What is DIALOG+?

DIALOG+ is an app-based therapeutic intervention incorporating the DIALOG scale.

DIALOG+ improves the communication between a health professional and a patient and, through that, outcomes of mental health care. It combines assessment, planning, intervention and evaluation in one procedure.

DIALOG+ is based on quality of life research, concepts of patient-centred communication, developments in information technology and components of solution focused therapy. Using DIALOG+ has been shown to improve outcomes and save costs in community mental health care of patients with psychosis.


How does DIALOG+ work?

In DIALOG+, patients use a tablet to complete the DIALOG scale in the meeting with their clinicians.  Based on the ratings and comparisons with previous ratings, patients decide which concerns they want to discuss in the given meeting. Each concern will then be addressed in a four-step approach:

1) Understanding the problem and emphasising ways of successful coping;
2) Identifying the best-case scenario and the smallest step forward that would make a noticeable difference;
3) Exploring options for what the patient, the clinician and others can do to improve the patient’s situation; and
4) Agreeing on actions, which will then be reviewed at the next meeting.


Developed by experts

DIALOG and DIALOG+ were developed at the Unit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Service Development), which is part of Queen Mary University of London (QMUL), and attached to East London NHS Foundation Trust.  The research was led by Professor Stefan Priebe and supported by a collaboration with the School of Electronic Engineering and Computer Science at QMUL.

A video explaining how DIALOG+ works can be found here: