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This article reports a study illustrating the relationship between digitalization and professional development from an identity-centered perspective. Drawing on a unique data set of 101 empathy-based stories from 81 Finnish government workers, the findings show how workers might experience and respond to work-identity alignments and misalignments in a digitalized working life and how this might influence their professional development. We identify four typifications-the thriving developer, the loyal transformer, the stagnant self-doubter, and the career crafter- and illustrate how digitalization can either support or hinder professional development by inducing work-identity (mis)alignments and how workers may respond to these in different ways by engaging in identity work and job crafting. In particular, our findings emphasize the role professional identity and agency play in professional development and highlight the importance of recognizing how digitalization of work can threaten or support workers' professional identities to build a supportive working environment where the workers feel like they are valued and able to develop in a meaningful way.
RESUMEN
BACKGROUND: There is need for more cost and time effective treatments for depression. This is the first randomised controlled trial in which a blended treatment--including four face-to-face sessions and a smartphone application--was compared against a full behavioural treatment. Hence, the aim of the current paper was to examine whether a blended smartphone treatment was non-inferior to a full behavioural activation treatment for depression. METHODS: This was a randomised controlled non-inferiority trial (NCT01819025) comparing a blended treatment (n=46) against a full ten-session treatment (n=47) for people suffering from major depression. Primary outcome measure was the BDI-II, that was administered at pre- and post-treatment, as well as six months after the treatment. RESULTS: Results showed significant improvements in both groups across time on the primary outcome measure (within-group Cohen's d=1.35; CI [-0.82, 3.52] to d=1.47; CI [-0.41, 3.35]; between group d=-0.13 CI [-2.37, 2.09] and d=-0.10 CI [-2.53, 2.33]). At the same time, the blended treatment reduced the therapist time with an average of 47%. CONCLUSIONS: We could not establish whether the blended treatment was non-inferior to a full BA treatment. Nevertheless, this study points to that the blended treatment approach could possibly treat nearly twice as many patients suffering from depression by using a smartphone application as add-on. More studies are needed before we can suggest that the blended treatment method is a promising cost-effective alternative to regular face-to-face treatment for depression. TRIAL REGISTRATION: Cognitive Behavioral Therapy Treatment of Depression With Smartphone Support NCT01819025.