Human-centered Perspectives on a Clinical Decision Support System for Intensive Outpatient Veteran PTSD Care
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arXiv
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| Autores principales: | , , , , , |
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| Formato: | Preprint |
| Publicado: |
2026
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| _version_ | 1866912941590183936 |
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| author | Baseman, Cynthia M. Ryu, Myeonghan Swinger, Nathaniel Xu, Kefan Sherrill, Andrew M. Arriaga, Rosa I. |
| author_facet | Baseman, Cynthia M. Ryu, Myeonghan Swinger, Nathaniel Xu, Kefan Sherrill, Andrew M. Arriaga, Rosa I. |
| contents | Psychotherapy delivery relies on a negotiation between patient self-reports and clinical intuition. Growing evidence for technological support of psychotherapy suggests opportunities to aid the mediation of this tension. To explore this prospect, we designed a prototype of a clinical decision support system (CDSS) for treating veterans with post-traumatic stress disorder in a Prolonged Exposure (PE) therapy intensive outpatient program. We conducted a two-phase interview study to collect perspectives from practicing PE clinicians and former PE patients who are United States veterans. Our analysis distills opportunities for a CDSS (e.g., offering homework review at a glance, aiding patient conceptualization) and larger challenges related to context and deployment (e.g., navigating Veterans Affairs). By reframing our findings through three human-centered perspectives (distributed cognition, situated learning, infrastructural inversion), we highlight the complexities of designing a CDSS for psychotherapists in this context and offer theory-aligned design considerations. |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2603_03467 |
| institution | arXiv |
| publishDate | 2026 |
| record_format | arxiv |
| spellingShingle | Human-centered Perspectives on a Clinical Decision Support System for Intensive Outpatient Veteran PTSD Care Baseman, Cynthia M. Ryu, Myeonghan Swinger, Nathaniel Xu, Kefan Sherrill, Andrew M. Arriaga, Rosa I. Human-Computer Interaction Psychotherapy delivery relies on a negotiation between patient self-reports and clinical intuition. Growing evidence for technological support of psychotherapy suggests opportunities to aid the mediation of this tension. To explore this prospect, we designed a prototype of a clinical decision support system (CDSS) for treating veterans with post-traumatic stress disorder in a Prolonged Exposure (PE) therapy intensive outpatient program. We conducted a two-phase interview study to collect perspectives from practicing PE clinicians and former PE patients who are United States veterans. Our analysis distills opportunities for a CDSS (e.g., offering homework review at a glance, aiding patient conceptualization) and larger challenges related to context and deployment (e.g., navigating Veterans Affairs). By reframing our findings through three human-centered perspectives (distributed cognition, situated learning, infrastructural inversion), we highlight the complexities of designing a CDSS for psychotherapists in this context and offer theory-aligned design considerations. |
| title | Human-centered Perspectives on a Clinical Decision Support System for Intensive Outpatient Veteran PTSD Care |
| topic | Human-Computer Interaction |
| url | https://arxiv.org/abs/2603.03467 |