Conference ICL2008 September 24 -26, 2008 Villach, Austria

CREATING YOUR E-LEARNING 2.0 STRATEGY UNDER THE WEB 2.0 DEVELOPMENT
FOR COGNITIVE BEHAVIORAL THERAPY INTERVENTIONS
1 1 2 2
Stefan, Alexandru ; Botei, Maria E. ; Ursutiu, Doru ; Samoila, Cornel
1: Bloomfield College, USA;
2: University "Transilvania" of Brasov ROMANIA, Romania

Key words: e-learning, somatization disorder , somatization portal,

ABSTRACT
e-Learning continues to grow at a tremendous rate. E-learning strategists predict that by the
year 2008, more than half of all training may be online.
E-learning companies are springing up everywhere. It seems as though you cant pick up a
business or training magazine without seeing articles about the benefits or the problems that are a
result of e-learning. The field is growing at an amazing rate and its standards have yet to be
developed or even agreed upon. So how in the world does a training department go about
implementing an e-Learning program in an organization? Or how does a psychology department
go for e-Learning implementation with regarding the cognitive behavioral therapy interventions?
One way is to develop a strategy for creating e-learning courses that can serve as a guide or road
map as you are working your way through the chaos. It is essential to link e-learning goals to
business goals or special programs goals to ensure the ultimate success of the entire e-learning
program. Our goals were to combine cognitive behavioral therapy in somatization disorder using
an e-Learning 2.0 portal, with strong information security elements, focus on keeping the
confidentiality of the users. Our project base on three levels strategies was design to cover the
psychology students needs with the patients needs with accurate clinical procedures, using e-
Learning 2.0 technologies.
Conference ICL2008 September 24 -26, 2008 Villach, Austria

1 Introduction
The increasing availability of the Internet and computer technologies we are now able to change
what and how we deliver training and instruction to learners separated by time or space. Thus eLearning
has begun to evolve.
One of the most important questions to ask when considering eLearning is "What does eLearning
change?"; some authors suggests that most importantly it removes barriers of time and space, changes the
economics of delivering training, and also changes how we can deliver training and sensitive information.
The field of eLearning is growing at an amazing rate and its standards have yet to be developed or
even agreed upon.
So, how does a training department go about implementing a special eLearning program in an
organization combining technician and clinical psychologists?
One way is to develop a strategy for creating eLearning courses that can serve as a guide or road map
as you are working your way through the chaos.
To create our e-learning strategy, we need to:

Link e-Learning goals with special project goals, in our case: cognitive behavioral therapy
interventions in somatization disorder;

Ensure support from top management;

Work with our IT Department to develop an understanding of our baseline technologies;

Work with our IT and Psychology Departments to establish standards for working together;

Create a plan to help our training department handle the changes;

Create a plan to help our psychology department handle the field research;

Determine e-Learning specifications and the working platform;

Determine how you will measure the results;

Prepare a rollout plan.

The plan was developed on three level strategies:

1. Determine what e-Learning 2.0 technologies was able to support the special project approach;
2. Covert the special psychology study-pilot results in entries for the e-Learning platform;
3. Design an information security analyzes focus on patients confidentiality data.
The final decision was to implement a Contend Management System under open source development to
cover our special eLearning project goal.

2 Link e-Learning 2.0 technologies with psychology special project goals

Training professionals who want to be seen as providing value to an psychology organization must
create programs that are tied to special project problems and opportunities, and these links must be
understood and supported by management. By linking the e-learning strategy to our special project
strategy, we strengthen the training departments position in our organization and the perception of the
value of the psychology training that is provided. It was essential to link e-learning 2.0 goals to special
project goals to ensure the ultimate success of the entire e-learning program. The final goal was the
Contend Management System under open source development for cognitive behavioral therapy
interventions and training.
Conference ICL2008 September 24 -26, 2008 Villach, Austria

In order to link the e-Learning 2.0 goals with cognitive behavioral therapy intervention goals, we
were pushed to take the first look at our special project goals. The psychology researchers and the training
specialists from our organization were dealing with one or more of these pressures in the beginning of our
project:

Global understanding of eLearning approach

Global competition in the cognitive behavioral therapy research area

Speed to market with new products in psychology eLearning

An effort to implement cost savings

The exponential rate of change in technology

Demand for exemplary online psychology service

Demand for high quality scientific materials and online specials services

Create an explicit development path for eLearning ( figure 1 )

Create security applications for e-Learning ( figure 2 )

Build
Design

Test
Analyze

Re-Build

Re-Design

Re-Analyze

Figure 1: Development path for eLearning 2.0 applications

Conference ICL2008 September 24 -26, 2008 Villach, Austria

Figure 2: Security settings

 Conference ICL2008 September 24 -26, 2008 Villach, Austria

2.1 e Learning 2.0 Strategy Goals Analyze

To achieve the e-learning 2.0 strategy goals in developing a Contend Management System for cognitive
behavioral therapy courses together with the cognitive behavioral therapy intervention in somatization
disorder was used the grid gold analyze system.

NO DO YOU HAVE IT? YES

ACHIEVE PRESERVE

eLearning training packages with three levels of tuition: Creativity, experience and

YES
 No support enthusiasm of the current staff
 Tutoring: tuition+10% Opportunities to inform and
 Tutoring & Labs + 20% involved patients in online support
Develop cognitive behavioral training packages focus on strategy
somatization study-pilot Improving online response time

YESYES

Customize portal training package for psychology; and effectiveness

 Design new e-learning courses
 Custom Online Course Authoring
 Customized secure patient page
Create special plans for each cognitive behavioral
therapy ( CBT )tool that clarified target patients and
Positive image of the organization
Diversification of services: online
activities
Flexibility to respond to different

DO YOU WANT IT?

needs
psychology student specific requirements, quantifiable
Updating course tuition with
value proposition for the online cognitive behavioral
regarding the market
intervention tool;
Define target customers
 Business version for our online training site
Develop international market by
IT? IT?

 Attract revenue by adds

localizing the business
 Use online special supporting tools
YOU WANT

International projects and affiliation

under international universities
Advertise customize CBT courses to local universities,
DOWANT

psychological organization
WEB 2.0 Base Training Solution Provider
DO YOU

AVOID ELIMINATE

Being seen as only courses provider Lower operating costs

Stagnation in opening new course Barriers to progress
Poor public perception and misperceptions The barriers to CBT degree
Instability of operation programs
NO

NO

Unproductive

NO DO YOU HAVE IT? YES

Conference ICL2008 September 24 -26, 2008 Villach, Austria

3 Covert the special psychology study-pilot results in entries for the

eLearning platform
The special psychology study-pilot was based on analysing the dysfunctional cognitive schemata
and the disfunctional attitudes and their corelations with patients psychiatric diagnosticate at somatization
disorder compared with the patients lot without psychopathology.

Our special psychology research was using the Schema Questionnaire (Young & Brown, 1990),
16 scales and 5 domains, the Romanian population version (Curseu, 2000) and Attitude Dysfunctional
Questionnaire (Weissman & Beck, 1978), A form, the Romanian population version, and was applied to
45 participants, including 15 patients with somatization disorders and 30 participants without
psychopathology (control group), made by 15 woman and 15 men.

Using nine dysfunctional cognitive schemata out of sixteen, we had results that showed
semnificative differences. The results were on somatization disorder group (TS) compared with control
group (n), at p<.01: vulnerability to danger (VH), failure (FA), over control (EI), insufficient self-
control/self-discipline (IS), dependence/ incompetence (DI), social undesirability / Approval seeking
(SU), abandonment / instability (MA), defectiveness / shame (DS) and self-sacrifice (SS). We found
positive correlation between the dysfunctional cognitive schemata and the dysfunctional attitudes. The
vulnerability to danger, failure and over control are the most used dysfunctional cognitive schemata on the
patients with somatization disorder in opposite with group control.

The special psychology study-pilot results were collected and helped to the developing of the
cognitive behavioral intervention tool in somatizatiom disorder. The tools were developed under the open
source technology and are part of the CMS.

4 Conclusions and future developments

The Content Management System, version 1.1 was created using the open source technology
DotNetNuke. DotNetNuke is easy to install and to host. DotNetNuke is built on up-to-date Microsoft
ASP.NET technology, and runs on various database platforms. In addition, many hosting
companies offer free installation of the DotNetNuke application with their plans.

DotNetNuke can support multiple portals off of one install. DotNetNuke divides administrative
options between host level and individual portal level. DotNetNuke allows administrators to manage any
number of sites, each with their own look and identity, all off of one hosting account.

DotNetNuke is fully customizable so, our Content Management System customize was designed
the contend for students information, for professional psychologists and for patients. New skins and
module containers will be easily applied to the site with no repercussion on content. New clinical
approaches will be developed under our portal. Our portal was designed as user-friendly interface. Well-
researched interface makes it easy for users to manage all aspects of their projects.
Conference ICL2008 September 24 -26, 2008 Villach, Austria

References:

1. The DNA of eLearning, excerpt from Beyond eLearning, Internet Time Group,
www.internettime.com
2. Pam Pervenanze, Learn Source - Connecting Companies with Quality Learning
Solutions and Pinneast, CeleXxs Performance Media Group
3. Building a Business Case for eLearning, www.geolearning.com
4. ITPS-Online Solution, http://online.bloomfield.edu, USA
5. Aligning eLearning with Business Goals & Measuring Results, Spring 2008, MBA Program, Poly
University
6. Botei M.E., Miclea M., Dysfunctional Cognitive Schemata in Somatization Disorder, 2006
7. Allen LA, Escobar JI, Lehrer PM, Gara MA, Woolfolk RL. Psychosocial treatments for multiple
unexplained physical symptoms: a review of the literature. Psychosom. Med. 2002; 64:93950.
8. Almgren P-E, Nordgren L, Skantze H. A retrospective study of operationally defined hysterics. Br J
Psychiatry 1978;132:6773.
9. American Psychiatric Association. Diagnostic and statistical manual of psychiatric disorders. 3rd ed.
Washington (DC): American Psychiatric Association; 1980.
10. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed.
Washington (DC): American Psychiatric Association; 1994.
11. American Psychiatric Association. Diagnostic and statistical manual of psychiatric disorders. 4rd ed.
Tr. Washington (DC): American Psychiatric Association; 2000.
12. Briquet P. Trait de lhysterie. Paris: Baillire; 1859.
13. Baban, A. (1998). Stres si Personalitate. Presa Universitara Clujeana.
14. Bass C, Peveler R, House A. Somatoform disorders: severe psychiatric illness neglected by
psychiatrist. Br J Psychiatry 2001;179:114.
15. Beck A.T. Cognitive Therapy and the Emotional Disorders International University Press, New
York, 1976.
16. Blanck, P.D. (ed) (1994). Interpersonal Expectations. Theory, Research, and Applications, Cambridge
Univ. Press.
17. Burns D. The Feeling Good Handbook - A Plume Book, New York, 1989.
18. Butler J, Chalder T, Wessely S. Causal attribution for somatic sensations in patients with chronic
fatigue syndrome and their partners. Psychol Med 2001;31:97105.
19. Cantor C. Phantom illness. Boston (MA): Mariner Books; 1996.
20. Carver, C.S. & Scheier, M.F. (1992). Perspectives on Personality. Second Edition, Allyn & Bacon.
21. Cloninger R-C, Reich T, Guze S. The multifactorial model of disease transmission: III. Familial
relations between sociopathy and hysteria (Briquets syndrome). Br J Psychiatry 1995;127:2332.
22. Cloninger R-C, Martin R, Guze S, Clayton P. A prospective follow up and family study of
somatization in men and women. Am J Psychiatry 1986;143:8738.
23. Cottraux J., Blackburn J.M. Therapies cognitives des troubles de la personalite, 2003
24. Cottraux J., Terapiile cognitive. Ed. Polirom, Bucuresti, 2003
25. Craig TK, Drake H, Mills K, Boardman P. The South London Somatisation Study. II. Influence of
stressful life events, and secondary gain. Br J Psychiatry 1994:
165:24858.
26. Curseu PL, Codoban IA, Sava RN. Adaptarea si validarea preliminara a ,,Chestio-narului Schemelor
Cognitive. Rev. Creier, Cognitie, Comportament, 2000
Conference ICL2008 September 24 -26, 2008 Villach, Austria

27. Sifneos P. The prevalence of alexithymia in psychosomatic patients. Psychother Psychosom

1973;22:25562.

Author(s):

Stefan, Alexandru, PhD

ITPS-Bloomfield College
476 Franklin St, Bloomfield, NJ, USA
alex_stefan@bloomfield.edu
Botei, Maria E., MA
ITPS-Bloomfield College
476 Franklin St, Bloomfield, NJ, USA
maria_botei@bloomfield.edu

Ursutiu, Doru, PhD

University "Transilvania" of Brasov ROMANIA, Romania
B-dul Eroilor 29, Brasov, Romania
udoru@unitbv.ro

Samoila, Cornel , PhD

University "Transilvania" of Brasov ROMANIA, Romania
B-dul Eroilor 29, Brasov, Romania
csam@unitbv.ro