This study explored participants' experiences of a novel intervention blending ecological momentary assessment and intervention (EMA/I) digital technologies with four face-to-face therapy sessions to improve coping in people who experience persisting auditory verbal hallucinations (hear voices). A smartphone app was used to deliver prompts to facilitate both self-monitoring and self-management of voices. Analysis of data recorded by the app was also used in-session to develop an idiographic formulation of antecedents of and responses to voice-hearing episodes. Semi-structured interviews were conducted with 12 participants who completed the blended therapy. A thematic approach was used to analyse the data, generating four main themes, with associated subthemes: (1) Therapy experience changed by digital technology; (2) Valuing face-to-face component; (3) Preference for different phases of the digital technology; (4) Not as bothered by voices. Key findings revealed that participants perceived EMA/I technology as helping capture their experience more accurately and communicate this more effectively to the therapist, which, in combination with coping prompts developed in-session, deepened the therapeutic relationship. These findings add to the emerging literature that shows blended therapy can play an important role in the treatment of people with psychosis, and suggest potential of EMA/I as a technology for other clinical populations.

中文翻译：

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客户体验：将应对应对的听觉幻觉疗法与基于智能手机的生态瞬时评估和干预相结合

这项研究探讨了参与者将生态瞬时评估和干预（EMA / I）数字技术与四个面对面治疗课程相结合的新型干预措施的经验，以改善应对持续性听觉幻觉（听觉声音）的人的应对方式。使用智能手机应用程序发送提示，以促进语音的自我监控和自我管理。应用程序记录的数据分析还可以在会话期间用于开发语音听力事件的前因和响应的独特表述。对完成混合疗法的12名参与者进行了半结构化访谈。一种主题方法被用来分析数据，产生了四个主要主题以及相关的子主题：（1）数字技术改变了治疗经验；（2）重视面对面的组成部分；（3）偏好数字技术的不同阶段；（4）不被声音打扰。关键发现表明，参与者认为EMA / I技术有助于更准确地捕捉他们的经验并将其更有效地传达给治疗师，这与会期中形成的应对提示相结合，加深了治疗关系。这些发现增加了新兴的文献，这些文献表明混合疗法可以在精神病患者的治疗中发挥重要作用，并暗示EMA / I作为其他临床人群的技术的潜力。关键发现表明，参与者认为EMA / I技术有助于更准确地捕捉他们的经验并将其更有效地传达给治疗师，这与会期中形成的应对提示相结合，加深了治疗关系。这些发现增加了新兴的文献，这些文献表明混合疗法可以在精神病患者的治疗中发挥重要作用，并暗示EMA / I作为其他临床人群的技术的潜力。关键发现表明，参与者认为EMA / I技术有助于更准确地捕捉他们的经验并将其更有效地传达给治疗师，这与会期中形成的应对提示相结合，加深了治疗关系。这些发现增加了新兴的文献，这些文献表明混合疗法可以在精神病患者的治疗中发挥重要作用，并暗示EMA / I作为其他临床人群的技术的潜力。