Mobile Health Technology in Late-Life Mental Illness: A Focused Literature Review

Moussa, Yara; Mahdanian, Artin; Yu, Ching; Segal, Marilyn; Looper, Karl; Vahia, Ipsit V.; Rej, Soham

doi:10.1016/j.jagp.2017.04.003

Cited by 20 publications

(18 citation statements)

References 28 publications

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“…We identified a large number of studies, reporting popular applications of telemental health care in various settings ( 1 - 8 , 11 - 28 ). However, we did not find a systematic review on all applications of telemental health care.…”

Section: Introductionmentioning

confidence: 99%

Telemental Health Care, an Effective Alternative to Conventional Mental Care: a Systematic Review

et al. 2017

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Background and Objectives:Due to the high costs of conventional mental health care, there has been a rise in the application of web-based technologies in recent years, i.e., telemental health care. We conducted this systematic review in 2017, using high quality research articles on the applications, technologies, advantages and challenges associated with telemental health care published since year 2000.Methods:We used a combination of relevant key words to search four major databases, such as “Web of Sciences, Embase, PubMed and Science Direct”. From among 156 articles, which had been published since 2000, twenty five articles met all of the inclusion criteria and were selected for the final review. The information extracted from these articles were used to construct Tables 1 and 2. Also, the materials derived from 55 credible articles were used as further support and complementary facts to substantiate the information presented in the Discussion section.Results:The findings revealed that telemental health care is an extended domain supportive of conventional mental health services. Currently, telemental health care has multiple capabilities and technologies for providing effective interventions to patients with various mental illnesses. It provides clinicians with a wide variety of innovative choices and strategies for mental interventions, in addition to significant future potentials.Conclusions:Telemental health care can provide effective and adaptable solutions to the care of mental illnesses universally. While being comparable to in-person services, telemental health care is particularly advantageous and inexpensive through the use of current technologies and adaptable designs, especially in isolated communities.

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Section: Introductionmentioning

confidence: 99%

Telemental Health Care, an Effective Alternative to Conventional Mental Care: a Systematic Review

et al. 2017

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“…The revolution in mobile technologies such as smart phones/ tablets, cloud-based platforms, and deep learning-driven software algorithms and miniaturized automated physiological sensors is poised to profoundly disrupt medicine [3][4][5][6][7] and, by extension, many aspects of neuropsychiatry and AD care and clinical research. [5][6][7][8] In this Perspective, we highlight four areas in which such technology could facilitate AD clinical trials: (1) Mobilizing recruitment, (2) Mobile cognitive measures, (3) Digital functional outcomes, and (4) Integrated informatics platforms.…”

Section: Introductionmentioning

confidence: 99%

“…For further information on how technology may help with care and caregiver support, readers are referred elsewhere. 4,5 MOBILIZING CLINICAL TRIAL RECRUITMENT ClinicalTrials.gov lists >450 active Alzheimer's trials needing some 70,000 volunteers-posing the challenge of how to efficiently identify, consent, and screen subjects. Prevention trials increasingly rely on expensive brain scans or spinal fluid biomarkers to identify at-risk subjects but such methods have high screen fail rates-because only about a third of asymptomatic subjects may test positive.…”

Section: Introductionmentioning

confidence: 99%

Mobile and pervasive computing technologies and the future of Alzheimer’s clinical trials

2018

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The rapid growth of mobile phones, automated speech recognizing personal assistants, and internet access among the elderly provides new opportunities for incorporating such technologies into clinical research and personalized medical care. Alzheimer's disease is a good test case given the need for early detection, the high rate of clinical trial failures, the need to more efficiently recruit patients for trials, and the need for sensitive and ecologically valid trial outcomes.

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“…The review found these type of technologies to be feasible for patients and reliable for mental health domains assessment within the geriatric population. ( 24 ) Despite the fact that 76% of community-dwelling older adults rated their technology skills as poor or average in a recent survey, ( 13 ) geriatric patients in our study expressed being interested in using iPad-based symptom self-report questionnaires once they were routinely available in future clinical practice.…”

Section: Discussionmentioning

confidence: 77%

Can Geriatric Psychiatry Patients Complete Symptoms Self-Reports Using Tablets? A Randomized Study

Moussaoui

Laliberté

et al. 2017

Can Geri J

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BackgroundWith our aging population and limited number of geriatric psychiatrists, innovations must be made in order to meet the growing demands for geriatric psychiatry services. Emerging technologies could greatly improve access to care and systematic data collection.MethodsThis randomized study compared completion rates and time to completion (primary outcomes) when using iPad technology vs. traditional paper forms to complete self-report psychiatric symptoms. Geriatric psychiatry outpatients (n = 72) and adult psychiatry inpatients (n = 50) were recruited to complete the Brief Symptom Inventory (BSI-53), the Activities of Daily Living (ADL), and Patient Health Questionnaire (PHQ-9) questionnaires.ResultsGeriatric psychiatry outpatients completed the iPad and paper questionnaires at similar rates (91.7% vs. 97.2%, Fisher’s Exact p = .61). In two-way ANOVA, including patients aged ≥ 60 (n = 85), outpatient status (F(1,81) = 4.48, p = .037) and iPad format (F (1,81) = 8.96, p = .04) were associated with a shorter time to completion. The effect of questionnaire formats was especially prominent in the inpatient group on time to completion.ConclusionsOlder adults with mental illness demonstrate a similar ability to complete self-report questionnaires whether iPads or paper forms. iPad questionnaires may even require less time to complete in geriatric psychiatry inpatients. Patients also found iPad questionnaires to be easy to use and read. Tablets could potentially be used for psychiatric symptom assessment for clinical, research, and population health purposes.

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Mobile Health Technology in Late-Life Mental Illness: A Focused Literature Review

Cited by 20 publications

References 28 publications

Telemental Health Care, an Effective Alternative to Conventional Mental Care: a Systematic Review

Telemental Health Care, an Effective Alternative to Conventional Mental Care: a Systematic Review

Mobile and pervasive computing technologies and the future of Alzheimer’s clinical trials

Can Geriatric Psychiatry Patients Complete Symptoms Self-Reports Using Tablets? A Randomized Study

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