leveraging mobile technologies for mental health
DESCRIPTION
Dr. Kendall Ho's presentation at the 2012 E-Mental Health Conference in Vancouver, BC, Canada.TRANSCRIPT
e H e a l t h S t r a t e g y O ffi c e
E-Mental Health Conference
December 10th, 2012
Leveraging Mobile Technologies for Mental Health
Kendall Ho, MD FRCPCProfessor, Emergency MedicineDirector, eHealth Strategy Office
e H e a l t h S t r a t e g y O ffi c e
mHealth
Possibilities
(Reuters February 3, 2010)
2010 Survey (Oct-Nov 2010, 22,600) •8/10 Canadians (>16) Internet for personal use•1/3 go on line via mobile devices•64/100 for medical information
http://www.getselfhelp.co.uk/links2.htm
2,929,514
SMS/Text Messaging in Health• Lifestyle management (exercise, weight, …)• Smoking cessation• Drugs of abuse cessation• Medical results reporting• Medication reminder• Diabetes• Asthma• Sexually transmitted infections• ….
e H e a l t h S t r a t e g y O ffi c e
Social Media and Popularity
e H e a l t h S t r a t e g y O ffi c e
Biometrics Monitoring: Examples
• Cardiac rhythm
• Ultrasound
• Opthalmology
• Nanotechnology
• Pedometer
• Weight
• Exercise
• Sleep
• ….
•Stress Relief (3)•Anxiety CBT (3)•Quite Smoking (3)•Substance misuse (3)
http://www.techsling.com/2011/06/12-important-mobile-apps-for-mental-health/
• 1st edition 2012• 200 health Apps• Reviewed By patients• 30 languages• 64 specializations
goo.gl/EkoRO
e H e a l t h S t r a t e g y O ffi c e
mHealth
Possibilities
Evidence
e H e a l t h S t r a t e g y O ffi c e
Tele-Mental Health Literature Review 05-12• Video & Web conferencing: effective versus face to face
• Internet: increase access, augment care
• *E-mails: increase dialogue, but outcome?
• *Mobile phones: immediate, convenient, sustained aftercare & ongoing management.
• *Online chats: Offers increased convenience and flexibility
• *Social media: increase reach and communication
*Findings:•Increase patient satisfaction•inconsistent &inconclusive re: therapeutic effectiveness •More research needed
e H e a l t h S t r a t e g y O ffi c e
mHealth
Possibilities
Evidence
Strategies
e H e a l t h S t r a t e g y O ffi c e
Motivating Behavioural Change
Attitude Knowledge Skills Competence
“Why do I care?”
“What should I know?”
“What can I do?”
“How can I contribute?”
e H e a l t h S t r a t e g y O ffi c e
Steps of Engagement
Engagement Principles ActionsAttitude“Why do I care?”
Social Media (e.g. Twitter, Youtube)Web conferencingWeb screening tools
Knowledge“What should I Know?”
WebinarseLearning modulesWeb portals
Skills“What can I do?”
Decision support toolsMonitoring toolsSocial media (e.g. discussion groups)
Competence“How can I contribute?”
Self monitoringParticipate in research/recruitment
• small but significant effect on behavior (d+=0.16, 95% CI 0.09-0.23)• Interventions based on planned behaviour• Interventions with behaviour change techniques• With additional communication, in particular SMS/text messaging
Quantifiedself.com
e H e a l t h S t r a t e g y O ffi c e
Evaluation for “Meaningful Use”
• Access
• Quality
• Productivity/Cost effectiveness
• End user satisfaction
• Patients/public
• Health Professionals
• …
• Usability
e H e a l t h S t r a t e g y O ffi c e
Mobile technologies For Mental Health Strategies
• Promoting behavioural Change• Community co-creation• Evaluation
e H e a l t h S t r a t e g y O ffi c e
Conclusion
• Health professionals support public/patients in mMental Health use
• Health professionals need to understand mMental Health evolution
• Health professionals-public/patients connect for co-creation of mMental Health future
e H e a l t h S t r a t e g y O f f i c e
Web: www.eHealth.med.ubc.caFacebook: UBC eHealth Strategy OfficeTwitter: @ehealthstrategy