Perspectives on Integrating Trusted Other Feedback in Therapy for Veterans with PTSD

Abstract

Past research has demonstrated that accounts of trusted others can provide additional context into real world behavior relevant to clinical decision-making and patient engagement. Our research investigates the Social Sensing System, a concept which leverages trusted other feedback for veterans in therapy for PTSD. In our two phase study, we work with 10 clinicians to develop text-message queries and realistic scenarios to present to patients and trusted others. We then present the results in the form of a storyboard to 10 veterans with PTSD and 10 trusted others and gather feedback via semi-structured interview and survey. We find that while trusted other feedback may provide a unique and useful perspective, key design features and considerations of underlying relationships must be considered. We present our findings and utilize the mechanisms and conditions framework to assess the power dynamics of systems such as social sensing in the mental health realm.