Suggestions: Several studies have tested the effectiveness of the delivery of CBT through hand-held devices and the internet with positive results (REFERENCE). We believe the implementation of a CBT program for child anxiety disorders through modern technology, such as a cellular telephone, would be a means of overcoming the shortcomings of workbook-based programs. Access: Dissiminating CBT through cell phones would provide access of therapy to those who may not have the resources to do so otherwise. No longer will access to therapy be restricted due to cost or proximity. In addition, because the use of cellular phones is socially acceptable across environments, cell phone-based CBT could be discreetly retrieved in any situation without the worry of embarrassment or stigma. Format: Cell phones and interactive games are technologies that are familiar to and motivating for children. This could produce enhanced overall enjoyment and retention rates to the therapy program Interactivity: The cellular phone format would provide access to the same informational text but in a more palatable form than the bulk of text exhibited in the workbook. For instance, the information could be delivered as part of a trial and error game or virtual conversation that would encourage active learning and promote deeper contextual understanding of the material. >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> |
Continued: Suggestions: Variation: The cell phone format would be designed such that there is always a small element of surprise in order to sustain the child’s curiosity and motivation. Social Support: A “success” bulletin board built into the cell phone based CBT program would impart children with a sense of belonging, a venue for scaffolding, and some social support. Restricted Sequence: The cellular phone therapy could be designed to necessitate the sequential progression through the therapy program. Monitoring: The cell phone program could keep records of each child’s worry scales and progress, which could then be viewed by the child and his/her “coach” for reinforcement of behaviors. If required, the child’s worry levels and risk factors could also be externally monitored by a therapist or guardian. |