SlowMo therapy, a new digital blended therapy for fear of harm from others: An account of therapy personalisation within a targeted intervention.

OBJECTIVES: SlowMo therapy is a pioneering blended digital therapy for paranoia, augmenting face-to-face therapy with an interactive 'webapp' and a mobile app. A recent large-scale trial demonstrated small-moderate effects on paranoia alongside improvements in self-esteem, worry, well-being and quality of life. This paper provides a comprehensive account of therapy personalisation within this targeted approach. DESIGN: Case examples illustrate therapy delivery and descriptive data are presented on personalised thought content. METHOD: Thought content was extracted from the webapp (n = 140 participants) and coded using newly devised categories: Worries: (1) Persecutory, (2) Negative social evaluation, (3) Negative self-concept, (4) Loss/life stresses, (5) Sensory-perceptual experiences and (6) Health anxieties. Safer thoughts: (1) Safer alternative (specific alternatives to worries), (2) Second-wave (generalised) coping, (3) Positive self-concept, (4) Positive activities and (5) Third-wave (mindfulness-based) coping. Data on therapy fidelity are also presented. RESULTS: Worries: 'Persecutory' (92.9% of people) and 'Negative social evaluation' (74.3%) were most common. 'General worries/ life stresses' (31.4%) and 'Negative self-concept' (22.1%) were present in a significant minority; 'Health anxieties' (10%) and 'Sensory-perceptual' (10%) were less common. Safer thoughts: 'Second-wave (general) coping' (85%), 'Safer alternatives' (76.4%), 'Positive self-concept' (65.7%) and 'Positive activities' (64.3%) were common with 'Third-wave' (mindfulness) coping observed for 30%. Fidelity: Only three therapy withdrawals were therapy related. Session adherence was excellent (mean = 15.2/16; SD = 0.9). Behavioural work was conducted with 71% of people (119/168). CONCLUSION: SlowMo therapy delivers a targeted yet personalised approach. Potential mechanisms of action extend beyond reasoning. Implications for cognitive models of paranoia and causal interventionist approaches are discussed.

Do cues from multiple modalities support quicker learning in primary schoolchildren?

The current study investigates whether informative, mutually redundant audiovisual cues support better performance in a category learning paradigm. Research suggests that, under some conditions, redundant multisensory cues supports better learning, when compared with unisensory cues. This was examined systematically across two experiments. In Experiment 1, children aged 5, 7, and 10 years were allocated to 1 of the 3 "modality" conditions (audio informative only, visual informative only, and audiovisual informative) and explicitly instructed to learn the category membership of individual exemplars, as determined by a threshold of correct responses. Unisensory or redundant multisensory cues determined category membership, depending on the learning condition. In addition to significant main effects of age group and condition, a significant interaction between age and sensory condition was found, with 5-year-olds performing better when presented with redundant multisensory cues compared to unisensory cues. Ten-year-olds performed better with auditory informative only cues, compared to visual informative only cues, or informative but redundant multisensory cues, with no significant difference between the latter two. In Experiment 2, the multisensory condition was presented to separate groups of 5-, 7-, and 10-year-olds, examining explicit learning outcomes in the audiovisual informative condition. Results showed that children who reached threshold during training were faster, made fewer errors, and performed better during test trials. Learning appeared to be based on the visual informative cues. Findings are discussed in the context of age-related selective attention, suggesting that the value of providing multisensory informative cues to support real-world learning depends on age and instructional context. (PsycINFO Database Record (c) 2019 APA, all rights reserved).