Invitation to EYES – a 3-year European Research Project Background The convergence of sensor, mobile and persuasive technologies are offering new avenues for therapeutic interventions in a number of fields. Cognitive support systems for children diagnosed with autism have been an area of research for Aalborg University through a number of years, and the research group is now ready to develop tools for practitioners working in other fields as well. To facilitate this development a new cooperation between Aalborg University and Aalborg Psychiatric Hospital is taking form. The project group is presently making an application for EU-funding to develop a 3-year research project. Focus The possibility of technological extensions of the therapeutic space is a poorly researched area, and it is the focus of the proposed project. The aim is to develop a product that is easily applicable to existing psychiatric practice by using technology to strengthen the connection between the therapeutic meeting and the everyday life of the patient. The advent of sophisticated yet inexpensive mobile platforms is a key factor in this new way of thinking about distributed therapeutic interventions. With the possibility of adding sensor arrays to measure psychophysical parameters while the patient is in his natural environment and at the same time provide feedback in real-time, it is possible to create smart applications that support patient development and motivation. Frame of reference The project takes as its departure point the framework of Cognitive Behavioural Therapy and Persuasive Technology. CBT is a widely used frame of reference for psychologically based psychiatric treatment, while PT is a technologically driven pendant, which focuses on changing behaviour positively through the use of persuasion, motivation and social influence. Target group Self-tracking has become a term widely used for the activity of using one of the growing amount of commercially available products that record physical and psychophysical data such as heart rate variability, skin conductance and movement. The goal is to enhance performance and wellbeing through detecting patterns in behaviour and then exerting positive influence through consciousness raising and motivating feedback. There is only very limited and preliminary efforts to develop specialized versions of these gadgets for the more demanding population of core psychiatric patients. The project at hand is targeting patients within the schizophrenia spectrum. A key aspect is that psychopharmacological treatment is successful at treating symptoms such as hallucinations and delusional thinking. Unfortunately the pharmacological treatment is not effective against symptoms such as lack of motivation, anhedonia or problems with initiating actions. This is very unfortunate because this last group of symptoms is central to the prognosis and the possibility of a more complete recovery. Cognitive therapists work with these problems, for example by using behavioural techniques, activity planning, strengthening problem solving and enhancing motivation. But a barrier to helping these patients is the very same lack of initiative, motivation and executive functioning which is targeted, because it interferes with the patient’s ability to register their everyday functioning and apply the strategies trained in the therapy, when they are on their own. Technological support for psychiatric treatment – the vision The project includes participants with specialized knowledge within the fields of communication technology, design, programming, clinical psychology and social psychiatry. Taken together this makes it possible to develop a tool that uses state-of-the-art sensor technology, mobile platforms and an intuitive and simple interface for use in a clinical setting and with customizing options for the individual patient. The system is designed for patients primarily within the schizophrenia spectrum, where negative symptoms play an important role. The possible functionality includes: Training in emotion recognition and mentalization Monitoring of stress levels Exercises using biofeedback (for example mindfulness based stress reduction) Anticipation of high risk situations and relapse prevention Gathering of psychophysiological data for treatment planning, evaluation and research purposes Interactive motivation enhancement Extension of the therapeutic space into everyday life Internet based possibilities for communication between health professionals and patients Partners wanted! We’re searching for partners in other Nordic countries because of the structural similarities between psychiatric treatments in these countries. Taken together these are welfare states that ensure a basic level of affordances and provide consistent, high quality services in medical, psychological and social areas. The partnership will be centred on clinical aspects and testing of prototypes and access to a patient population is important. Keywords for the cooperation include but are not necessarily limited to: Description and development of functionality Focus groups or similar for practitioners and patients Clinical trials Gathering of qualitative and quantitative data Analysis and proposals for further development Project call, timetable and budget The call for proposals is ‘Objective ICT-2011.5.3 Patient Guidance’ and it can be accessed at: ftp://ftp.cordis.europa.eu/pub/fp7/docs/wp/cooperation/ict/c-wp-201101_en.pdf - pages 66-68. Deadline for application is 18. January 2011. If the funds are granted the project is scheduled to start 1. September 2011. The project will be funded for 3 years and span research, development and testing in natural settings. The expected budget will be in an interval between 2 and 4 mill euro. An partner similar testsite partner similar to Aalborg Psychiatric Hospital will be funded with between 3600.000 DKR for their activities in 3 years. Partners own contribution is 25%. Management group Neeli Prasad, Aalborg University, profile and contact: http://personprofil.aau.dk/profil/111002 Morten Aagaard, Aalborg Universitet, profile and contact: http://personprofil.aau.dk/profil/102017 Region Nordjylland Hanne Lzütkow Kirk, project leader (Region Nordjylland) haluk@rn.dk / +45 96 35 15 50 Aalborg Psychiatric Hospital / Region Nordjylland Ulrik Falentin Sund, leading psychologist (Aalborg Psykiatriske Sygehus), ufs@rn.dk / +45 96 31 14 46 Jonathan Led Larsen, psychologist (Aalborg Psykiatriske Sygehus), jll@rn.dk / +45 72 13 72 01 / + 45 61 68 31 18