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360DSM is a web­application designed to playfully assess behavioral problems and reported complaints associated with the most common psychiatric conditions in children: ADHD, ODD, autism, anxiety and mood disorders. With measures for self­efficacy and self­confidence 360DSM emphasizes possible behavioral strengths and talents as well. This makes it possible to get direct insight in the progress of treatment of children between the age of 8 and 12.

Children diagnosed and/or treated for mental disorders but especially their parents, have to fill in questionnaires which often comprise more than a hundred questions and focus on behavioral problems, are often tedious and not at all easy nor fun to fill in. A Lickert scale is often used, which limits the spread and variability of the answers. Besides, for therapists it takes a lot of valuable time to process these surveys. Moreover, it isn't possible to monitor the therapy process in detail.

Time for a change! OCRN, Madlogic and Hanzehogeschool Groningen have joined forces to develop a smart and playful alternative, by using gamification and advanced digital technology. The process in which subject matter experts and developers work together is called co­creation.

The first prototype of 360DSM was created with a subsidy from 'Innovatiewerkplaats' initiated by the Hanzehogeschool, in 2015. January 2016 a new subsidy from Innovative Action Program Groningen 4 makes it possible to develop new parts of 360DSM.

A compact set of key­ characteristics representing ADHD, ODD, autism and anxiety and mood disorders and other behavioral characteristics that are often seen in children with mental health problems, have been distilled from DSM 5 and a series of standard symptom questionnaires. For each of these characteristics an animated image has been developed to reflect the core of each characteristic. These images act as a visual­aid to support the assessment. People can use a slider to score every item on a visual analogue scale. The application is short and easy to fill out and the progress of treatment can be monitored. Distinguished features of 360DSM are the possibility to obtain information from both the child as well as from parents or caretakers, teachers or sport coaches and to assess behavioral strengths and talents.

How does it work?

Step 1

Children, their parents, teachers and therapists receive an invitation via email to fill out the application

Step 2

Within the application, children are asked how they feel regarding the portrayed behavioral characteristics. Parents, teachers and therapists also fill in the application regarding the child’s behavior.

Step 3

They can change each image using a slider to get the image that corresponds to how they feel or, in the case of the parents, teacher or therapist, the behavior of the child.

Step 4

The results are live available to the psychologist/ psychiatrist and eventually for the child, his or her parents and teacher too, so it is able to act on it during therapy and daily life.

360DSM in practice

During screening in mental health care settings, 360DSM provides an overview of behavioral strengths and weaknesses, moods and fears of the child from multiple perspectives, including the perspective of the child itself. This will give the therapist the opportunity to examine the reported symptoms further and an overview is created of (in)consistency in symptoms reported by the child, his or her parents and teacher, which can be a starting point for psychological research and treatment.

During psychological treatment, it is possible to assess children in a fun and easy way from multiple perspectives on a weekly or even daily basis on any moment by using either a smartphone, a tablet or a desktop computer. The therapist will receive the results right away and obtains direct insight in the progress of the treatment.

The web­application is cost­ efficient, easy­ to ­use and stimulates children to actively provide insight into their situation.

Advantages for the child, parents and teachers

  • Fun and easy to fill out
  • Takes less than 5 minutes
  • Positively framed and recognizable
  • Positively framed self assessment
  • Better understanding

Advantages for the health care professional:

  • High response rates (close to 100%)
  • Multiple moments and perspectives of measurement
  • Fully automated data processing
  • Direct insight into the results that may serve as feedback
  • It perfectly fits in a modern dynamic approach of psychological research and treatment

Considering the health care sector heavily relies on the premise of working with evidence-based instruments, 360DSM is currently being validated. A team of psychologists from OCRN, supervised by renowed researchers from University of Groningen (RUG), has started a research track to validate the tool. 360DSM is a license-based solution and will be available in 2018. Launching customers are able to participate in validation pilots in early 2017.


Want to know more about 360DSM? For more information you can contact Dr. Frederiec Withaar, projectleader from OCRN (phone: +31(0)50 750 13 49) or Dr. Gerard Dekker, projectleader 360DSM from MadLogic (phone: +31(0)6-5539 4523).