Table 1.
The questionnaires used in the case series.
Questionnaire | Measures | Scoring |
Patient Health Questionnaire-9 [42] | 9 items; depression | 0-4: minimal depression, 5-9: mild depression, 10-14: moderate depression, 15-19: moderately severe depression, and 20-27: severe depression. |
Generalized Anxiety Disorder Assessment-7 [46] | 7 items; anxiety | 0-4: minimal anxiety, 5-9: mild anxiety, 10-14: moderate anxiety, and 15-21: severe anxiety. |
General Health Questionnaire-12 [47] | 12 items; psychiatric impairment | Traditional (acute) scoring method used. Scores range from 0 to 12, and higher scores indicate a greater possibility of psychological distress. |
Short Form-6D version 2 [48] | 6 items; general health | Scores range from −0.685 to 1, with 1 indicating perfect health. Australian weights were used for this sample. |
Psychological Outcome Profiles [49] | 4 items used for scoring; change in problem-related distress over the course of therapy | Scores range from 0 to 20. Decreases in score between pretherapy and posttherapy indicate that a positive change has occurred. |
Reorganization of Conflict Scale [50] | 10-item subscale; goal conflict awareness and the proposed mechanism of change in the method of levels therapy | Each item is scored from 0 (I do not believe this at all) to 100 (I believe this completely). The mean of the 10 items is used as the outcome. |
General Self-Efficacy Scale [51] | 10 items; self-efficacy | Scores range from 10 to 40. Higher scores indicate higher perceived general self-efficacy. |
Session Impact Scalea [52] | 17 items; session (therapeutic) satisfaction | Each item is scored from 1 (not at all) to 5 (very much). We calculated the mean scores for the unwanted thoughts, relationship impacts, hindering impacts, understanding, and problem-solving subscales. Item 17 measures “other impacts,” an optional item that is not used in scoring. |
System Usability Scalea [53] | 10 items; user experience of digital systems | Outcome is a percentile ranking from 0 to 100, with scores >68 considered above average. |
User Engagement Surveya | 3 items; how often and for how long participants used Manage Your Life Online | Users select the days they used MLYO (Monday to Sunday), estimated how long an average conversation lasted (in mins), and how many conversations they had on each day they used MYLO. |
aDenotes surveys that were only presented at the during-testing survey and post-testing survey.