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Paddle – a smartphone app aiding recovery

paddle logoA smartphone app is being developed to support patients to stay well and maintain their therapeutic gains following a course of psychological or talking therapy treatment for a common mental health disorder.

The digital application puts patients in control, storing all their treatment-related information in a single secure location that they can access easily and immediately when needed. Co-designed by patients and clinicians in the Oxford AHSN region, the app is called Paddle because it’s a tool to help people steer their way through life’s choppy waters.

The vast majority of patients do well during and after treatment. But one in three seek additional help in the six months after they are discharged.

Ineke Wolsey, Oxford AHSN Anxiety and Depression Network manager, said: “It can be difficult for patients to organise and store all of the information and knowledge they gained during therapy to help them stay well. The period immediately after treatment can be really challenging and going it alone can be scary. The Paddle app enables individually tailored support, empowering people to effectively manage their condition and reduce relapse rates. It brings benefits to the individual, clinicians and the wider health system.”

In the Thames Valley over 3,500 patients enter treatment for a common mental health disorder every month and all of them will be offered the app once piloting and evaluation are completed.

Why was Paddle developed?

Paddle has been designed to help patients make the most of their therapy, and to continue to stay well afterwards by helping them to put knowledge gained during therapy to use after being discharged. Therapy for anxiety and/or depression helps patients to gain a better understanding of their difficulties. As part of this process, much of the information is recorded in written format, but this isn’t always stored systematically. Patients have said that trying to organise this information and keep it safe can be difficult – especially once treatment has ended (as papers are often lost or misplaced).

Paddle is therefore useful to patients as it allows them to:

  • store and organise treatment notes and related information electronically and in one secure place (rather than having to keep lots of different pieces of paper together)
  • have easy access to this information once therapy ends

Paddle has been designed to help patients keep information and learning from therapy sessions, work booklets and other related resources together in an organised fashion, enabling them to make the most of their treatment, and increasing the likelihood of referring to and using this information once treatment has ended.

Following a pilot with a small group of patients at the end of 2019, the Paddle app has been rolled out across Berkshire, Oxfordshire, Buckinghamshire and Milton Keynes. Phase 1 in 2020/21 involved rollout for people in the Oxford AHSN region who have started a course of psychological therapy (also known as NHS talking therapies or IAPT services). These are:

  • Healthy Minds (Buckinghamshire)
  • Talking Space Plus (Oxfordshire)
  • Talking Therapies (Berkshire)
  • Talk for Change (Milton Keynes)

This was followed in 2021/22 by a further pilot study looking at how long patients stay well following treatment. Both pilot studies were successful (based on patients using Paddle during treatment and in continuing to monitor their progress after treatment).

The network is planning additional development work in 2022/23 (including Paddle being approved as a medical device) to ensure it is fit for purpose for wider roll-out in 2023.