Reducing health inequalities trough digital options in mental health: A physician’s perspective

Taiminen, Heini; Saraniemi, Saila; Joffe, Grigori; Stenberg, Jan-Henry; Parkinson, Joy

doi:10.1080/07359683.2019.1575059

Cited by 9 publications

(4 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These effects could be due to patient-group differences: patients referred from occupational health are, by definition, employed and presumably have a higher average level of functioning, higher socioeconomic status, and a lower likelihood of serious comorbidities. Moreover, in our recent study, physicians in occupational health displayed more interest in sending patients to iCBT than their primary care counterparts [62], which may transfer into patients' own expectations and motivation.…”

Section: Patients' Background Effectsmentioning

confidence: 83%

Internet-Delivered Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Nationwide Routine Care: Effectiveness Study

Ritola¹,

Lipsanen²,

Pihlaja³

et al. 2022

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

Background Therapist-supported, internet-delivered cognitive behavioral therapy (iCBT) is efficacious for generalized anxiety disorder (GAD), but few studies are yet to report its effectiveness in routine care. Objective In this study, we aim to examine whether a new 12-session iCBT program for GAD is effective in nationwide routine care. Methods We administered a specialized, clinic-delivered, therapist-supported iCBT for GAD in 1099 physician-referred patients. The program was free of charge for patients, and the completion time was not predetermined. We measured symptoms with web-based questionnaires. The primary measure of anxiety was the GAD 7-item scale (GAD-7); secondary measures were, for pathological worry, the Penn State Worry Questionnaire and, for anxiety and impairment, the Overall Anxiety Severity and Impairment Scale. Results Patients completed a mean 7.8 (SD 4.2; 65.1%) of 12 sessions, and 44.1% (485/1099) of patients completed all sessions. The effect size in the whole sample for GAD-7 was large (Cohen d=0.97, 95% CI 0.88-1.06). For completers, effect sizes were very large (Cohen d=1.34, 95% CI 1.25-1.53 for GAD-7; Cohen d=1.14, 95% CI 1.00-1.27 for Penn State Worry Questionnaire; and Cohen d=1.23, 95% CI 1.09-1.37 for Overall Anxiety Severity and Impairment Scale). Noncompleters also benefited from the treatment. Greater symptomatic GAD-7–measured relief was associated with more completed sessions, older age, and being referred from private or occupational care. Of the 894 patients with a baseline GAD-7 score ≥10, approximately 421 (47.1%) achieved reliable recovery. Conclusions This nationwide, free-of-charge, therapist-supported HUS Helsinki University Hospital–iCBT for GAD was effective in routine care, but further research must establish effectiveness against other treatments and optimize the design of iCBT for GAD for different patient groups and individual patients.

show abstract

Section: Patients' Background Effectsmentioning

confidence: 83%

Internet-Delivered Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Nationwide Routine Care: Effectiveness Study

Ritola¹,

Lipsanen²,

Pihlaja³

et al. 2022

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…Some retailers and manufacturers had made tweets empathising the sufficiency of toilet paper supplies, in hope to counterbalance the spread of anxiety and panic buying behaviours. Using digital platforms to enhance access to health services including mental health support is not a new idea, however, general uptake of digital mental health applications has been low in many countries [25]. The COVID-19 pandemic may be a good opportunity to explore the feasibility of digital health options [26].…”

Section: Discussionmentioning

confidence: 99%

Anxiety and Panic Buying Behaviour during COVID-19 Pandemic—A Qualitative Analysis of Toilet Paper Hoarding Contents on Twitter

Leung

Chung

Tisdale

et al. 2021

IJERPH

View full text Add to dashboard Cite

Background: The coronavirus disease 2019 (COVID-19) pandemic had increased population-level anxiety and had elicited panic buying behaviour across the world. The over-hoarding of toilet paper has received a lot of negative public attention. In this work, we used Twitter data to qualitatively analyse tweets related to panic buying of toilet paper during the crisis. Methods: A total of 255,171 tweets were collected. Of these 4081 met our inclusion criteria and 100 tweets were randomly selected to develop a coding scheme in the initial phase. Random samples of tweets in folds of 100 were then qualitatively analysed in the focused coding phase until saturation was met at 500 tweets analysed. Results: Five key themes emerged: (1) humour or sarcasm, (2) marketing or profiteering, (3) opinion and emotions, (4) personal experience, and (5) support or information. About half of the tweets carried negative sentiments, expressing anger or frustration towards the deficiency of toilet paper and the frantic situation of toilet paper hoarding, which were among the most influential tweets. Discussion: Panic buying of toilet paper was seen during the 2020 pandemic period with a mass amount of related content spread across social media. The spontaneous contagion of fear and panic through social media could fuel psychological reactions in midst of crises. The high level of negative social media posts regarding the toilet paper crisis acts as an emotional trigger of public anxiety and panic. Conclusions: Social media data can provide rapid infodemiology of public mental health. In a pandemic or crisis situation, real-time data could be monitored and content-analysed for authorities to promptly address public concerns.

show abstract

“…The patient interviewees felt empowered by this tool, but it could also disempower other patient groups who have not mastered e-consultations. Indeed, research has shown that while digital solutions might reduce inequalities for some groups, for example, those with mental health issues (Taiminen et al, 2019), for other groups, digital solutions may exacerbate health inequalities (Rich et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Struggling with and mastering e-mail consultations: A study of access, interaction, and participation in a digital health care system

Grønning

2021

Nordicom Review

View full text Add to dashboard Cite

In Denmark, medical consultations and the institutional practice of going to the doctor have been expanded upon over the past decade, with e-mail consultations (e-consultations) now supplementing conventional consultations. As a form of communication with different constraints than face-to-face and telephonic communication, e-consultations are likely to both afford some benefits and present struggles. In this article, I examine the use and perception of primary care e-consultations from the perspective of the patient. The study is based on qualitative interviews with 20 patients and guided by the following research question: How do patients struggle with and master digital participation during e-consultations? The study demonstrates that e-consultations are more than a digital access point to the healthcare system: patients often struggle to maintain contact with their general practitioner, and e-consultations can help them navigate the healthcare system. Indeed, those who master this form of communication are appreciative of it and perceive it as screen care.

show abstract

Reducing health inequalities trough digital options in mental health: A physician’s perspective

Cited by 9 publications

References 15 publications

Internet-Delivered Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Nationwide Routine Care: Effectiveness Study

Internet-Delivered Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Nationwide Routine Care: Effectiveness Study

Anxiety and Panic Buying Behaviour during COVID-19 Pandemic—A Qualitative Analysis of Toilet Paper Hoarding Contents on Twitter

Struggling with and mastering e-mail consultations: A study of access, interaction, and participation in a digital health care system

Contact Info

Product

Resources

About