Effect of Integrating Patient-Generated Digital Data Into Mental Health Therapy: A Randomized Controlled Trial

Merchant, Raina M.; Southwick, Lauren; Beidas, Rinad S.; Mandell, David S.; Guntuku, Sharath Chandra; Pelullo, Art; Yang, Lin; Mitra, Nandita; Curtis, Brenda; Ungar, Lyle H.; Asch, David A.

doi:10.1176/appi.ps.20220272

Cited by 3 publications

(4 citation statements)

References 15 publications

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“…In addition, with telemedicine retaining its use for psychotherapy 3 years into the pandemic (at the time of writing), clinicians are likely to continue to explore digital sources of collateral information to augment clinical assessment. Our work is also consistent with recent data indicating that the collection and incorporation of digital data into therapy is feasible, although questions remain about how exactly the use of such digital data impacts outcomes 6 …”

Section: Discussionsupporting

confidence: 89%

“…Our work is also consistent with recent data indicating that the collection and incorporation of digital data into therapy is feasible, although questions remain about how exactly the use of such digital data impacts outcomes. 6 We found that most clinicians who reported using electronic media infrequently in their therapy practice were more likely to review clients' SMS texting and email data. This is consistent with what clinicians reported before the COVID-19 pandemic in 2018.…”

Section: Discussionmentioning

confidence: 79%

“…Several recent studies found that clinicians can make use of electronic and social media data to analyze a patient's response to psychotherapeutic treatment or to identify a potential psychiatric illness. 6 Differences in language use between healthy individuals and those with a known psychiatric diagnosis have also been demonstrated. 7,8 Another study found that examining the language used in emails by patients with social anxiety could predict therapeutic outcomes.…”

mentioning

confidence: 99%

“…Collateral information, whether from family members 4 or from patients’ writings in expressive therapy, 5 has been widely used to inform psychotherapy. Several recent studies found that clinicians can make use of electronic and social media data to analyze a patient’s response to psychotherapeutic treatment or to identify a potential psychiatric illness 6 . Differences in language use between healthy individuals and those with a known psychiatric diagnosis have also been demonstrated 7,8 .…”

mentioning

confidence: 99%

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Digital Collateral Information Through Electronic and Social Media in Psychotherapy: Comparing Clinician-reported Trends Before and During the COVID-19 Pandemic

Vahia,

Sava,

Cray

et al. 2023

Journal of Psychiatric Practice

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Background: Patient clinical collateral information is critical for providing psychiatric and psychotherapeutic care. With the shift to primarily virtual care triggered by the COVID-19 pandemic, psychotherapists may have received less clinical information than they did when they were providing in-person care. This study assesses whether the shift to virtual care had an impact on therapists’ use of patients’ electronic and social media to augment clinical information that may inform psychotherapy. Methods: In 2018, we conducted a survey of a cohort of psychotherapists affiliated with McLean Hospital. We then reapproached the same cohort of providers for the current study, gathering survey responses from August 10, 2020, to September 1, 2020, for this analysis. We asked clinicians whether they viewed patients’ electronic and social media in the context of their psychotherapeutic relationship, what they viewed, how much they viewed it, and their attitudes about doing so. Results: Of the 99 respondents, 64 (64.6%) had viewed at least 1 patient’s social media and 8 (8.1%) had viewed a patient’s electronic media. Of those who reported viewing patients’ media, 70 (97.2%) indicated they believed this information helped them provide more effective treatment. Compared with the 2018 prepandemic data, there were significantly more clinicians with>10 years of experience reporting media use in therapy. There was also a significant increase during the pandemic in the viewing of media of adult patients and a trend toward an increase in viewing of media of older adult patients. Conclusions: Review of patients’ electronic and social media in therapy became more common among clinicians at a large psychiatric teaching hospital during the COVID-19 pandemic. These findings support continuing research about how reviewing patients’ media can inform and improve clinical care.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 79%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Digital Collateral Information Through Electronic and Social Media in Psychotherapy: Comparing Clinician-reported Trends Before and During the COVID-19 Pandemic

Vahia,

Sava,

Cray

et al. 2023

Journal of Psychiatric Practice

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Comparing the effects of pulsed and radiofrequency catheter ablation on quality of life, anxiety, and depression of patients with paroxysmal supraventricular tachycardia: a single-center, randomized, single-blind, standard-controlled trial

Du,

Ma,

Yue

et al. 2024

Trials

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Background Radiofrequency catheter ablation (RFCA) may lead to decreased quality of life (QOL) and increased anxiety and depression in patients with paroxysmal supraventricular tachycardia (PSVT), possibly due to the lack of selectivity of the ablation tissue and the long ablation time. In recent years, pulsed field ablation (PFA) has been used for the first time in China to treat PSVT patients because of its ability to ablate abnormal tissue sites in a precise and transient manner. This study was conducted to compare the effects of PFA and RFCA on QOL and psychological symptoms of PSVT patients. Methods We have designed a single-center, randomized, single-blind, standard-controlled trial. A total of 50 participants who met the eligibility criteria would be randomly allocated into the PFA group or RFCA group in a 1:1 ratio. All participants were assessed using the 36-Item Short-Form Health Survey (SF-36) and the Hospital Anxiety and Depression Scale (HADS) at pre-procedure (T0), post-procedure (T1), and 3 months post-procedure (T2). The SPSS 21.0 software was used to analyze the data through Wilcoxon and Fisher’s exact tests and repeated measures ANOVA. Results Twenty-five in the PFA group and 24 in the RFCA group completed the trial. SF-36: (1) Between-group comparison: At T1, PFA group had significantly higher SF-36 scores on physiological function (PF) and general health (GH) than RFCA group, with a treatment difference of 5.61 points and 18.51 points(P < 0.05). (2) Within-group comparison: We found that in the PFA and RFCA groups, T2 showed significant improvement in the remaining 6 subscales of the SF-36 scale compared to T1 and T0 (P < 0.05), except for body pain (BP) and social function (SF) scores. HADS: (1) Between-group comparison: no significant difference (P > 0.05). (2) Within-group comparison: The HADS scores of the PFA and RFCA groups were statistically significant at T2 compared to T0 and T1 (P < 0.05). Conclusions Our study provided new and meaningful evidence that PFA was effective in significantly improving QOL and decreasing anxiety and depression in PFA patients. Trial registration Chinese Clinical Trial Registry, ChiCTR2200060272.

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Integrating Patient-Generated Digital Data into Mental Health Therapy: A mixed methods analysis of user experience (Preprint)

Southwick,

Sharma,

Rai

et al. 2024

Preprint

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UNSTRUCTURED Therapists and their patients increasingly discuss digital data from social media, smartphone sensors, and other online engagement within the context of psychotherapy. We examined patients’ and mental health therapists’ experiences and perceptions following a randomized controlled trial (RCT) in which they both received regular summaries of patients’ digital data (e.g., dashboard) to review and discuss in session. The dashboard included data which patients consented to share from their social media posts, phone usage and online searches. Following the RCT, patient (n=56) and therapist (n=44) participants completed a debriefing survey after their study completion (from December 2021 - January 2022). Participants were asked about their experience receiving a digital data dashboard in psychotherapy via closed- and open-ended questions. We calculated descriptive statistics for closed-ended questions and conducted qualitative coding via NVivo 10 and natural language processing using the machine learning tool Latent Dirichlet Allocation to analyze open-ended questions. Of 100 participants, nearly half (49%) described their experience with the dashboard as “positive,” while the other half noted a “neutral” experience. Responses to the open-ended questions resulted in three thematic areas (9 sub-categories): (1) dashboard experience (positive; neutral or negative; comfortable), (2) perception of the dashboard’s impact on enhancing therapy (accountability; increased awareness over time; objectivity), and (3) dashboard refinements (additional sources; tailored content; ethics). Patients reported that receiving their digital data helped them stay “accountable,” while therapists indicated that dashboard helped “tailor treatment plans.” Patient and therapist surveys provided important feedback their experience regularly discussing dashboards in psychotherapy.

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Effect of Integrating Patient-Generated Digital Data Into Mental Health Therapy: A Randomized Controlled Trial

Cited by 3 publications

References 15 publications

Digital Collateral Information Through Electronic and Social Media in Psychotherapy: Comparing Clinician-reported Trends Before and During the COVID-19 Pandemic

Digital Collateral Information Through Electronic and Social Media in Psychotherapy: Comparing Clinician-reported Trends Before and During the COVID-19 Pandemic

Comparing the effects of pulsed and radiofrequency catheter ablation on quality of life, anxiety, and depression of patients with paroxysmal supraventricular tachycardia: a single-center, randomized, single-blind, standard-controlled trial

Integrating Patient-Generated Digital Data into Mental Health Therapy: A mixed methods analysis of user experience (Preprint)

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