Home telemental health implementation and outcomes using electronic messaging

Godleski, Linda; Cervone, Dana J; Vogel, Donna; Rooney, Meghan

doi:10.1258/jtt.2011.100919

Cited by 30 publications

(44 citation statements)

References 9 publications

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“…These findings are also consistent with those of a recent pilot study that similarly considered the utility of the same telehealth device among a sample of mostly male veterans with mental illness (Godleski et al, 2012). This prior study demonstrated the feasibility of automated telehealth because participants reported improved ability to manage their mental health condition, a greater understanding of their mental health condition, and overall satisfaction with using the device (Godleski et al, 2012). Effectiveness was evidenced by decreases in hospital admissions and emergency department visits (Godleski et al, 2012).…”

Section: Discussionsupporting

confidence: 90%

“…One recent trial demonstrated the potential feasibility and effectiveness of the Health Buddy ® , a telehealth disease management program supported by nurse care management, as evidenced by reductions in the total number of hospitalizations and emergency department visits among a group of veterans with mental health illness at the VA Connecticut Health Care System (Godleski, Cervone, Vogel, & Rooney, 2012). The 76 participants in this study were predominantly male (89%) and most had major depression (71%) or substance use disorder (18%), although a small number had schizophrenia (7%) or posttraumatic stress disorder (PTSD; 4%) (Godleski et al, 2012). …”

mentioning

confidence: 99%

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Feasibility and effectiveness of an automated telehealth intervention to improve illness self-management in people with serious psychiatric and medical disorders.

Pratt

Bartels

Mueser

et al. 2013

Psychiatric Rehabilitation Journal

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Objective Effective monitoring and treatment are needed to address the elevated rates of medical comorbidity among individuals with serious mental illnesses. This study examined the feasibility and potential effectiveness of an automated telehealth intervention, supported by nurse health-care management, among adults with serious mental illnesses and chronic medical conditions. Methods We conducted a single-arm pilot trial with 70 individuals with serious mental illnesses and chronic medical conditions who were medically unstable (determined by treatment team or defined as multiple emergency room visits/hospitalizations within the past year). The telehealth intervention was delivered for 6 months with feasibility and acceptability as the primary outcomes. Measures of illness management self-efficacy, psychiatric symptoms, subjective health status, health indicators, and service use were also collected at baseline and at 6 months. Results Most individuals (n = 62; 89%) participated in at least 70% of the telehealth sessions. Participation was associated with improvements in self-efficacy for managing depression and diastolic blood pressure. Almost all participants (n = 68; 98%) rated their understanding of their medical condition as “much better” or “somewhat better” postintervention. Among a subgroup of individuals with diabetes, decreases in fasting blood glucose were achieved, and among those with diabetes and major depression or bipolar disorder there were reductions in urgent care and primary care visits. Conclusions and Implications for Practice These results demonstrate the feasibility and acceptability of automated telehealth supported by a nurse care manager and the potential effectiveness of this technology in improving self-management of psychiatric symptoms and chronic health conditions among these high-risk individuals.

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Section: Discussionsupporting

confidence: 90%

mentioning

confidence: 99%

Feasibility and effectiveness of an automated telehealth intervention to improve illness self-management in people with serious psychiatric and medical disorders.

Pratt

Bartels

Mueser

et al. 2013

Psychiatric Rehabilitation Journal

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“…Among these were 4 modified versions of the Health Buddy automated home messaging device delivered across diverse mental health settings (Godleski et al, 2012; Kasckow et al, 2011; Pratt et al, 2013; Pratt et al, 2014), 3 separate evaluations of the Information Technology Aided Relapse Prevention Programme in Schizophrenia (ITAREPS) (Komatsu et al, 2013; Spaniel et al, 2012; Spaniel, Vohlidka, Hrdlicka, et al, 2008; Spaniel, Vohlidka, Kozeny, et al, 2008), and a trial of an online platform for self-managing bipolar disorder (Todd et al, 2014). Measures of feasibility and acceptability included frequency of intervention use over time, response rates, study retention, proportion of devices that were returned undamaged, and participant reported usability (see Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Important clinical outcomes were also reported. For example, the Health Buddy automated home messaging device appeared to decrease hospital admissions and emergency room visits (Godleski et al, 2012; Pratt et al, 2014), while reductions in mental health severity were observed in studies of mobile interventions targeting symptom management in schizophrenia (Ben-Zeev et al, 2014; Granholm et al, 2012). …”

Section: Resultsmentioning

confidence: 99%

Emerging mHealth and eHealth interventions for serious mental illness: a review of the literature

Naslund

Marsch

McHugo

et al. 2015

Journal of Mental Health

316

235

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Background Serious mental illness is one of the leading causes of disability worldwide. Emerging mobile health (mHealth) and eHealth interventions may afford opportunities for reaching this at-risk group. Aim To review the evidence on using emerging mHealth and eHealth technologies among people with serious mental illness. Methods We searched MEDLINE, PsychINFO, CINAHL, Scopus, Cochrane Central, and Web of Science through July 2014. Only studies reporting outcomes for mHealth or eHealth interventions, defined as remotely delivered using mobile, online, or other devices, targeting people with schizophrenia, schizoaffective disorder, or bipolar disorder, were included. Results Forty-six studies spanning 12 countries were included. Interventions were grouped into four categories: 1) illness self-management and relapse prevention; 2) promoting adherence to medications and/or treatment; 3) psychoeducation, supporting recovery, and promoting health and wellness; and 4) symptom monitoring. The interventions were consistently found to be highly feasible and acceptable, though clinical outcomes were variable but offered insight regarding potential effectiveness. Conclusions Our findings confirm the feasibility and acceptability of emerging mHealth and eHealth interventions among people with serious mental illness; however, it is not possible to draw conclusions regarding effectiveness. Further rigorous investigation is warranted to establish effectiveness and cost benefit in this population.

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“…Estimated cost savings were explicitly reported in three studies (Williams, Assassa et al 2005, Allcock 2009, Allen, Dennison Himmelfarb et al 2014) where other studies reported decreased use of services which would ultimately result in cost savings for the health care system. Examples of this include decreased use of emergency departments (Newcomb 2006, Owens, Eby et al 2012, Murphy, Siebert et al 2013, Roots and MacDonald 2014, reduced hospital admissions (Newcomb 2006, Allcock 2009, Godleski, Cervone et al 2012, Lowery, Hopp et al 2012, Murphy, Siebert et al 2013, Roots and MacDonald 2014, decreased length of stays (Godleski, Cervone et al 2012) and reduced visits to a general practitioner (Newcomb 2006, Allcock 2009, Enguidanos, Gibbs et al 2012, Murfet, Allen et al 2013, Prasad, Dunn et al 2014. Although the majority of studies reporting on use of services found promising results, two studies reported statistically insignificant results related to changes in the use of hospital and general practitioner services (Tung, Kaufmann et al 2012, Sawatzky, Christie et al 2013).…”

Section: Societal Benefitsmentioning

confidence: 99%

How do nurse practitioners work in primary health care settings? A scoping review

Grant

Lines

Darbyshire

et al. 2017

International Journal of Nursing Studies

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Abstract:Objectives: This scoping review explores the work of nurse practitioners in primary health care settings in developed countries and critiques their contribution to improved health outcomes.Design: A scoping review design was employed and included development of a research question, identification of potentially relevant studies, selection of relevant studies, charting data, collating, summarising and reporting findings. An additional step was added to evaluate the methodological rigor of each study. Results: 74 articles from eight countries were identified, with the majority emanating from the United States of America. Nurse practitioners working in communities provided care mostly in primary care centres (n=42), but also in community centres (n=6), outpatient departments (n=6), homes (n=5), schools (n=3), child abuse clinics (n=1), via communication technologies (n=6), and through combined face-to-face and communication technologies (n=5). The scope of nurse practitioner work varied on a continuum from being targeted towards a specific disease process or managing individual health and wellbeing needs in a holistic manner. Enhanced skills included co-ordination, collaboration, education, counselling, connecting clients with services and advocacy. Measures used to evaluate outcomes varied widely from physiological data (n=25), hospital admissions (n=10), use of health services (n=15), self-reported health (n=13), behavioural change (n=14), patient satisfaction (n=17), cost savings (n=3) and mortality/morbidity (n=5). ConclusionsThe majority of nurse practitioners working in community settings did so within a selective model of primary health care with some examples of nurse practitioners contributing to comprehensive models of primary health care. Nurse practitioners predominantly worked with populations defined by an illness with structured protocols for curative and rehabilitative care. Nurse practitioner work that also incorporated promotive activities targeted improving social determinants of health for people rendered vulnerable due to ethnicity, Aboriginal identity, socioeconomic disadvantage, remote location, gender and aging. Interventions were at individual and community levels with outcomes including increased access to care, cost savings and salutogenic characteristics of empowerment for social change.

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Home telemental health implementation and outcomes using electronic messaging

Cited by 30 publications

References 9 publications

Feasibility and effectiveness of an automated telehealth intervention to improve illness self-management in people with serious psychiatric and medical disorders.

Feasibility and effectiveness of an automated telehealth intervention to improve illness self-management in people with serious psychiatric and medical disorders.

Emerging mHealth and eHealth interventions for serious mental illness: a review of the literature

How do nurse practitioners work in primary health care settings? A scoping review

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