Facebook goes to the doctor

Background: Web and Internet-based resources are remarkably popular with the public, patients and others as a way to access mental health information, tools for self-care, advice/consultation from a professional, and providerdirected treatments.Objective: This paper provides a framework of a spectrum that includes person-centered health education options (conceptual endpoint), patient and caregiver-centered mental health care interventions (evidence-based literature review), and more formal provider-directed treatments (conceptual endpoint). Methods:The evidence-based literature review was focused on treatment studies, using a minimum of three key words and the 1996-2015 period, resulting in 13,612 articles. This was reduced to 388 (title words used), to 125 (abstracts for methods, design, and outcomes) and 40 (evidence-based criteria of guidelines). Results:Technology is frequently used, is readily accessible and satisfies persons, patients, and caregivers. Its impact on openness to engage with others and begin self-care appears very positive; its ability to help people change behaviors and engage additional clinical services appears modest, though this is inadequately evaluated. Formal treatments over the Internet, asynchronous care models, or traditional video-based synchronous services are as good as or better than in-person services, though an incomplete range of services has been evaluated. Relatively few treatment studies assess outcomes, compare in-person and e-MentalHealth care, and or compare technology-based care options to one another; hybrid models of care have emerged, but have rarely been studied. Conclusions:For persons or patients not in care, use of the internet for common, non-acute problems appears to work, though a one-time clinical evaluation may help them place options in context. Clinicians and patients should specifically plan how to use technology and exercise sound judgment, based on guidelines when available. More research is needed on the application of new technologies to clinical care, with randomized trials and health services studies for effectiveness suggested. Internet-based mental health (MH) education and services are on the rise, as more patients, caregivers, and MH providers are using the Internet. This is driven by consumers or persons at-large, before they become patients in traditional services, and transitions our thinking from clinic-based care past patient-centered care to person-centered care known as participatory medicine [19][20][21]. MH-related, technology-based services exist on a continuum: self-help/support groups -well-prepared materials for patient psychoeducation and provider professional education -tips for assessment and selfcare (e.g., depression) -informal provider consultation online -asynchronous communication with providers -MH services with professionals like teleMH ((TMH) care or; Internet-based cognitive behavioral treatment (CBT) [22][23][24][25][26][27][28][29][30]. New Frontiers in Healthcare andConsumers, patients, caregivers and provi...

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“…• Attend to privacy/confidentiality, and clinical boundaries; separate personal and professional sites [134].…”

Section: Internet-based Videoconferencing Guidelinesmentioning

confidence: 99%

New Frontiers in Healthcare and Technology: Internet-and Web-Based Mental Options Emerge to Complement In-Person and Telepsychiatric Care Options

Hilty¹,

Chan²,

Torous³

et al. 2015

J Health Med Informat

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“…As short messaging service (SMS) systems and patient‐owned devices exist outside the traditional clinical practice environments, clinical research that tests the health impacts of interventions using personally owned technology must address two sets of regulations related to patient privacy and health system regulatory requirements: the Health Insurance Portability and Accountability Act (HIPAA, HIPAA Privacy Rule) and human subjects’ research requirements. Effective stewardship of personal information and patient‐provider communication through text messages or other forms of personally owned technology remains an evolving landscape of unclear boundaries of information ownership, indemnity, and policy adherence . Furthermore, when conducting research to evaluate the effectiveness of these technologies, researchers and clinical groups must navigate a complex intersection of institutional clinical and research regulations.…”

Section: Introductionmentioning

confidence: 99%

“…Effective stewardship of personal information and patientprovider communication through text messages or other forms of personally owned technology remains an evolving landscape of unclear boundaries of information ownership, indemnity, and policy adherence. [11][12][13] Furthermore, when conducting research to evaluate the effectiveness of these technologies, researchers and clinical groups must navigate a complex intersection of institutional clinical and research regulations. Despite a wellestablished regulatory norm of separating clinical care from research to protect patients, when these lines become blurred, ethical challenges arise.…”

Section: Introductionmentioning

confidence: 99%

Governance Strategies for Conducting Text Messaging Interventions in Clinical Research

Anderson

Morrison

Griffin³

et al. 2014

Clinical Translational Sci

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There is increasing interest in medical text messaging interventions being used to achieve positive patient outcomes across a range of clinical research and health practice environments. Short messaging service (SMS) is a low-cost tool that provides an easy communication route to engage potentially broad populations through text messaging, and is part of the growing social trend toward increased adoption of personal communication technologies by patient populations. Testing the effectiveness and impact of various communication strategies requires navigation of a complex web of clinical and research regulations and oversight mechanisms. We describe a case study of the implementation of SMS to provide bidirectional communications between physicians and patients involved in routine care reminders to illustrate the review processes and governance structures needed. By mapping the regulatory and approval processes required to manage and steward a research study across clinical and community boundaries, we provide a guide for other translational health researchers who may utilize similar kinds of personally owned technology interventions as research tools.

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Social Media and Clinical Practice: What Stays the Same, What Changes, and How to Plan Ahead?

et al. 2016

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Facebook goes to the doctor

Cited by 4 publications

References 18 publications

New Frontiers in Healthcare and Technology: Internet-and Web-Based Mental Options Emerge to Complement In-Person and Telepsychiatric Care Options

New Frontiers in Healthcare and Technology: Internet-and Web-Based Mental Options Emerge to Complement In-Person and Telepsychiatric Care Options

Governance Strategies for Conducting Text Messaging Interventions in Clinical Research

Social Media and Clinical Practice: What Stays the Same, What Changes, and How to Plan Ahead?

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