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Human-centered Perspectives on a Clinical Decision Support System for Intensive Outpatient Veteran PTSD Care

  • Cynthia M. Baseman*
  • , Myeonghan Ryu*
  • , Nathaniel Swinger
  • , Kefan Xu
  • , Andrew M. Sherrill
  • , Rosa I. Arriaga
  • *Corresponding author for this work
  • Georgia Institute of Technology
  • Emory University

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

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.

Original languageEnglish
Title of host publicationCHI 2026 - Proceedings of the 2026 CHI Conference on Human Factors in Computing Systems
EditorsNuria Oliver, David A. Shamma, Heloisa Candello, Pablo Cesar, Pedro Lopes, Alessandro Bozzon, Thomas Kosch, Vera Liao, Xiaojuan Ma, Valentino Artizzu, Fiona Draxler, Gustavo Lopez, Anke V. Reinschluessel, Xin Tong, Phoebe O. Toups Dugas
PublisherAssociation for Computing Machinery
ISBN (Electronic)9798400722783
DOIs
StatePublished - 13 Apr 2026
Externally publishedYes
Event2026 CHI Conference on Human Factors in Computing Systems, CHI 2026 - Barcelona, Spain
Duration: 13 Apr 202617 Apr 2026

Publication series

NameConference on Human Factors in Computing Systems - Proceedings

Conference

Conference2026 CHI Conference on Human Factors in Computing Systems, CHI 2026
Country/TerritorySpain
CityBarcelona
Period13/04/2617/04/26

Keywords

  • Clinical decision support systems
  • Distributed cognition
  • Human-centered design
  • Infrastructure
  • PTSD
  • Patient-generated data
  • Psychotherapy
  • Situated learning
  • Veteran care

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