Exploiting digital for depression and dementia: Guest blog post from Lola Oyelayo, Director of Strategy & User Experience at Head

In November 2015 we were invited to present at Pearson’s Digital Technology in Psychology Conference. This conference was designed to provide a forum for psychology professionals to talk about the impact digital is having on research and clinical practice. 

As a digital agency, we wanted to share our experiences of digital and the opportunities that we believe exist. We also wanted to share our specific interests in the key areas of depression and dementia.

Understanding the pace of digital change

We started with an overview of just how quickly the digital landscape is evolving. Firstly, while we have all became conversant with the idea of desktop computers and mobile smartphones, we now have internet-enabled devices as small as smart watches and jewellery, and as large as smart televisions. We use the word “app” to describe any application that can run on any of these devices. And the internet or web, is essentially everywhere, as none of us is ever offline anymore. This creates infinite opportunities to build new connected experiences.

Secondly, where traditionally digital insights were separated between quantitative data from analytics and qualitative insights from interviews and surveys, we now have a world of “big data”. With the technologies and analysis capabilities within the big data world, we can draw behavioural and qualitative insights from large sets of quantitative data - essentially opening up discussions on sampling over comprehensive data collection.

However, with these accelerating capabilities, we also have a rise in digital inequality. We use this phrase to refer to the disconnect between organisations that are highly digitally literate and maintain new technologies and services, to those that are less digitally literate, and face challenges with legacy technology that prevents them from capitalising on new possibilities.

The complexity is significant. But when it comes to examining where the opportunity is to provide new digital services for individuals in the realm of clinical psychology, mobile, and specifically smartphones present the greatest opportunity.

The smartphone is the key to almost all modern day digital experiences


Smartphones have become our constant companions. Their inherent capabilities mean that we essentially have come to rely on them to be our trusted go-to source for work, travel, socialising and even family life. We spend 2h 26m (Source: eMarketer) on our smartphones per day on average. And although in our current population outlines, smartphone penetration is greatest amongst the 16-24 age group, there has been double digit growth in the 55+ category. This will only increase as our current population ages.

The ubiquity and personal nature of our smartphones mean that they could potentially offer sufferers of depression and dementia the kind of support they need to manage their conditions better. It was this broad premise that we took into a collaborative workshop with conference attendees to explore new ideas for digital services.

Why we focused on depression and dementia

Clearly these are two very large areas of discussion with a number of different conditions and clinical approaches to diagnosis, treatment and management. However, we have seen the use of digital technology increase in these two areas. For example, there has been a significant rise in the use of Computerised Cognitive Behavioural Therapy (CCBT) to treat mild depression, with many app developers launching products that have not been clinically tested or validated.

These apps are popular, but it is clear that there is a need for discussion about how outcomes are measured and whether using a bad app can have an impact on a sufferer’s condition. Alarmingly, because clinicians are concerned about efficacy, there isn’t much clinical usage of these tools meaning a lot of sufferers are navigating this space without appropriate support.

Within the dementia area, mobile apps and even games are being used to help sufferers improve memory function and sometimes as assistive aids to give people independence in their environments. The Alzheimer’s Society has publicly stated its focus on exploring solutions to give “every person with dementia… the opportunity to benefit from technology appropriate to their needs”.

It was with these significant trends in mind that we set our workshop participants two challenges for new digital services:

How to we solve the problem of efficacy for mental health apps?
How do we integrate assistive technologies within the dementia care pathway?

Answering the brief with a Product Canvas

The Product Canvas is a tool often used to help express a digital product vision for teams developing using an Agile process. We adapted the template to give us a structure for putting a vision and idea on one page and each workshop group produced their own single page overview in answer to the question.

How do we solve the problem of efficacy for mental health apps?

Product canvas - Dementia

How do we integrate assistive technologies within the dementia care pathway?

Product canvas - Depression

Insights from the workshop

Firstly, our topics were too broad to conclude too much detail in one afternoon, but we knew this would be the case. There were so many interlinked issues raised. Some of these issues reflect significant tensions, e.g. giving individuals privacy but also ensuring carers and clinicians are kept informed when a patient is interacting with personal technology. We discussed the lack of knowledge and skills within the clinical psychology field that prevents full exploration and exploitation of the latest technology.

We were encouraged by the breadth of thinking and discussion that led us to these very high-level outputs of what can be done in these two areas. We hope that participants felt sufficiently stimulated about what is possible with current mobile capabilities and we look forward to continuing the dialogue with clinical practitioners focused on making a difference through technology.

- Lola Oyelayo is Director of Strategy & User Experience at Head.

  • Who's talking about digital technology in psychology? A look at our first conference in York.

    When set the challenge of creating a Digital Technology in Psychology conference, my first response was excitement.

    It’s such a wide subject there’s bound to be lots to talk about – let’s get everyone involved…this however was closely followed by the thought, What if no one turns up? and Is technology as central as we like to think it is…?

    Lucky for me, people did submit papers on a range of topics and sign up to attend. So last week we held our first Digital Technology in Psychology conference at York University. We were delighted to welcome our keynote speaker, Dr Tom Manly co-author of the TEA and the new TEA-CH-2. Dr Manly’s talk looked at ‘What is attention?’ and explored the evolution of technology in delivering assessments. A first look at the exciting new TEA-Ch2 was also provided and we can certainly say the new space dog and alien were warmly received.

    This was followed by Sarah Kate Smith who led a fascinating discussion around Dementia and Assistive Technology; showing examples of how technological interventions can be used to promote conversations, social interaction and leisure activities. Introducing CIRCA, Sarah’s talk highlighted the importance of including feedback from individuals with dementia into the design and functionality plans of technology.

    Did you know that about 8% of people will experience problems with #PTSD that persist beyond 3 months? This was one of many areas highlighted during Sara Simblett’s talk, 'A systematic review of web-based technology to assist emotional adjustment and self-management of symptoms related to post-traumatic stress.' Here Sara looked at the different approaches that have been taken to studying the effectiveness of Interapy as a Treatment of Post-traumatic Stress via the Internet.

    After the break, Astrid Coxon generated lots of conversation and app sharing ideas with her talk on, 'The effectiveness of internet-based interventions for managing stress and anxiety in students in higher education: a systematic review'. Looking at some of the studies around web-based interventions and where the gaps currently exist. A conversation that then continued on twitter.

    'This Much!, This Feeling & Backdrop: The development of touch device procedures for the qualitative and quantitative assessment of children's positive and negative experiences', was an enlightening talk from David Glasgow. Exploring a number of different apps, the accompanying video’s showed a young boys interactions, and revealed how important additional information could be obtained to help shape understanding and care plans.

    Lola Oyelayo and Nick Reynolds, then joined us from Head London to run an exciting workshop on exploiting digital for dementia and depression. A session which pulled together many of the threads of conversation from the day. Beginning with a presentation the team highlighted some of the many issues that are affecting the development of technology in the psychology field including:

    • How will an increasingly digital literate population will affect how we provide support for individuals with #dementia in the future
    • How do we solve the problem of efficacy for #mentalhealth apps?

    I look forward the sharing the outcomes of these workshops in a later blog.

    As a first event, we were delighted to see the group so engaged in the topic, we’ll be sharing podcasts from many of the talks over the coming weeks, and so if you were unable to attend, you can sit back with cup of tea and catch up!

    I’m also pleased to see that the conversations are already continuing. Sarah Kate Smith will now be joining an exciting line up of presenters for Online Working Memory Week where Sarah will be presenting on ‘Exploiting touch screen tech to promote communication, social interaction & leisure activities with people living with dementia.’

    Thank you to all our presenters and delegates who helped to make this first event a success. Watch this space for plans for 2016.

    #WMLearn | #DigitalPsych15

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  • Digital Technology in Psychology Conference 2015

    Technology is helping to shape the future of psychology and health care. Pearson are hosting a conference in York on October 21, exploring the implications of digital technology on tomorrow's psychologists, including:

    • its role in today's clinical practice
    • how digital can support current or future research
    • when is technology helpful and when does it constrain us
    • current technologies that are helpful to today's psychologists.

    We are pleased to announce that HEAD will be running an exciting workshop on Exploiting Digital for Depression and Dementia. Additionally, confirmed speakers include:

    • Dr Tom Manly, Cognition and Brain Sciences Unit, University of Cambridge
    • Sara Kate Smith, CATCH (Centre for Assistive Technology and Connected Healthcare), University of Sheffield
    • Astrid Coxon, Norwich Medical School, University of East Anglia
    • Sara Simblett, Institute of Psychiatry, Psychology and Neuroscience, Kings College London.

    Download a copy of the programme or book your place today.

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