MedLink: A mobile intervention to improve medication adherence and processes of care for treatment of depression in general medicine

Corden, Marya E.; Koucky, Ellen M.; Brenner, Christopher J.; Palac, Hannah; Soren, Adisa; Begale, Mark; Ruo, Bernice; Kaiser, Susan M.; Duffecy, Jennifer; Mohr, David C.

doi:10.1177/2055207616663069

Cited by 32 publications

(42 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Indeed, feeding information back to providers is a useful way to leverage technologies to guide evidence-based practices. In one example, a medication monitoring system made possible through a mobile app and wireless pillbox collected information about medication adherence, symptoms, and side effects to people receiving new regimens of antidepressant medication (Corden et al, 2016). Indeed most people had office visits with physicians to monitor and adjust their dosage according to information received from the application during the 4-week trial, which is atypical for common practices in primary care (Mohr et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Exploring the potential of technology-based mental health services for homeless youth: A qualitative study.

Adkins¹,

Zalta²,

Boley³

et al. 2017

Psychological Services

View full text Add to dashboard Cite

Homelessness has serious consequences for youth that heighten the need for mental health services; however, these individuals face significant barriers to access. New models of intervention delivery are required to improve the dissemination of mental health interventions that tailor these services to the unique challenges faced by homeless youth. The purpose of this study was to better understand homeless youths’ use of technology, mental health experiences and needs, and willingness to engage with technology-supported mental health interventions to help guide the development of future youth-facing technology-supported interventions. Five focus groups were conducted with 24 homeless youth (62.5% female) in an urban shelter. Youth were 18 to 20 years old with current periods of homelessness ranging from six days to four years. Transcripts of these focus groups were coded to identify themes. Homeless youth reported using mobile phones frequently for communication, music, and social media. They indicated a lack of trust and a history of poor relationships with mental health providers despite recognizing the need for general support as well as help for specific mental health problems. Although initial feelings towards technology that share information with a provider were mixed, they reported an acceptance of tracking and sharing information under certain circumstances. Based on these results, we provide recommendations for the development of mental health interventions for this population focusing on technology-based treatment options.

show abstract

Section: Discussionmentioning

confidence: 99%

Exploring the potential of technology-based mental health services for homeless youth: A qualitative study.

Adkins¹,

Zalta²,

Boley³

et al. 2017

Psychological Services

View full text Add to dashboard Cite

show abstract

“…The following traditional data collection methodologies that have been used in the testing of other apps [19,31,32] were selected to evaluate My Diet Coach for AYA-SBs: (1) audio recordings of the testing, (2) standardized interview questions, (3) providing the option for the research/graduate assistants to prompt participants following specific behaviors, (4) validated questionnaires (see Measures section), (5) timing of the tasks with a stopwatch, and (6) research/graduate assistant recording of errors or path deviations (on a standardized paper form).…”

Section: Methodsmentioning

confidence: 99%

Exploring an Existing Weight Management App for Use With Adolescents and Young Adults With Spina Bifida: Usability Study

Stiles‐Shields¹,

Garcia²,

Villota³

et al. 2019

JMIR Pediatr Parent

View full text Add to dashboard Cite

BackgroundAdolescents and young adults with spina bifida (AYA-SBs) have unique user needs, given their variable and complex symptom profile. Owing to multiple barriers to prevention and intervention treatments for secondary conditions (eg, obesity), AYA-SBs may benefit from the use of behavioral intervention technologies (BITs). However, as BITs are often designed and tested with typically developing individuals, it is unclear if existing BITs may be usable for AYA-SBs.ObjectiveThis study aimed to evaluate the usability of a high-quality, publicly available, weight management–focused mobile BIT (smartphone app) for AYA-SBs.MethodsOverall, 28 AYA-SBs attending a Young Men’s Christian Association–based summer camp completed 4 structured usability tasks using a weight management app designed for the general public called My Diet Coach (Bending Spoons). Learnability was measured by (1) time to complete task, (2) number of user errors, and (3) correct entry of data when requested by the app. Satisfaction and general usability were measured via self-reported questionnaires and qualitative feedback following interactions with the app.ResultsThe majority of the sample were able to complete the tasks, with increased completion rates and improved times on second attempts of the tasks (Ps<.05). Errors were common, and discrepancies emerged between quantitative and qualitative feedback such that self-reported measures indicated dissatisfaction but qualitative feedback was generally positive. Suggested improvements to the app included (1) tutorials, (2) simplifying the design, (3) more activity options for those who ambulate by wheelchair, and (4) notifications to prompt use.ConclusionsAYA-SBs were able to learn how to complete specific tasks independently on a weight management app, but design changes consistent with previously proposed user needs were recommended. Rather than designing entirely new BITs, it may be possible to adapt existing technologies to personalize BITs for specific populations such as AYA-SBs.

show abstract

“…Items are scored on a 7-point Likert scale (1=strongly disagree and 7=strongly agree). The USE measure is a well-validated scale that is commonly used to evaluate the user experience of mHealth interventions [77,78]. Moreover, 10 additional items were used to assess aesthetic appeal of the app, concerns about data privacy, usefulness of coaching calls, the degree to which iCanThrive meets a need for survivors of women's cancer, and whether users would, in theory, be interested in being a coach for other survivors of women's cancer.…”

Section: User Experiencementioning

confidence: 99%

A Novel Mobile Phone App Intervention With Phone Coaching to Reduce Symptoms of Depression in Survivors of Women’s Cancer: Pre-Post Pilot Study

et al. 2020

View full text Add to dashboard Cite

Background Psychological distress is a major issue among survivors of women’s cancer who face numerous barriers to accessing in-person mental health treatments. Mobile phone app–based interventions are scalable and have the potential to increase access to mental health care among survivors of women’s cancer worldwide. Objective This study aimed to evaluate the acceptability and preliminary efficacy of a novel app-based intervention with phone coaching in a sample of survivors of women’s cancer. Methods In a single-group, pre-post, 6-week pilot study in the United States, 28 survivors of women’s cancer used iCanThrive, a novel app intervention that teaches skills for coping with stress and enhancing well-being, with added phone coaching. The primary outcome was self-reported symptoms of depression (Center for Epidemiologic Studies Depression Scale). Emotional self-efficacy and sleep disruption were also assessed at baseline, 6-week postintervention, and 4 weeks after the intervention period. Feedback obtained at the end of the study focused on user experience of the intervention. Results There were significant decreases in symptoms of depression and sleep disruption from baseline to postintervention. Sleep disruption remained significantly lower at 4-week postintervention compared with baseline. The iCanThrive app was launched a median of 20.5 times over the intervention period. The median length of use was 2.1 min. Of the individuals who initiated the intervention, 87% (20/23) completed the 6-week intervention. Conclusions This pilot study provides support for the acceptability and preliminary efficacy of the iCanThrive intervention. Future work should validate the intervention in a larger randomized controlled study. It is important to develop scalable interventions that meet the psychosocial needs of different cancer populations. The modular structure of the iCanThrive app and phone coaching could impact a large population of survivors of women’s cancer.

show abstract

MedLink: A mobile intervention to improve medication adherence and processes of care for treatment of depression in general medicine

Cited by 32 publications

References 37 publications

Exploring the potential of technology-based mental health services for homeless youth: A qualitative study.

Exploring the potential of technology-based mental health services for homeless youth: A qualitative study.

Exploring an Existing Weight Management App for Use With Adolescents and Young Adults With Spina Bifida: Usability Study

A Novel Mobile Phone App Intervention With Phone Coaching to Reduce Symptoms of Depression in Survivors of Women’s Cancer: Pre-Post Pilot Study

Contact Info

Product

Resources

About