Keywords
Telemental health; Telemedicine; Telepsychiatry; Health information technologies; Outreach with underserved populations
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Despite advances in schizophrenia treatment, symptom relapses and rehospitalizations impede recovery for many people and are a principal driver of the high cost of care. Technology-delivered or technology-enhanced treatment may be a cost-effective way to provide flexible, personalized evidence-based treatments directly to people in their homes and communities. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://www.sssft.nhs.uk/library
Telehealth, which already helps thousands of patients with long-term conditions to be cared for in their own homes, allows the patient to remotely provide daily data to nurses and clinicians to monitor their condition. Conditions already monitored by Telehealth include diabetes, epilepsy and Chronic Obstructive Pulmonary Disease. Cornwall is the first county in England to use Telehealth to help patients manage urinary tract infections (UTIs).
Internet-delivered exposure-based cognitive behaviour therapy (ICBT) has been shown to be effective in the treatment of severe health anxiety. The health economic effects of the treatment have, however, been insufficiently studied and no prior study has investigated the effect of ICBT compared with an active psychological treatment. The aim of the present study was to investigate the cost effectiveness of ICBT compared with internet-delivered behavioural stress management (IBSM) for adults with severe health anxiety defined as Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) hypochondriasis. ICBT was hypothesised to be the more cost-effective treatment. Open Access Article
Open access. Telephone cognitive–behaviour therapy (TCBT) may be a cost-effective method for improving access to evidence-based treatment for obsessive–compulsive disorder (OCD) in young people.
Objectives To evaluate the cost-effectiveness of a therapist-guided internet-delivered cognitive behaviour therapy (ICBT) intervention for adolescents with obsessive–compulsive disorder (OCD) compared with untreated patients on a waitlist.
Open Access Article
Shortlisted projects include Adult Safeguarding Enquiry cards, Integrated Community Services Team, Social Prescribing, Broseley Project for work using consumer smart technology to support health and social care needs of vulnerable people, night time carer support.
People who want to improve their mental health can now take a new online programme being offered by Cambridgeshire and Peterborough NHS Foundation Trust.
The free treatment is from CPFT’s Psychological Wellbeing Service and is available to anyone over the age of 17 who is registered with a GP in Cambridgeshire or Peterborough.
The online system, SilverCloud, can help those experiencing stress, depression or a wide range of anxiety disorders.
An animated cartoon promoting the availability of Skype for patients and care homes in North Staffordshire is proving popular with patients.
The animation, which has been developed by an up and coming young animator explains the services that are available and the reasons why Skype is being introduced.
The animation is part of a programme of Skype which is being rolled out across GP Practices and Care Homes by Stoke-on-Trent and North Staffordshire CCGs and will be shown across social media channels and in some surgery and pharmacy waiting rooms.
Psychiatric Rehabilitation Journal40.3 (Sep 2017): 266-275.
Objective: This purpose of this study was to describe and demonstrate CrossCheck, a multimodal data collection system designed to aid in continuous remote monitoring and identification of subjective and objective indicators of psychotic relapse. To read the full article, log in using your NHS OpenAthens details.
It is the aim of the current research to identify some common functionalities of postnatal application, and to determine the quality of the information content of postnatal depression application using validated scales that have been applied for applications in other specialties.
Open Access Article
How one company’s innovative computer technology is providing a highly individualised bespoke supported living care package for people with learning disabilities in Newcastle upon Tyne. Login using your SSSFT NHS OpenAthens details for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you requesting.
Clinically led improvement, enabled by new technology, is transforming the delivery of health care and our management of population health. Yet strategic decisions about clinical transformation and the associated investment in information and digital technology can all too often be a footnote to NHS board discussions. This needs to change. This report sets out the possibilities to transform health care offered by digital technologies, with important insight about how to grasp those possibilities and benefits from those furthest on in their digital journey.
App Review. This app is for carers of people with dementia. Developed by Health Education England’s Thames Valley team in partnership with the University of Reading and in collaboration with healthcare professionals and carers, it offers practical information to support users’ understanding of the progressive nature of dementia and the challenges of caring for someone with the condition.
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Digital technology is changing the world, but is it doing the same for people with dementia? Phil Joddrell and Arlene Astell argue that it can, so long as tablet computer “apps” are adapted so that everyone can enjoy using them. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Purpose: The purpose of this study was to gain insight from speech-language pathologists (SLPs) and parents of children with autism spectrum disorder (ASD) regarding appealing features of augmentative and alternative communication (AAC) applications. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Rising ownership of smartphones and tablets across social and demographic groups has made mobile applications, or apps, a potentially promising tool for engaging patients in their health care, particularly those with high health care needs. Through a systematic search of iOS (Apple) and Android app stores and an analysis of apps targeting individuals with chronic illnesses, we assessed the degree to which apps are likely to be useful in patient engagement efforts. Usefulness was determined based on the following criteria: description of engagement, relevance to the targeted patient population, consumer ratings and reviews, and most recent app update. Among the 1,046 health care–related, patient-facing applications identified by our search, 43 percent of iOS apps and 27 percent of Android apps appeared likely to be useful. We also developed criteria for evaluating the patient engagement, quality, and safety of mobile apps.
Open access. Evidence on how to implement new interventions into complex healthcare environments is often poorly reported and indexed, reducing its potential to inform initiatives to improve healthcare services. Using the implementation of a digital intervention within routine National Health Service (NHS) practice, we provide an example of how to develop a theoretically based implementation plan and how to report it transparently. In doing so we also highlight some of the challenges to implementation in routine healthcare.
Open access. The rapidly expanding field of mobile health (mHealth) seeks to harness increasingly affordable and ubiquitous mobile digital technologies including smartphones, tablets, apps and wearable devices to enhance clinical care. Accumulating evidence suggests that mHealth interventions are increasingly being adopted and valued by people living with serious mental illnesses such as schizophrenia and bipolar disorder, as a means of better understanding and managing their condition. We draw on experiences from three geographically and methodologically distinct mHealth studies to provide a pragmatic overview of the key challenges and considerations relating to the process of developing digital interventions for this population.
The rapidly expanding field of mobile health (mHealth) seeks to harness increasingly affordable and ubiquitous mobile digital technologies including smartphones, tablets, apps and wearable devices to enhance clinical care. Accumulating evidence suggests that mHealth interventions are increasingly being adopted and valued by people living with serious mental illnesses such as schizophrenia and bipolar disorder, as a means of better understanding and managing their condition. To read the full article, log in using your NHS OpenAthens details.
This paper describes the first UK study to explore and develop business approaches and innovations required to make electronic assisted living technologies more accessible to consumers in their fifties and sixties. SSSSFT - Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Psychiatric Rehabilitation Journal (Jun 20, 2016).
Objective: Individuals living with serious mental illnesses are key stakeholders in user experience design and the development of the WorkingWell mobile app to enhance on-the-job follow-along support. In this study, Individual Placement and Support (IPS) consumers identify challenges in sustaining employment, provide data regarding their use of technology, and suggest technology-based solutions for coping on the job to inform app development. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Purpose: This paper outlines the development and content validation of the power mobility training tool (PMTT), an observational tool designed to assist therapists in developing power mobility training programs for children who have multiple, severe impairments. You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
A tablet-based AAC app was developed to support communication rehabilitation. User studies of the app were conducted and included able-bodied individuals and people with verbal communication disabilities. All study participants agreed that the app establishes a usable alternative treatment protocol for communication rehabilitation. SSSFT - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Open access. E-mental health is a promising medium to keep mental health affordable and accessible. For consumers with severe mental illness the evidence of the effectiveness of e-health is limited. A number of difficulties and barriers have to be addressed concerning e-health for consumers with severe mental illness. One possible solution might be to blend e-health with face-to-face delivery of a recovery-oriented treatment, like the Illness Management & Recovery (IMR) programme. This paper describes the development of an e-health application for the IMR programme and the design of an early clustered randomized controlled trial.
Our Perinatal Team has been working with ForMed Films and three young people from Devon - Anya, Macauley and Erin - to create an inspiring animation in which the three stars describe in their own words what life is like for them having a parent with significant mental health problems.
Our MyWard electronic whiteboard was the winner in the Digital Health Category at the recent Tech4Good awards. Fantastic achievement, the only NHS finalist in 28 categories.
Conclusions
Telehealth applications can appropriately be used to diagnose dementia. However, most of the studies included only small sample sizes and did not test the applications explicitly in rural or remote populations. Therefore, studies taking these limitations into account are needed. On top, only two RCTs are included in this review indicating that more high quality studies in this field are needed. You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
Worldwide, life expectancy and ageing‐related disorders as Mild Cognitive Impairment (MCI) and Alzheimer's Disease (AD) are increasing, having a rising impact on patients’ quality of life and caregivers’ distress. Telemedicine offers many possibilities, such as remote diagnosing and monitoring patients.. To read the full article, log in using your MPFT NHS OpenAthens details.
Depression and anxiety are common mental health disorders worldwide. The UK’s Improving Access to Psychological Therapies (IAPT) programme is part of the National Health Service (NHS) designed to provide a stepped care approach to treating people with anxiety and depressive disorders. Cognitive Behavioural Therapy (CBT) is widely used, with computerised and internet-delivered cognitive behavioural therapy (cCBT and iCBT, respectively) being a suitable IAPT approved treatment alternative for step 2, low- intensity treatment. iCBT has accumulated a large empirical base for treating depression and anxiety disorders. However, the cost-effectiveness and impact of these interventions in the longer-term is not routinely assessed by IAPT services. The current study aims to evaluate the clinical and cost-effectiveness of internet-delivered interventions for symptoms of depression and anxiety disorders in IAPT.
The use of digital technologies in the management of mental illness, and more generally in the promotion of well-being and mental health, has received much recent attention and is a focus of current health policy. We conducted a narrative review to explore the opportunities and risks of digital technologies in mental healthcare specifically for people with intellectual disability, a sometimes marginalised and socially excluded group. To read the full article, log in using your NHS OpenAthens details.
The use of digital technologies in the management of mental illness, and more generally in the promotion of well-being and mental health, has received much recent attention and is a focus of current health policy. We conducted a narrative review to explore the opportunities and risks of digital technologies in mental healthcare specifically for people with intellectual disability, a sometimes marginalised and socially excluded group. To read the full article, log in using your SSSFT NHS OpenAthens details.
with the support from BT and Simeon Yates from the University of Liverpool, we did some research.
Its aim was simple:
To better understand the specific reasons people in the UK give for being offline, in greater depth and granularity than currently available research.
Today we have launched our findings.
Telford & Wrekin Drug and Alcohol Recovery Service (DARS) launches digital health programme Breaking Free Online to broaden access to addiction treatment.
a pioneering medical team in Cornwall developed an app to allow people with epilepsy to monitor their condition and health risk. The app has already won many prestigious awards in the UK and USA, including the 2016 HSJ Patient Safety award, 2016 BMJ Neurology awards, 2015 International League Against Epilepsy (ILAE) awards and 2015 Epilepsy Foundation US.
With deaths so high, a pioneering medical team in Cornwall developed an app to allow people with epilepsy to monitor their condition and health risk. The app has already won many prestigious awards in the UK and USA, including the 2016 HSJ Patient Safety award, 2016 BMJ Neurology awards, 2015 International League Against Epilepsy (ILAE) awards and 2015 Epilepsy Foundation US.
Muna Dubad on a qualitative analysis of young adults’ perspectives of a smartphone app, which is designed for people recently diagnosed with schizophrenia
Dementia is the most widespread form of neurodegenerative disorder and is associated with an immense societal and personal cost. Prevalence of this disorder is projected to triple worldwide by 2050 leading to an urgent need to make advances in the efficiency of both its care and therapy research. Digital technologies are a rapidly advancing field that provide a previously unavailable opportunity to alleviate challenges faced by clinicians and researchers working in this area. This clinical review aimed to summarise currently available evidence on digital technologies that can be used to monitor cognition.. To read the full article, log in using your NHS OpenAthens details.
Dementia is the most widespread form of neurodegenerative disorder and is associated with an immense societal and personal cost. Prevalence of this disorder is projected to triple worldwide by 2050 leading to an urgent need to make advances in the efficiency of both its care and therapy research. Digital technologies are a rapidly advancing field that provide a previously unavailable opportunity to alleviate challenges faced by clinicians and researchers working in this area. This clinical review aimed to summarise currently available evidence on digital technologies that can be used to monitor cognition.. To read the full article, log in using your NHS OpenAthens details.
The authors point out that whereas digital technology is transforming almost all areas of our lives – enabling us to order shopping online or book airline tickets, for example – its use in the NHS is still limited. They explore the evidence to date from seven types of technology for patients in primary care, including online triage programmes such as symptom-checkers, so-called ‘wearable technology’ like Fitbits, online GP appointment booking, video consultations, and health-related apps.
Lina Gega explores a review of digital technology for health promotion, which looks at opportunities to address excess mortality in people living with SMI.
Persons with severe mental disorders (SMDs) experience dramatically reduced life expectancy compared with the general population. We consider the role of digital technologies for addressing this serious public health concern. In this clinical review, we apply the multilevel risk model recently introduced by the WHO to conceptualise how digital technology can support efforts to reduce excess mortality risk at the individual, health system and social determinants of health levels. In particular, digital technologies show promise for targeting preventable physical health conditions in persons with SMDs.. To read the full article, log in using your NHS OpenAthens details.
Few individuals living with mental disorders around the globe have access to mental health care, yet most have access to a mobile phone. Digital technology holds promise for improving access to, and quality of, mental health care. We reviewed evidence on the use of mobile, online, and other remote technologies for treatment and prevention of mental disorders in low-income and middle-income countries.Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Editorial. Technological advances have defined our age. Computers, the internet and mobile devices are ubiquitous and virtually essential day-to-day tools. Some would argue that they have expanded our minds—and in doing so created the so-called ‘extended mind’. Irrespective of whether this is the case, they have at the very least permeated every aspect of our lives—to the point that most of us now rely heavily on technology and would be truly lost without our mobile phone, laptop or electronic calendar; and this is particularly true of younger generations.....To read the full article, log in using your NHS OpenAthens details.
Chris O'Sullivan on a systematic review of web-based psychological interventions delivered in the workplace, to improve employee wellbeing & effectiveness.
The emphasis on reducing the duration of untreated psychosis (DUP) has highlighted complex barriers to accessing appropriate services. Internet and social media use by individuals with first-episode psychosis (FEP) was examined to explore how these platforms might be used to facilitate treatment initiation.. Login at top right hand side of page using your MPFT NHS OpenAthens for full text.
Psychotherapy is a complex intervention, consisting of various components and being implemented flexibly in consideration of individual patient’s characteristics. It is then of utmost importance to know which of the various components or combinations thereof are more efficacious, what their specific effect sizes are and which types of patients may benefit more from different components or their combinations. Open Access Article
There is a growing evidence base around digital health interventions, defined here as “programs that provide information and support (emotional, decisional, and/or behavioral) for physical and/or mental health problems via a digital platform (e.g. website or computer)”.
Crucially, we know digital interventions are effective if people use them. But getting people to use them, or persist in using them, is the tricky part. There is evidence to suggest that there is a ‘dose response’ relationship with digital interventions, with greater effects associated with greater engagement. The question of how to better engage people with these interventions is therefore an important one.
This review focuses on exactly that; specifically on trying to prolong engagement, and encourage people to revisit an intervention (rather than targeting the decision to engage in the first place). The authors aimed to review the effectiveness of technological prompts for encouraging sustained use of digital interventions.
The researchers provided 45 clinical vignettes to more than 200 doctors. They found doctors were twice as likely to diagnose accurately first time compared with an online symptom-checking application called Human Dx.
Previous research on assistive technology has focused on socioeconomic impacts such as education, employment and access to healthcare by people with intellectual disability. There is a need to consolidate evidence on the interaction between intellectual disability, assistive technology, community living and social inclusion.
Open Access Article
The Journal of Medical Internet Research (JMIR) has published a US study that considers whether health information technology, such as apps and patient portals, has the potential to create another digital divide.
Social anxiety disorder (SAD) can be effectively treated with internet-delivered cognitive behavioural therapy (ICBT), but studies on long-term cost minimisation from a healthcare provider perspective in comparison to an evidence-based control treatment of therapeutic equivalence are lacking. The objective of the study was to determine whether ICBT reduces healthcare costs and use of healthcare resources compared with cognitive behavioural group therapy (CBGT).
Open Access Article
Conclusion The inclusion of nutritional counseling as part of a telemedicine program does not make a significant difference to diabetes outcomes. Incorporating nutritional counseling into telemedicine programs via SMS is at least as effective as counseling via telephone or videoconference. You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
In order to realise the potential of internet interventions, we need to develop an evidence base supporting the efficacy of internet interventions for co-occurring depression and hazardous alcohol use without any therapist involvement. This study aims to evaluate the effects on drinking, and on depressive symptoms, of combining an internet intervention targeting hazardous alcohol consumption with one for depression. Open Access Article
This study aims to examine whether the effects of internet interventions for depression generalise to participants recruited in clinical settings.
Open Access Article
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Conclusions: It is unlikely that changes in physical activity were related to the ageing process given the relatively short time span of the study. Thus it can be inferred that participants viewed their mobility scooter as a vehicle for maintaining their lifestyle rather than as a means to seek out additional activities. Improvements to perceived quality of life may be attributed to continuing or furthering community and social engagement, and a sense of retained independence. You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
Technology in health and care services is growing in importance. Digitally-enabled care can offer significant benefits to people who use services and those who run and deliver them.
These case studies illustrate some of the developments in use and testing.
The study brings together data from separate studies to undertake an individual patient data (IPD) meta-analysis to identify sociodemographic, clinical and intervention characteristics that predict dropout in self-guided web-based interventions for people with depressive symptoms. To read the full article, log in using your NHS OpenAthens details
Pressure ulcer interventions are commonly assessed with measures of seating interface pressure, such as peak pressure gradients (PPGs). Decreases in PPG magnitudes may reduce pressure ulcer risk by decreasing tissue deformation and increasing tissue perfusion of at-risk weight-bearing tissues. Changes in PPG directions, which have previously been overlooked in the seating pressure literature, may provide a transient increase in blood flow to at-risk tissues, even if the PPG magnitude and location remain the same. The purpose of this study was to assess both PPG components in response to combinations of wheelchair tilt and recline angles. You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
Open access. E-mental health holds promise for people with severe mental illness, but has a limited evidence base. This study explored the effect of e-health added to face-to-face delivery of the Illness Management and Recovery Programme (e-IMR).
Ecological momentary assessment (EMA) and ecological momentary intervention (EMI) are technologies used to track fluctuations in experiences and prompt behavioral responses within the context of a person’s daily life. Most commonly delivered via smartphone, EMA and EMI have potential to provide simple, cost-effective, and user-led treatment for psychotic disorders. This systematic review aimed to synthesize current research exploring the feasibility, acceptability, and clinical outcomes of EMA and EMI in the treatment of psychotic disorders. Login at top right hand side of page using your SSSFT NHS Athens for full text.
In this review, we discuss feasibility, content, and where possible efficacy of ecological momentary interventions (EMIs) in psychiatry. EMIs adopt mobile devices, such as personal digital assistants or smartphones, for the delivery of treatments in the daily life of patients. We will discuss EMIs in the field of schizophrenia, bipolar disorder and major depression disorder, as well as one generic, transdiagnostic EMI. You can request a copy of this article by replying to this email. Please ensure you are clear which article you requesting.
Mobile health offers many opportunities; however, the ‘side-effects’ of health apps are often unclear. With no guarantee health apps first do no harm, their role as a viable, safe and effective therapeutic option is limited. To read the full article, log in using your SSSFT NHS OpenAthens details.
Psychological Services (May 19, 2016).
Interest in animal assisted interventions (AAI) has grown over the years, but acceptance of AAI by the clinical and research community has been hampered by safety, hygiene, and logistical concerns. Advances in the field of social robotics have provided a promising route to deliver AAI while avoiding these aforementioned obstacles. Although there has been promising initial research on social robotics in older adults, to date there has been no such research conducted with a veteran population. The present pilot study followed 23 veteran residents of a Veterans Affairs (VA) geropsychiatric long-term care facility over the span of approximately a year and a half. It was found that use of Paro, a social robot, resulted in increased observed positive affective and behavioral indicators, with concomitant decreases observed in negative affective and behavioral indicators. The authors concluded that Paro is likely an effective nonpharmacological approach for managing dementia-related mood and behavior problems with veterans in VA long term care facilities. They additionally observed that Paro is best presented to residents who are relatively calm and approachable, as opposed to actively exhibiting behavior or mood problems. Future research directions are discussed in light of both the positive results noted and the inherent limitations of our pilot study.
Many countries are exploring the potential of telehealth interventions to manage the rising number of people with chronic disorders. However, evidence of the effectiveness of telehealth is ambiguous. Based on an evidence-based conceptual framework, we developed an integrated telehealth service (the Healthlines Service) for chronic disorders and assessed its effectiveness in patients with depression. We aimed to compare the Healthlines Depression Service plus usual care with usual care alone. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Journal of Consulting and Clinical Psychology85.4 (Apr 2017): 367-380.
Objective: To examine the effectiveness of an Internet intervention for depression with a randomized, controlled trial in a large sample of adults recruited from the United States. To read the full article, log in using your NHS OpenAthens details.