Pilot Randomized Trial of a Self-Help Behavioral Activation Mobile App for Utilization in Primary Care

Dahne, Jennifer; Lejuez, Carl W.; Díaz, Vanessa A.; Player, Marty S.; Kustanowitz, Jacob; Felton, Julia W.; Carpenter, Matthew J.

doi:10.1016/j.beth.2018.12.003

Cited by 76 publications

(98 citation statements)

References 41 publications

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“…These interviews were held: (1) to identify the stakeholders engaged in future integration of mHealth, (2) to assess the level of support for mHealth integration, and (3) to map a stakeholder's position. Interviews were semi-structured and followed a topic guide based FIGURE 2 | Analytical approach to assessment of the health system for the integration of mHealth (18,19).…”

Section: Data Collectionmentioning

confidence: 99%

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Toward Integration of mHealth in Primary Care in the Netherlands: A Qualitative Analysis of Stakeholder Perspectives

Bally

Cesuroğlu

2020

Front. Public Health

101

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Background: There is a growing need to structurally change the way chronic illness care is organized as health systems struggle to meet the demand for chronic care. mHealth technologies can alter traditional approaches to health care provision by stimulating self-management of chronically ill patients. The aim of this study was to understand the complex environment related to the introduction of mHealth solutions into primary care for chronic disease management while considering health system functioning and stakeholder views.Methods: A transdisciplinary approach was used informed by the Interactive Learning and Action (ILA) methodology. Exploratory interviews (n = 5) were held with representatives of stakeholder groups to identify and position key stakeholders. Subsequently, professionals and chronically ill patients were consulted separately to elaborate on the barriers and facilitators in integration, using semi-structured interviews (n = 17) and a focus group (n = 6). Follow-up interviews (n = 5) were conducted to discuss initial findings of the stakeholder analysis.Results: Most stakeholders, in particular primary care practitioners and patients, seem to have a supporting or mixed attitude toward integration of mHealth. On the other hand, several powerful stakeholders, including primary care information system developers and medical specialists are likely to show resistance or a lack of initiative toward mHealth integration. Main barriers to mHealth integration were a lack of interoperability with existing information systems; difficulties in financing mHealth implementation; and limited readiness in general practices to change. Potential enablers of integration included co-design of mHealth solutions and incentives for pioneers.Conclusion: Stakeholders acknowledge the benefits of integrating mHealth in primary care. However, important barriers perceived by end-users prevent them to fully adopt and use mHealth. This study shows that the complexity of introducing mHealth into primary care calls for strategies encouraging collaboration between multiple stakeholders to enhance successful implementation.

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Section: Data Collectionmentioning

confidence: 99%

“…To date, there have been various pilots on mHealth in chronic care, but scale-up has not taken place (16)(17)(18). In order to successfully introduce mHealth in chronic care, critical stakeholders need to be engaged (15,16).…”

Section: Introductionmentioning

confidence: 99%

Toward Integration of mHealth in Primary Care in the Netherlands: A Qualitative Analysis of Stakeholder Perspectives

Bally

Cesuroğlu

2020

Front. Public Health

101

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“…In the ideal case, the control group receives a non-potent treatment that otherwise is identical to the experimental group. Regarding EMI applications, most RCT studies compared experimental groups that receive EMI treatment [usually combined with "therapy as usual [TAU]" or at least weekly face-to-face feedback (14)] and control groups that only receive TAU (15,16).…”

Section: Evidence From Randomized Controlled Trialsmentioning

confidence: 99%

Three Questions to Consider Before Applying Ecological Momentary Interventions (EMI) in Psychiatry

2020

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“…A pilot study on the mobile app PTSD Coach demonstrated a significant improvement in quality of life among patients with PTSD [ 21 ]. Another study showed the efficiency of the Moodivate app in managing limitations associated with evidence-based psychotherapy by decreasing the symptoms of PTSD and depression among adults [ 22 , 23 ]. Other studies on mobile apps for the treatment of anger symptoms [ 24 , 25 ] and in managing pain among individuals with PTSD [ 26 , 27 ] showed feasibility and therapeutic benefits.…”

Section: Introductionmentioning

confidence: 99%

Scientific Publication Patterns of Mobile Technologies and Apps for Posttraumatic Stress Disorder Treatment: Bibliometric Co-Word Analysis

Kulaklı¹,

Shubina²

2020

JMIR Mhealth Uhealth

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Background Mobile apps are viewed as a promising opportunity to provide support for patients who have posttraumatic stress disorder (PTSD). The development of mobile technologies and apps shows similar trends in PTSD treatment. Therefore, this emerging research field has received substantial attention. Consequently, various research settings are planned for current and further studies. Objective The aim of this study was to explore the scientific patterns of research domains related to mobile apps and other technologies for PTSD treatment in scholarly publications, and to suggest further studies for this emerging research field. Methods We conducted a bibliometric analysis to identify publication patterns, most important keywords, trends for topicality, and text analysis, along with construction of a word cloud for papers published in the last decade (2010 to 2019). Research questions were formulated based on the relevant literature. In particular, we concentrated on highly ranked sources. Based on the proven bibliometric approach, the data were ultimately retrieved from the Web of Science Core Collection (Clarivate Analytics). Results A total of 64 studies were found concerning the research domains. The vast majority of the papers were written in the English language (63/64, 98%) with the remaining article (1/64, 2%) written in French. The articles were written by 323 authors/coauthors from 11 different countries, with the United States predominating, followed by England, Canada, Italy, the Netherlands, Australia, France, Germany, Mexico, Sweden, and Vietnam. The most common publication type was peer-reviewed journal articles (48/64, 75%), followed by reviews (8/64, 13%), meeting abstracts (5/64, 8%), news items (2/64, 3%), and a proceeding (1/64, 2%). There was a mean of 6.4 papers published per year over the study period. There was a 100% increase in the number of publications published from 2016 to 2019 with a mean of 13.33 papers published per year during this latter period. Conclusions Although the number of papers on mobile technologies for PTSD was quite low in the early period, there has been an overall increase in this research domain in recent years (2016-2019). Overall, these findings indicate that mobile health tools in combination with traditional treatment for mental disorders among veterans increase the efficiency of health interventions, including reducing PTSD symptoms, improving quality of life, conducting intervention evaluation, and monitoring of improvements. Mobile apps and technologies can be used as supportive tools in managing pain, anger, stress, and sleep disturbance. These findings therefore provide a useful overview of the publication trends on research domains that can inform further studies and highlight potential gaps in this field.

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Pilot Randomized Trial of a Self-Help Behavioral Activation Mobile App for Utilization in Primary Care

Cited by 76 publications

References 41 publications

Toward Integration of mHealth in Primary Care in the Netherlands: A Qualitative Analysis of Stakeholder Perspectives

Toward Integration of mHealth in Primary Care in the Netherlands: A Qualitative Analysis of Stakeholder Perspectives

Three Questions to Consider Before Applying Ecological Momentary Interventions (EMI) in Psychiatry

Scientific Publication Patterns of Mobile Technologies and Apps for Posttraumatic Stress Disorder Treatment: Bibliometric Co-Word Analysis

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