SloMo2: A process evaluation, effectiveness and cost-effectiveness study of a digitally supported therapy for psychosis in routine care
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AI plain-English summaryParanoia is one of the most distressing symptoms of psychosis, and a new digital therapy called SlowMo is being rolled out into routine NHS care to help people challenge suspicious thoughts in real time. Why this matters: Current psychological treatments for paranoia are effective but hard to scale. They require extensive therapist training and are often inaccessible outside specialist services. SlowMo is a tablet-based therapy that combines cognitive behavioural techniques with a visual tool to help users slow down their thinking and notice when fast, automatic suspicious thoughts are misleading them. The therapy was co-designed with people who have lived experience of paranoia, and the new version—SlowMo2—aims to make it suitable for a wider range of practitioners, including those with less specialist training. If this succeeds: The project will produce a fully digital training package that automates workforce education, removing a major barrier to adoption. It will also generate a commercialisation strategy and a blueprint for NHS-wide spread. The goal is to make effective, evidence-based paranoia therapy available to far more people than current services can reach, without requiring every clinician to be a specialist. A cost-effectiveness analysis will help persuade NHS commissioners and regulators to adopt it permanently.
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