News-Medical
“A new pilot study is getting underway in Rhode Island aimed at improving depression in nursing home rehabilitation patients, all through telemedicine. Geriatric mental health specialists from Rhode Island and The Miriam hospitals will work with patients in the Evergreen House Nursing Home and Rehabilitation Center in East Providence to test the program.
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Foreman AC et al, Journal of Participatory Medicine, 3
Summary:
Mood 24/7 is an innovation in traditional mood charting using text messaging technology. Mood 24/7 allows the user to collect mood data in a standardized text message format, receives optional 160-character annotations from users in addition to their daily mood ratings, and securely stores user response data on a protected server.
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Simon GE et al, Journal of General Internal Medicine, 2011
BACKGROUND:
Quality of antidepressant treatment remains disturbingly poor. Rates of medication adherence and follow-up contact are especially low in primary care, where most depression treatment begins. Telephone care management programs can address these gaps, but reliance on live contact makes such programs less available, less timely, and more expensive.
OBJECTIVE:
Evaluate the feasibility, acceptability, and effectiveness of a depression care management program delivered by online messaging through an electronic medical record.
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Bernie Monegain, Healthcare IT News
“Online messaging can deliver organized follow-up care for depression effectively and efficiently, according to a randomized controlled trial of 208 Group Health patients. The Journal of General Internal Medicine published the results online earlier this month.
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Proudfoot J et al, J Med Internet Res, 12(5)
Background:
The benefits of self-monitoring on symptom severity, coping, and quality of life have been amply demonstrated. However, paper and pencil self-monitoring can be cumbersome and subject to biases associated with retrospective recall, while computer-based monitoring can be inconvenient in that it relies on users being at their computer at scheduled monitoring times. As a result, nonadherence in self-monitoring is common. Mobile phones offer an alternative. Their take-up has reached saturation point in most developed countries and is increasing in developing countries; they are carried on the person, they are usually turned on, and functionality is continually improving. Currently, however, public conceptions of mobile phones focus on their use as tools for communication and social identity. Community attitudes toward using mobile phones for mental health monitoring and self-management are not known.
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Neil Versel, FierceHealthIT
“Business intelligence specialists in Australia are examining how to mine patient data and clinician notes in search of better ways to diagnose and treat depression, a condition not linked to specific biological causes.
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Ano Lobb, Justmeans
“Findings published recently in the journal European Psychiatry point to a potential reservoir of unmet mhealth (mobile health) need in the area of depression treatment. The Spanish study followed 7525 patients starting medications for depression to see how many would continue to take their meds for the recommended 12 months treatment period. Within three months 56% had stopped taking their medication, and by the eleventh month, only one quarter were still popping their pills.
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Molly Merrill, Healthcare IT News
“Early findings from a pilot study of telemedicine-based care indicate that the technology could be used to improve geriatric depression, according to a presentation at the National Association of Home Care and Hospice (NAHC) 29th Annual Meeting & Exposition.
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The Medical News
“Studies have shown a high rate of depression among elderly homebound individuals, and few patients receive adequate treatment, if any. To address this issue, researchers at Rhode Island Hospital and other organizations have developed a telemedicine-based depression care protocol in home health care.
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EurekAlert!
“Studies have shown a high rate of depression among elderly homebound individuals, and few patients receive adequate treatment, if any. To address this issue, researchers at Rhode Island Hospital and other organizations have developed a telemedicine-based depression care protocol in home health care.
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Vernmark K et al, Behaviour Research and Therapy, 48(5)
Internet-delivered psychological treatment of major depression has been investigated in several trials, but the role of personalized treatment is less investigated. Studies suggest that guidance is important and that automated computerized programmes without therapist support are less effective. Individualized e-mail therapy for depression has not been studied in a controlled trial. Eighty-eight individuals with major depression were randomized to two different forms of Internet-delivered cognitive behaviour therapy (CBT), or to a waiting-list control group. One form of Internet treatment consisted of guided self-help, with weekly modules and homework assignments.
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“De geestelijke gezondheidszorg moet veel meer gebruik maken van serious games. Dat zegt Wouter Wolters, adviseur nieuwe media en hulpverlening van de stichting E-hulp.nl op psy.nl.
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Pyne JM et al, Archives of General Psychiatry, 67(8)
Context
Collaborative care interventions for depression in primary care settings are clinically beneficial and cost-effective. Most prior studies were conducted in urban settings.
Objective
To examine the cost-effectiveness of a rural telemedicine-based collaborative care depression intervention.
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Ves Dimov, Casesblog
“The rapid expansion of the Internet has increased the ease with which the public can obtain medical information. Most research on the utility of the Internet for health purposes has evaluated the quality of the information or examined its impact on clinical populations.
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Ideaworks
“Cancer patients experience many symptoms, but pain and depression are two of the most prevalent. Unfortunately, it’s all too easy for them to go unrecognised and untreated, especially if the patients are in rural or hard to reach locations.
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Diario Médico
“Los pacientes con cáncer que reciben cuidados oncológicos en zonas urbanas y rurales geográficamente dispersas y que participan en un programa que incluyó el manejo de cuidados a través del teléfono y monitorización de los síntomas automatizada en el domicilio reducen su dolor y depresión en comparación con los pacientes que reciben cuidados convencionales.
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Nick Mulcahy, Medscape Today
“Pain and depression were significantly improved in cancer patients who received telephone-based care management and home-based automated symptom monitoring, according to a study published in the July 14 issue of JAMA.
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Kroenke K et al, JAMA, 304(2)
Context
Pain and depression are 2 of the most prevalent and treatable cancer-related symptoms, yet they frequently go unrecognized, undertreated, or both.
Objective
To determine whether centralized telephone-based care management coupled with automated symptom monitoring can improve depression and pain in patients with cancer.
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Karolinska Institutet
“Cognitive behaviour therapy (CBT) via the internet is just as effective in treating panic disorder (recurring panic attacks) as traditional group-based CBT.
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Bergström J., Karolinska Institutet (Thesis), 2010
Major depression (MD) and panic disorder (PD) are two common disorders for which evidence based psychological treatments such as cognitive behaviour therapy (CBT) have been developed. The accessibility of such treatment is however limited. The use of Internet-based CBT (self-help programmes accompanied by brief therapist support by e-mail) is a promising way to increase accessibility. The first aim of this thesis was to investigate if Internet treatment was effective in reducing depressive symptoms and if it was possible to predict which participants would benefit from such treatment. The second aim of the thesis was to investigate if Internet treatment was effective for PD patients in a regular care setting, in comparison with traditional group-administered CBT, and in addition, to compare the cost-effectiveness of the two treatments.
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