Aranka Dol @ ECP 2015 Milano e-Dialectical Behaviour Therapy: online training for obese emotional eaters Aranka Dol Hanzehogeschool Groningen University of Applied Sciences

Introduction My name is... Aranka Dol @ School of Communication, Media & IT Hanzehogeschool Groningen, University of Applied Sciences. research: PhD candidate since sept. 2014 promotor: prof. dr. Tatjana van Strien, Radboud University Nijmegen member research group professorship New Business & ICT Hanzehogeschool Groningen teaching: minorprogram Healthy Ageing, ITsm & security, Agile project Software Engineering, research skills, study counselor. 19-4-2019 New Business & ICT 2 2 2

Introduction Research topic topic: Dialectical Behaviour Therapy: online (guided) self help training for obese emotional eaters (start sept. 2014) Research question: How can we, with the employment of which modalities from persuasive technologies (captology), translate the dialectical ‘mechanism of change’ in Dialectical Behaviour Therapy into an online guided self help emotion regulation training for emotional eaters with (severe) overweight? 19-4-2019 New Business & ICT 3 3 3

DBT + ehealth emotional eating emotional eating = eating in response to negative emotional states emotional eaters don’t benefit enough from existing therapies - dietary and lifestyle advice - cognitive behaviour therapy treatments do not focus on their problems with emotion regulation weight reduction in short term weight gain in the long run (jojo effect) 19-4-2019 New Business & ICT 4 4 4

DBT + ehealth Dialectical Behaviour Therapy and eating disorders DBT for Borderline Disorder (Marsha Linehan) DBT for Binge Eating Disorder (Safer, Telch & Chen, 2009) pilot obese emotional eaters (Roosen, 2013) reduction emotional eating weight maintenance etc. 19-4-2019 New Business & ICT 5 5 5

DBT + ehealth Dialectical Behaviour Therapy Dialectical Behaviour Therapy: focus on problems with emotion regulation mindfulness awareness and acceptance developing a wise mind emotion regulation observing and describing your emotions controlling the chain emotion <-> behaviour emotional vulnerability positive emotions stress tolerance dealing with pain suffering = pain + no acceptance 19-4-2019 New Business & ICT 6 6 6

DBT + ehealth Dialectical Behaviour Therapy 7 7 19-4-2019 New Business & ICT 7 7 7

DBT + ehealth ehealth / e-mental health why building an app? growing demand for ehealth care self management care on a distance (anonymous) low cost health insurance companies – 10% 19-4-2019 New Business & ICT 8 8 8

DBT + ehealth the construction, the modules 1. introduction to the user 2. mindfulness skills (2 modules) 3. emotion regulation skills (3 modules) 4. stress tolerance skills (3 modules) 5. virtual coach with dialectical dialogue, containing chain analyses and a diary (ongoing) (standard) duration of the training is 8 weeks/modules 19-4-2019 New Business & ICT 9 9 9

DBT + ehealth virtual coach ‘oracle’ for the user source of information on the training (FAQ) dialectical dialogues based on exercises walking the middle path how to think and act dialectically opposite action (DBT coach Rizvi, 2011) planning dialectical abstinence 19-4-2019 New Business & ICT 10 10 10

DBT + ehealth virtual coach prototype first prototype released natural language processing... next steps.... emotion recognition (facial, voice, text...) using chat bot techniques -to create real conversations -to personalize conversations 19-4-2019 New Business & ICT 11 11 11

DBT + ehealth Thank you for listening Open for comments and inspiration!!!! Aranka Dol A.Dol@pl.hanze.nl Lectoraat New Business & ICT School for Communication, Media & IT Zernikeplein 11, GRONINGEN room D2.35 +31 (0)50 - 595 5587 +31 (0)6 - 270 270 62 . 19-4-2019 New Business & ICT 12 12 12