Iris Ritsma

SlowMo

Inclusive therapy service for people with distressing psychosis

 
 

Introduction

SlowMo is an inclusive digitally supported therapy service for people with distressing psychosis. SlowMo supports in-person sessions with a therapist and provides support in daily life by offering users tangible tips and tools outside of the clinic room.

The project was done in close conjunction with an interdisciplinary team at the Institute of Psychiatry, Psychology & Neuroscience (IoPPN) at King's College London and has been awarded £1.3m in funding by the Wellcome Trust to allow it to be scaled up in three NHS Trusts.

 

 

Challenge

Psychosis can severely influence the quality of life with symptoms including sensory hallucinations, paranoia, cognitive disturbances, and a lack of motivation and focus. The challenge was to create an inclusive app, that can be used and understood by people with varying levels of digital literacy, even in moments of severe distress. Besides these issues obtaining and keeping the trust of users with paranoid psychosis was a key factor in the design of the app.

Role

User & Design research
UX Principles
Information Architecture
User flows
UX design

 

Details

Project by Special Projects

Duration: 8 weeks

Professional Project 2022

Client:
King’s College London

NHS Foundation Trust

Press:

Fast Company

Design Week 

Dezeen

 

 

 

All rights belong to Special Projects and their client.

 

Design question

“To design an inclusive and intuitive app and desktop app for the SlowMo therapy developed by King’s College London for people with paranoid psychosis.”

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Challenges

 
 

Digital literacy

When developing the first version of SlowMo, the King’s College London team found that a quarter of people with severe psychosis did not own a smartphone.

Hallucinations & loss of reality

Psychosis is characterized by changes in perception and thinking such that people might no longer have a shared reality.

Paranoia

Psychosis often comes with paranoia and a lack of trust in other people but also therapies and technology

Motivation

Other symptoms of psycosis include lack of motivation, focus and cognitive disturbances

 
 
 
 
 

Design principles

 
 

Inclusive

Ensuring everyone can use the app regardless of their digital literacy, motor ability and mental state.

Intuitive

Interactions were kept close to reality and simple so the right tools are accessible in a matter of a click.

Trust

Key was to elicit trust and a feeling of safety every step of the way, this was done by transparency and ..

Delight

Delight & normalisation was used to alleviate some of the severe stress that patients are under.

 
 

A web-app that supports therapy sessions

 
 
 
 

Slowmo takes the user on a journey

The therapy takes the user on a journey, in which awareness of one’s own thinking is slowly increased. Each therapy session is represented by a card. The journey is visualized as a continuous line across the therapy sessions that goes up and down, symbolizing the natural process of progress and stet-backs throughout therapy.

 
 

Easily accessible tools outside the clinic room

The mobile app enables users to access therapy tools on a daily basis

 
 

Slowing down thinking

SlowMo seeks to help patients notice their worries and concerns, most of which occur when they think too fast, it then provides them with tangible tips and tools to help them slow down those thoughts. 

Bubbles

The patients’ thoughts are represented as bubbles. Worries appear in grey bubbles, the size of the bubble indicates how severe the thought is; the opacity indicates how convinced the patient is that this thought is true; and the speed at which the bubble spins represents the thinking pattern of the thought, either fast or slow. Helpful/positive thoughts on the other hand are presented as colorful bubbles, to provide alternate ways of thinking in moments of distress.

 
 
 
 
 
 

Accesible tips & tools

Throughout the Slowmo therapy tips and tools are presented and practiced with the patient. These tools can be bookmarked by the patient for quick access. Safe thoughts can also be saved in colourful bubbles to remind the user of alternate ways of thinking.

 
 
 

Tangible tips & tools

Besides the app, the Slowmo therapy tool also contains physical tip cards that users can carry on the at all times for quick tips on ways of reframing their thinking.