of the biggest opportunities of this revolution is the proliferation of information and communication technology (ICT) that allow individuals, groups and teams to socialize, collaborate and connect to online content across time and space. This abil...
Objective:
Internet-based treatments for early psychosis offer considerable promise, but safety and security need to be established. This study pilot tested Horyzons, a novel online treatment application that integrates purpose-built moderated social networking with psychoeducation for recovery from early psychosis.
Methods:
Safety, privacy, and...
Although the use and prevalence of Web-based mental health applications have grown over the past decade, many of these services suffer high rates of attrition. This is problematic, as face-to-face support for mental health is limited. To determine appropriate design guidelines for increasing engagement, we conducted a study of First-Episode Psychos...
Hospitals often retain inadequate systems because they are concerned about the organisational and financial cost of IT investments that do not clearly lead to increased revenue. Previous work has not carefully examined the health care, organisational and business process issues caused by widespread underinvestment in Health Information Systems, lea...
People are increasingly looking for health-related information and support to empower their self -management and decision making. Online health communit ies have not only become an important alternative source of patientcentered information but also appear to serve an emotional support role in connecting patients who have similar medical conditions...
Online therapy has the potential to extend existing face-to-face support for mental health, but designers face challenges such as lack of user engagement. Participatory design could improve outcomes but is difficult to pursue in the mental health context. By working with a research-focused clinic we have been able to employ participatory design met...
Underreporting of errors in hospitals persists despite the claims of technology companies that electronic systems will facilitate reporting. This study builds on previous analyses to examine error reporting by nurses in hospitals using electronic media.
This research asks whether the electronic media creates additional barriers to error reporting,...
As the Internet becomes an important source for health information, user-centric applications have arisen to empower end-users to self manage their illness. Users are able to share personal experiences in ways that have not been possible through the patient-clinician channel. Online health forums are a type of user-centric platform. In these forums...
