Sandra Bucci
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Author Swipe
View article: Economic evaluation of digitally supported therapy for people with psychosis who hear distressing voices: the AVATAR2 trial
Economic evaluation of digitally supported therapy for people with psychosis who hear distressing voices: the AVATAR2 trial Open
Background AVATAR therapy, a digitally supported intervention, utilises avatars to promote recovery in people who experience distressing auditory hallucinations. This approach was recently evaluated in a multicentre randomised controlled t…
Sustained engagement with a digital youth mental health platform: A mixed-methods study Open
This mixed methods study offers preliminary insights into experiential factors associated with engagement with a large-scale digital mental health intervention for young people. Indications suggest two experiential pathways to sustained us…
View article: Reflecting on lived experience expertise in digital mental health research
Reflecting on lived experience expertise in digital mental health research Open
Lived experience draws on unique insights gained from personal encounters with mental health challenges, irrespective of formal diagnoses. In this Viewpoint, we outline the important contribution of lived experience in digital mental healt…
View article: Practitioners’ and researchers’ perspectives on treatment needs and service provision for online child sexual abuse
Practitioners’ and researchers’ perspectives on treatment needs and service provision for online child sexual abuse Open
Online child sexual abuse (OCSA) presents unique and evolving challenges for young people and those supporting them. Although the long-term psychological impacts of OCSA are increasingly recognized, there remains limited guidance for pract…
View article: Staff expectations for the implementation of digital remote monitoring in services for people with psychosis: A qualitative study using normalisation process theory
Staff expectations for the implementation of digital remote monitoring in services for people with psychosis: A qualitative study using normalisation process theory Open
Findings were similar across all settings and applicable to three NPT constructs (coherence, cognitive participation and collective action) and their subcomponents. One inductive theme, 'own experiences of technology' was not captured by N…
User engagement in a digital health intervention designed for young people who have experienced technology-assisted sexual abuse (i-Minds trial) Open
Participants showed high module completeness and engagement duration, suggesting the potential for real-world use. Potential participant-level predictors of engagement, such as gender identity and severity of TASA related traumatic stress …
View article: ‘It felt good to be able to say that out loud’: A peer research qualitative study exploring voice content work and the therapeutic alliance in AVATAR therapy
‘It felt good to be able to say that out loud’: A peer research qualitative study exploring voice content work and the therapeutic alliance in AVATAR therapy Open
Background: AVATAR therapy is a novel psychological therapy which aims to reduce distress associated with hearing voices. The approach involves a series of therapist- facilitated dialogues between a voice-hearer and a digital embodiment of…
View article: Using Passive Sensing to Predict Psychosis Relapse: An In-Depth Qualitative Study Exploring Perspectives of People With Psychosis
Using Passive Sensing to Predict Psychosis Relapse: An In-Depth Qualitative Study Exploring Perspectives of People With Psychosis Open
Background Relapses result in negative consequences for individuals with psychosis and considerable health service costs. Digital remote monitoring (DRM) systems incorporating “passive sensing” (sensor data gathered via smartphones/wearabl…
View article: Staff and voice hearer perspectives on Hearing Voices Groups in the NHS: a mixed-methods cross-sectional survey
Staff and voice hearer perspectives on Hearing Voices Groups in the NHS: a mixed-methods cross-sectional survey Open
Introduction For over 40 years, Hearing Voices Groups (HVGs) have provided a space for individuals distressed by hearing voices to share their experiences openly. Most of these groups have existed in the community and adhere to a unique et…
View article: A digital intervention to improve mental health and interpersonal resilience for young people who have experienced online sexual abuse: the i-Minds non-randomised feasibility clinical trial and nested qualitative study
A digital intervention to improve mental health and interpersonal resilience for young people who have experienced online sexual abuse: the i-Minds non-randomised feasibility clinical trial and nested qualitative study Open
Background No evidence-based support for young people who have experienced technology-assisted sexual abuse exists. The project’s aims were to develop a digital intervention that improves mentalisation (the ability to understand the minds …
View article: A digital intervention to improve mental health and interpersonal resilience in young people who have experienced Technology-Assisted Sexual Abuse: a feasibility clinical trial
A digital intervention to improve mental health and interpersonal resilience in young people who have experienced Technology-Assisted Sexual Abuse: a feasibility clinical trial Open
Background A digital mental health intervention (DMHI) to improve mentalisation in young people who have experienced technology-assisted sexual abuse (TASA) may reduce the risk of re-victimisation and future harm and make them more resilie…
View article: User engagement in a digital health intervention designed for young people who have experienced technology-assisted sexual abuse (i-Minds trial)
User engagement in a digital health intervention designed for young people who have experienced technology-assisted sexual abuse (i-Minds trial) Open
Background Technology-assisted sexual abuse (TASA) mostly involves the production and non-consensual sharing of sexual images; however, evidence-based support for young people (YP) who have experienced TASA is scant. Digital Health Interve…
View article: Healthcare professionals’ views on implementing digital health tools in psychosis: a national survey in the UK
Healthcare professionals’ views on implementing digital health tools in psychosis: a national survey in the UK Open
Objective Psychosis is a severe mental health problem and a huge public health challenge, but treatment is often delayed and inefficient. Digital health tools (DHTs) can support healthcare delivery and facilitate self-management. This stud…
View article: The Impact of AVATAR Therapy on Voice Hearing in Everyday Life: ESM Outcomes of the AVATAR2 Trial
The Impact of AVATAR Therapy on Voice Hearing in Everyday Life: ESM Outcomes of the AVATAR2 Trial Open
AVATAR therapy involves facilitated dialogs between a voice hearer and a digital embodiment of their distressing voice (“the avatar”). We conducted a multi-site single-blind randomized controlled trial to evaluate the efficacy of brief (AV…
View article: Reporting on a Partnership to Co‐Design a Digital Health Intervention With Young People Who Have Experienced Technology‐Assisted Sexual Abuse
Reporting on a Partnership to Co‐Design a Digital Health Intervention With Young People Who Have Experienced Technology‐Assisted Sexual Abuse Open
Introduction While Patient and Public Involvement and Engagement (PPIE) is a key element of research best practice across healthcare, the co‐design process for digital health interventions (DHIs) remains under‐reported. This study explores…
Early psychosis service user views on digital remote monitoring: a qualitative study Open
Background Current approaches to mental healthcare for people with severe mental health problems are limited by sporadic monitoring and symptom recall bias. Emotional and behavioural markers generated by digital health technologies (DHTs) …
View article: The therapeutic alliance during remotely delivered therapy: A Delphi study with health professionals
The therapeutic alliance during remotely delivered therapy: A Delphi study with health professionals Open
Objectives Delivering psychological therapy via videoconferencing and telephone is now commonplace across mental health services, but many therapists remain concerned about the impact on the therapeutic alliance. This study aimed to establ…
View article: Mental Health Professionals’ Technology Usage and Attitudes Toward Digital Health for Psychosis: Comparative Cross-Sectional Survey Study
Mental Health Professionals’ Technology Usage and Attitudes Toward Digital Health for Psychosis: Comparative Cross-Sectional Survey Study Open
Background Digital health technologies (DHTs) for psychosis have been developed and tested rapidly in recent years. However, research examining mental health professionals’ views on the use of DHTs for people with psychosis is limited. Giv…
View article: Increasing access to psychological therapy on acute mental health wards: staff and patient experiences of a stepped psychological intervention
Increasing access to psychological therapy on acute mental health wards: staff and patient experiences of a stepped psychological intervention Open
Background Psychological therapies are recommended for people with serious mental health problems. However, access is limited, particularly in inpatient mental health settings. The Talk, Understand and Listen in InPatient Settings (TULIPS)…
How theories, models, and frameworks have been used to implement digital health interventions in services for people with severe mental health problems: a scoping review Open
The use of implementation theories, models, and frameworks in efforts to implement digital health interventions in routine care for people with severe mental health problems is limited. Researchers should consider integrating such approach…
View article: Mental Health Professionals’ Perspectives on Digital Remote Monitoring in Services for People with Psychosis
Mental Health Professionals’ Perspectives on Digital Remote Monitoring in Services for People with Psychosis Open
Background and Hypothesis Digital remote monitoring (DRM) captures service users’ health-related data remotely using devices such as smartphones and wearables. Data can be analyzed using advanced statistical methods (eg, machine learning) …
View article: Barriers to the implementation of psychosocial interventions on acute mental health wards: an ethnographic observational study
Barriers to the implementation of psychosocial interventions on acute mental health wards: an ethnographic observational study Open
Background It is notoriously challenging to deliver psychosocial interventions on acute mental health wards. This paper presents an ethnographic observational study which captured how ward and staff processes impacted on the delivery of a …
View article: Development of a digital therapeutic alliance scale (MM-DTA) in the context of fully automated mental health apps
Development of a digital therapeutic alliance scale (MM-DTA) in the context of fully automated mental health apps Open
Therapeutic alliance (TA) refers to the relationship between a therapist and a client in face-to-face therapy and is an essential ingredient in successful psychological therapy outcomes. With the availability of fully automated apps, the q…
View article: The clinical and cost effectiveness of behavioural therapy for interepisode bipolar symptoms (STABILISE): A randomised, controlled feasibility trial.
The clinical and cost effectiveness of behavioural therapy for interepisode bipolar symptoms (STABILISE): A randomised, controlled feasibility trial. Open
Background: In between episodes of (hypo) mania and major depression, people with bipolar disorder can experience ongoing low mood or mood instability, and these may also be present as part of cyclothymic disorder. This is a phase II evalu…