طراحی و اعتباریابی نرم‌افزار تعاملی درمان فراتشخیصی یکپارچه در اختلال اضطراب اجتماعی

ﻣﻘﺪﻣﻪ: ﻫﺪف از اﻧﺠﺎم ﭘﮋوﻫﺶ ﺣﺎﺿﺮ، ﻃﺮاﺣﯽ و اﻋﺘﺒﺎرﯾﺎﺑﯽ ﻧﺮماﻓﺰار ﺗﻌﺎﻣﻠﯽ درﻣﺎن ﻓﺮاﺗﺸﺨﯿﺼﯽ ﺑﺮای درﻣﺎن اﺧﺘﻼل اﺿﻄﺮاب اﺟﺘﻤﺎﻋﯽ ﺑﻮد. روش: اﯾﻦ ﭘﮋوﻫﺶ از ﻧﻮع ﻃﺮح ﺗﺮﮐﯿﺒﯽ ﺑﻮده و ﺷﺎﻣﻞ ﻃﺮاﺣﯽ، ﺗﻮﻟﯿﺪ و ﺑﺮرﺳﯽ اﻋﺘﺒﺎر ﻣﺤﺘﻮا و اﺛﺮﺑﺨﺸﯽ ﻧﺮماﻓﺰار ﻓﺮاﺗﺸﺨﯿﺼﯽ ﯾﮑﭙﺎرﭼﻪ در درﻣﺎن اﺿﻄﺮاب اﺟﺘﻤﺎﻋﯽ ﺑﻮد. در ﻣﺮﺣﻠﻪاول ﻧﺮماﻓﺰار ﻃﺮاﺣﯽ ﺷﺪه و ﺟﻠﺴﺎت درﻣﺎﻧﯽ ﻣﺸﺨﺺ ﮔﺮدﯾﺪﻧﺪ و رواﯾﯽ ﻣﺤﺘﻮای آن ﺑﺮرﺳﯽ ﺷﺪ. در ﻣﺮﺣﻠﻪ دوم، اﻋﺘﺒﺎر اﺛﺮﺑﺨﺸﯽ ﻧﺮماﻓﺰار ارزﯾﺎﺑﯽ ﮔﺮدﯾﺪ. اﯾﻦ ﺑﺨﺶ ﺑﺎ اﺳﺘﻔﺎده از روش ﺗﮏآزﻣﻮدﻧﯽ ﺑﺎ ﻃﺮح abab ﻫﻤﺮاه ﺑﺎ ﺧﻂ ﭘﺎﯾﻪ و ﻣﺮاﺣﻞ ﻣﺪاﺧﻠﻪ و ﭘﯿﮕﯿﺮی ﺳﻪﻣﺎﻫﻪ اﻧﺠﺎم ﺷﺪ. ﺟﺎﻣﻌﻪ آﻣﺎری را داﻧﺶآﻣﻮزان 13 ﺗﺎ 15 ﺳﺎﻟﻪ ﯾﮏ ﻣﺪرﺳﻪ در رﺑﺎطﮐﺮﯾﻢ در 1401 ﺗﺸﮑﯿﻞ دادﻧﺪ، ﮐﻪ از اﯾﻦ ﻣﯿﺎن ﭼﻬﺎر ﻧﻔﺮ ﮐﻪ ﺗﺸﺨﯿﺺ ﻋﻼﺋﻢ اﺿﻄﺮاب اﺟﺘﻤﺎﻋﯽ را ﺗﻮﺳﻂ ﻣﺘﺨﺼﺼﯿﻦ درﯾﺎﻓﺖ ﮐﺮده ﺑﻮدﻧﺪ ﺑﻪ ﺻﻮرت در دﺳﺘﺮس اﻧﺘﺨﺎب ﺷﺪﻧﺪ. ﺑﺮای ﺟﻤﻊآوری اﻃﻼﻋﺎت از ﺳﯿﺎﻫﻪ ﻫﺮاس اﺟﺘﻤﺎﻋﯽ اﺳﺘﻔﺎده ﺷﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﻧﺘﺎﯾﺞ ﺑﺎ اﺳﺘﻔﺎده از ﺗﺤﻠﯿﻞ دﯾﺪاری و اﻧﺪازه اﺛﺮﮐﻮﻫﻦ ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﺷﺪ. ﻧﺘﺎﯾﺞ ﺷﺎﺧﺺ cvi ﻣﻘﺪار 0/91 و ﺿﺮﯾﺐ ﮐﺎﭘﺎ 0/62 را ﻧﺸﺎن دادﻧﺪ ﮐﻪ ﻧﺸﺎندﻫﻨﺪ رواﯾﯽ ﻗﺎﺑﻞ ﻗﺒﻮل ﻧﺮماﻓﺰار اﺳﺖ. در ﻓﺎز آﺧﺮ، ﺷﺎﺧﺺ اﻧﺪازه اﺛﺮ ﮐﻮﻫﻦ درﺻﺪ ﺑﻬﺒﻮدی ﭼﻬﺎر ﺷﺮﮐﺖﮐﻨﻨﺪه ﺑﻪ ﺗﺮﺗﯿﺐ 0/62 ،1/04 ،1/19 و 1/93 ﺑﻮده اﺳﺖ ﮐﻪ ﻧﺸﺎن از اﺛﺮﺑﺨﺸﯽ اﯾﻦ روش درﻣﺎن دارد. ﻧﺘﯿﺠﻪﮔﯿﺮی: ﻧﺮماﻓﺰار ﺗﻌﺎﻣﻠﯽ اﻧﺪروﯾﺪی اﺛﺮ ﺑﺨﺸﯽ ﻣﻌﻨﯽداری در ﮐﺎﻫﺶ ﻧﺸﺎﻧﮕﺎن اﺿﻄﺮاب اﺟﺘﻤﺎﻋﯽ از ﺟﻤﻠﻪ ﺗﺮس، اﺟﺘﻨﺎب و ﻋﻼﺋﻢ ﻓﯿﺰﯾﻮﻟﻮژﯾﮏ دارد. ﮔﺮﭼﻪ اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺮ روی داﻧﺶآﻣﻮزان اﻧﺠﺎم ﺷﺪ، اﻣﺎ ﻣﯽﺗﻮاﻧﺪ روﺷﯽ در دﺳﺘﺮس، ﺳﺮﯾﻊ و ﻣﺆﺛﺮ در ﮐﻨﺘﺮل ﻋﻼﺋﻢ اﺿﻄﺮاب اﺟﺘﻤﺎﻋﯽ ﺑﺎﺷﺪ.

designation and validation of interactive software for integrated trans-diagnostic treatment in social anxiety disorder

introduction: the purpose of the current research was to design and validate the interactive software of trans-diagnostic therapy for the treatment of social anxiety disorder. method: this research was a hybrid design and included the design, production and evaluation of content validity and effectiveness of integrated meta-diagnostic software in the treatment of social anxiety. in the first stage, the software was designed and the treatment sessions were defined and its content validity was checked. in the second step, the effectiveness of the software was evaluated. this section was conducted using the single-subject method with the abab design along with the baseline and three-month intervention and follow-up stages. the statistical population consisted of 13-15-year-old students of a school in rabat karim in 1401, that four people of them were selected availably who had received the diagnosis of social anxiety symptoms by specialists. social phobia questionnaire was used to collect information. results: the results were analyzed using visual analysis and cohen's effect size. the results of the cvi index showed a value of 0.91 and a kappa coefficient of 0.62, which showed that the validity of the software is acceptable. in the last phase, cohen's effect size index in the recovery percentage of four participants was 1.19, 1.04, 0.62 and 1.93 respectively, which showed the effectiveness of this treatment method. conclusion: android interactive software has a significant effect in reducing social anxiety symptoms including fear, avoidance and physiological symptoms. although this study was conducted on students, it can be an accessible, quick and effective method in controlling the symptoms of social anxiety.