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How does DIALOG+ work?

In DIALOG+, patients rate their satisfaction with eight areas of life and three treatment aspects. The ratings are completed and displayed on a tablet, computer or mobile and can be compared with any previous ratings. After considering the ratings, the patients then decide which concerns they want to discuss in the given meeting. Each concern will then be addressed in a four-step approach:

  • Understanding the problem and emphasising ways of successful coping;
  • Identifying the best-case scenario and the smallest step forward that would make a noticeable difference;
  • Exploring options for what the patient, the clinician and others can do to improve the patient’s situation; and
  • Agreeing on actions, which will then be reviewed at the next meeting

DIALOG+ provides assessment, planning, intervention and evaluation in one procedure. The frequency and intervals of using it are flexible.

Progressive Web Application

As of January 2021, DIALOG+ is now available as a Progressive Web Application (PWA), which can be used on all devices (e.g. computer, tablet, mobile) and all operating systems (e.g. iOS, Android, others). It is free to use and open source which means everyone is welcome to translate it and adapt the technological aspects for their own purpose. Currently, the PWA is available in English and German. 

The PWA can be accessed on

All information about the new DIALOG+ PWA including the code itself and instructions for how to adapt it can be found on The explanation also addresses technical aspects. Some of the terminology might be difficult to understand for lay people. However, it should be straightforward for anyone with a background in information technology. 

All further general information about DIALOG+ with manual, literature and explaining video remains available on this site. 

If you would like to know more or discuss details (e.g. how to produce a version in another language), please visit our contact page

The supporting app

The IOS app is available for iPads and in English only. Visit the Apple App Store

The Android app is available for tablets and smartphones in the following languages: English, Albanian, Bosnian, Croatian, Dutch, French, Ganda, German, Italian, Macedonian, Montenegrin, Portuguese (Brazilian), Russian, Serbian, Spanish, Tamil and Urdu (in transliteration). Visit the Google Play store

If you wish to develop your own language version or translation, please note that this can most easily be done by using the Progressive Web Application (PWA). The PWA is also the most flexible version to use if you are a first-time DIALOG+ user. 

A video explaining DIALOG+

DIALOG and DIALOG+ are explained in a video of about 22 minutes. Please click below to watch the video:



We asked service users what matters to them, and their responses are shown in the following video:

DIALOG+ Manual

The DIALOG+ manual contains all the information about how to use DIALOG+.

It is brief and focuses on the essential features of the intervention, whilst clinicians may vary non-essential features in the intervention, depending on their background, the context or the setting.

DIALOG+ Adherence Scale

If you are interested in using the Adherence Scale, please use the Contact Us page to request further information.


The DIALOG app is designed to be simple and user-friendly. After reading the DIALOG+ manual and watching the training video, most users will be able to access and use all functions of the app. If you have any specific questions about any additional features and functions of the app, please use the Contact Us page to ask a question.

For information about the clinical and therapeutic aspects of the intervention please refer to the DIALOG+ Manual


Training sessions are currently routinely available for ELFT staff. If you are from an external Trust or organisation then an initial training session with information about how DIALOG+ works, role-plays and discussion, can be arranged and takes about 90 minutes. Please use our contact page to request more information about training sessions.