title: Optimizing Scripted Dialogues for an e-Health Intervention for Suicidal Veterans with Major Depression.
abstract: Suicide is a health concern among Veterans with depression. We had previously reported on scripted dialogues adapted for an e-health system that engages at-risk veterans with schizophrenia. Here we report a further adaptation of the dialogues for Veterans with depression. Usability was assessed with nine outpatients with a history of major depression and suicidality. We noted that participants preferred greater specificity in the wording of questions. Topics that elicited an emotional response dealt with questions on suicide, social isolation and family relationships. Based on feedback, dialogues were revised for patients with depression. We also compared responses between those with depression and those with schizophrenia who were previously tested. The two groups shared similar themes. Also, individuals with a history of major depression had less trouble with vocabulary comprehension but were less willing to answer more questions daily.
authors.affiliation: VA Pittsburgh Health Care System MIRECC, Behavioral Health, University Drive C, Pittsburgh, PA, 15240, USA, Kasckowjw@upmc.edu.
authors.forename: J
authors.initials: J
authors.lastname: Kasckow
authors.forename: S
authors.initials: S
authors.lastname: Zickmund
authors.forename: A
authors.initials: A
authors.lastname: Rotondi
authors.forename: A
authors.initials: A
authors.lastname: Welch
authors.forename: J
authors.initials: J
authors.lastname: Gurklis
authors.forename: M
authors.initials: M
authors.lastname: Chinman
authors.forename: L
authors.initials: L
authors.lastname: Fox
authors.forename: G L
authors.initials: GL
authors.lastname: Haas
mesh_terms: D000328:Adult; D000368:Aged; D003142:Communication; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D005190:Family; D006801:Humans; D007398:Interpersonal Relations; D008875:Middle Aged; D010414:Pennsylvania; D011369:Professional-Patient Relations; D019114:Remote Consultation / Q000379:methods*; D012307:Risk Factors; D059020:Suicidal Ideation; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans / Q000523:psychology*