Abstract
Single case designs (SCDs) have been argued to reduce or eliminate some of the problems of large-scale, randomized controlled trials, including the focus on average scores, the need for control groups, the difficulties in modifying treatment protocols after study onset, and the use of a reduced number of assessment points. To date, however, SCDs have been rare due to methodological difficulties (i.e., need for repeated assessment), which is now feasible with technology. It is also rare to find SCDs in group therapy research, again due to methodological and conceptual barriers. Our aim was to set up a SCD within the context of a group delivery psychological intervention for fibromyalgia patients (FM). An app developed by our team, Pain Monitor, was used for ecological momentary assessment. The treatment protocol integrates CBT techniques with positive psychology, pain acceptance, and mindfulness exercises. In this study, we intend to discuss how SCDs can be construed in the context of group therapy. We will present benefits and shortcomings of this methodology in this context and finally we will expose a real case with FM patients from our on laboratory which is currently running. In this investigation, a multiple baseline design was selected, but examples using other designs, such as ABAB (A = baseline; B = treatment), changing criterion, or alternating treatments, will be discussed with the same sample to provide an overview of different possibilities to address group treatment research using SCDs.
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References
Perez-Gomez, A., Mejia-Trujillo, J., Mejia, A.: How useful are randomized controlled trials in a rapidly changing world? Glob. Ment. Heal. 3, e6 (2016). https://doi.org/10.1017/gmh.2015.29
Blampied, N.M.: The third way: single-case research, training, and practice in clinical psychology. Aust. Psychol. 36, 157–163 (2001). https://doi.org/10.1080/00050060108259648
Ray, D.C., Schottelkorb, A.A.: Single-case design: a primer for play therapists. Int. J. Play Ther. 19, 39–53 (2010). https://doi.org/10.1037/a0017725
Smith, J.D.: Single-case experimental designs: a systematic review of published research and current standards. Psychol. Methods 17, 1–70 (2012). https://doi.org/10.1037/a0029312
Suso-Ribera, C., et al.: Improving pain treatment with a smartphone app: study protocol for a randomized controlled trial. Trials 19, 145 (2018). https://doi.org/10.1186/s13063-018-2539-1
Kratochwill, T.R., et al.: Single-case intervention research design standards. Remedial Spec. Educ. 34, 26–38 (2012). https://doi.org/10.1177/0741932512452794
Queiroz, L.P.: Worldwide epidemiology of fibromyalgia topical collection on fibromyalgia. Curr. Pain Headache Rep. 17 (2013). https://doi.org/10.1007/s11916-013-0356-5
Glombiewski, J.A., Sawyer, A.T., Gutermann, J., Koenig, K., Rief, W., Hofmann, S.G.: Psychological treatments for fibromyalgia: a meta-analysis. Pain. Int. Assoc. Study Pain 151, 280–295 (2010). https://doi.org/10.1016/j.pain.2010.06.011
Häuser, W., Thieme, K., Turk, D.C.: Guidelines on the management of fibromyalgia syndrome – a systematic review. Eur. J. Pain 14, 5–10 (2010). https://doi.org/10.1016/j.ejpain.2009.01.006. European Federation of International Association for the Study of Pain Chapters
Suso-Ribera, C., Castilla, D., Zaragozá, I., Ribera-Canudas, M.V., Botella, C., García-Palacios, A.: Validity, reliability, feasibility, and usefulness of pain monitor, a multidimensional smartphone app for daily monitoring of adults with heterogeneous chronic pain. Clin. J. Pain 34, 1 (2018). https://doi.org/10.1097/AJP.0000000000000618
Jenny, M.Q., Isabel Casado, Ma.: Terapias psicológicas para el tratamiento del Dolor Crónico. Clín. Salud. 22, 41–50 (2011). https://doi.org/10.5093/cl2011v22n1a3
Wolfe, F., et al.: The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum. 33, 160–172 (1990). https://doi.org/10.1016/j.pain.2008.02.009
Urbaniak, G.C., Plous, S.: Research Randomizer (Version 4.0) [Computer software] (2013)
Faul, F., Erdfelder, E., Lang, A.-G., Buchner, A.: G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav. Res. Methods 39, 175–191 (2007). https://doi.org/10.3758/BF03193146
Dallery, J., Cassidy, R.N., Raiff, B.R.: Single-case experimental designs to evaluate novel technology-based health interventions. J. Med. Internet Res. 15 (2013). https://doi.org/10.2196/jmir.2227
Horner, R.H., Swaminathan, H., Sugai, G., Smolkowski, K.: Considerations for the systematic analysis and use of single-case research. Educ. Treat. Child. 35, 269–290 (2012). https://doi.org/10.1353/etc.2012.0011
Sexton-Radek, K.: Single case designs in psychology practice. Heal. Psychol. Res. 2 (2014). https://doi.org/10.4081/hpr.2014.1551
Belles, D., Bradlyn, A.S.: The use of the changing criterion design in achieving controlled smoking in a heavy smoker: a controlled case study. J. Behav. Ther. Exp. Psychiatry 18, 77–82 (1987). http://www.ncbi.nlm.nih.gov/pubmed/3558855
Cannella-malone, H., Sigafoos, J., Reilly, M.O., De, Cruz B., Lancioni, G.E.: Comparing video prompting to video modeling for teaching daily living skills to six adults with developmental disabilities. Educ Train. 41, 344–356 (2006)
Kratochwill, T.R., Levin, J.R.: Meta- and statistical analysis of single-case intervention research data: quantitative gifts and a wish list. J. Sch. Psychol. 52, 231–235 (2014). https://doi.org/10.1016/j.jsp.2014.01.003. Society for the Study of School Psychology
Sanz, J., García-Vera, M.P.: Técnicas para el análisis de diseños de caso único en la práctica clínica: ejemplos de aplicación en el tratamiento de víctimas de atentados terroristas. Clin Salud 26, 167–180 (2015). https://doi.org/10.1016/j.clysa.2015.09.004. Colegio Oficial de Psicólogos de Madrid
Parker, R.I., Vannest, K.: An improved effect size for single-case research: nonoverlap of all pairs. Behav Ther. 40, 357–367 (2009). https://doi.org/10.1016/j.beth.2008.10.006. Elsevier B.V.
Bulté, I., Onghena, P.: An R package for single-case randomization tests. Behav. Res. Methods 40, 467–478 (2008). https://doi.org/10.3758/BRM.40.2.467
Levin, J.R., Ferron, J.M., Kratochwill, T.R.: Nonparametric statistical tests for single-case systematic and randomized ABAB... AB and alternating treatment intervention designs: New developments, new directions. J. Sch. Psychol 50, 599–624 (2012). https://doi.org/10.1016/j.jsp.2012.05.001. Society for the Study of School Psychology
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Suso-Ribera, C., Molinari, G., García-Palacios, A. (2019). How Can We Implement Single-Case Experimental Designs in Group Therapy and Using Digital Technologies: A Study with Fibromyalgia Patients. In: Cipresso, P., Serino, S., Villani, D. (eds) Pervasive Computing Paradigms for Mental Health. MindCare 2019. Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, vol 288. Springer, Cham. https://doi.org/10.1007/978-3-030-25872-6_12
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