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Hopital 2.0
L'entrée des nouvelles technologies à l'hôpital
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Smartphones for digital mental health 

Smartphones for digital mental health  | Hopital 2.0 | Scoop.it

Emerging technologies can offer real benefits to people with mental health difficulties 


Current smartphones are several times more powerful than the Cray-2 supercomputer, the 1980s fastest computer. Smartphones, have changed the game for digital interventions. These beloved tiny supercomputers present an opportunity for mental health to deliver ‘ecological; momentary’ interactions (EMIs) in harmony with the fabric of people’s lives.


Ecological momentary interventions (EMIs) are treatments that are provided to people during their everyday lives (i.e. in real time) and in natural settings (i.e. real world) (Heron & Smyth, 2010).


Often in mental health when thinking about the development of health apps we find ourselves struggling to fully conceptualise what it is we are attempting to do and why.


“Ecological momentary interventions for depression and anxiety” by Schueller et al (2017) brings together some useful ways of thinking about apps for mental health and how we might understand them.


The authors are keen that we review where we have been with digital mental health apps so that we might begin to develop a far more exciting digital mental health future. The paper includes a number of ideas useful to those of us looking to understand and develop ways of making people’s lives better using digital technologies. The paper also makes a number of useful distinctions between different types of interactions between patients and technology and explores how we might better understand them.  


Smartphones make new kinds of health intervention possible. Rather than sitting down to do a health related task, interventions can be quick and take place in the context of other everyday activities.


We make momentary ecological interventions with our smartphones hundreds of times a day; from firing off a quick email to checking our bank balance. Once the threshold for digital health was Ecological Momentary Assessments (EMAs).


Such assessments might encourage people to answer a question about their current feelings or asking people to measure something such as heart rate or blood sugar, extending the ‘window of observation’ into people’s lives and allowing the collection of data by asking people to feedback via an app.


In the paper, Schueller et al discuss methods of understanding what digital interventions for depression and anxiety actually are, ways of evaluating these interventions and report recent evidence for the efficacy of such interventions. Their paper also suggests a future path for digital mental health application development.
A brave new world?

Schueller et al make it clear that smartphone technology has extended the horizon of possibility for treatment and also for the monitoring or tailoring of treatment because modern apps can both measure our responses to interventions and also modify those interventions in light of direct feedback. 

The authors set out a compelling vision of the future of digital mental health interventions where “advances in EMIs are likely to take us one step closer to personal digital mental health assistants.


These assistants will listen to people through sensed data, learn from people in the context of their daily lives, and guide people in directions that will support their mental health.


Such personal digital mental health assistants will still be made up of combinations of interventions, decision points, tailoring rules, and decision rules but powered by advances in technologies and analytics that make each of these more personalized and more data-driven.”


more at http://mhealth-weekly.dub.io/ecological-momentary-interventions-smartphones-for-digital-mental-health


Via nrip
Geoffrey Cooling's curator insight, August 5, 11:12 AM
Interesting article on the use of smartphones for mental health
Rescooped by Chanfimao from mHealth: Patient Centered Care-Clinical Tools-Targeting Chronic Diseases

Let Patients Help | The New Excellence: Consumerism Comes To The Medical Market - Forbes

Let Patients Help | The New Excellence: Consumerism Comes To The Medical Market - Forbes | Hopital 2.0 | Scoop.it
Partnership: the model of the Society for Participatory Medicine “Let Patients Help” is not just the title of this blog, it’s the catchphrase of my cause.

Via ET Russell
ET Russell's curator insight, February 8, 2013 4:34 PM

Love this quote in the article:
"I’m an e-patient: equipped, enabled, empowered, engaged. I’m no clinician, but I do everything in my power to help them, to play an active role in my own care, and even in the design of care."

Rescooped by Chanfimao from eHealth - Social Business in Health

Patients need to have control over their own information if care.data is to work

Patients need to have control over their own information if care.data is to work | Hopital 2.0 | Scoop.it
The consent process for opting out of care.data should be clear and transparent, and patients should be the first to have access, says Mohammad Al-Ubaydli

The case the government makes for care.data, that allowing medical researchers access to patient data will result in new cures, is a hard one to oppose. If the case were so simple then most people, including me, would welcome it.

The question that the care.data effort brings to light is a simple one – why has the NHS moved so quickly to provide patient medical records to third parties and so slowly to provide data to the patient themselves? For me, this is entirely the wrong way round.

The consent process for opting out of care.data is neither clear nor transparent. The questions page states that the record will not contain information that can identify a patient – and it's true that NHS number, postcode, full name etc will be removed. However, it's also true that each patient's record will be linked to a "meaningless pseudonym that bears no relationship to their 'real world' identity".

The information being shared by care.data is substantial. They exclude sexual health data, such as HIV diagnosis or abortions – but they include mental health data. They exclude written notes – but they include actual diagnoses, medications and laboratory results.

In addition, the records will be shared with third parties a patient might not want to have their data. HSCIC public assurance director Dr Mark Davies has already said that, in the eyes of the law, the government can't distinguish between a request by an insurance company and a medical researcher to access the database. For them, it makes no difference. But it makes a difference to the patient, who could, would and should distinguish. Indeed, at the moment the patient isn't even allowed to see data in their own record that third parties will have access to.

Government representatives repeat in interviews that they need to open a debate on care.data – so let's have the debate now while plans have come to a temporary halt. We know from other countries that a proper discussion on government-controlled data leads to different outcomes. ...

The government says that care.data can bring huge benefits. If so, it needs to prove what these benefits are and start by giving the patients themselves data about their own bodies.

Dr Mohammad Al'Ubaydli is the CEO and founder of Patients Know Best

Via rob halkes
rob halkes's curator insight, March 6, 2014 11:19 AM

National health record systems should be furthered by giving the patient first access to their information. First, because patients are best suited for checking those data for which they are the only right source for checking it, e.g. their medications: think about actual use. They are the sources for checking "actuality": what is actually being "used", "validity": is the right information given - does it represent what is "on" and what not, and "reliability" is everything in the right terms and details (doses for instance). That is the instrumental use of patient access, besides the principle use of it: patients ought to have insights in their formal data and functional use of it: by sharing same information and data the protagonists in care for patient's health can do a better job together for better health outcomes. ..

Julie Marker's curator insight, March 6, 2014 5:05 PM

Australian patient don't have access to our own health data, diagnoses, medications, lab test results;  surely that is a fundamental right!  The PCEHR is the dream, not the reality of delivering this.

Mariló Maldonado's curator insight, October 14, 2014 8:05 PM

Interesante artículo sobre el manejo de base de datos de pacientes de la Salud Pública británica (NHS)