Leveraging Mobile Technologies for Mental Health


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Dr. Kendall Ho's presentation at the 2012 E-Mental Health Conference in Vancouver, BC, Canada.

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Leveraging Mobile Technologies for Mental Health

  1. 1. E-Mental Health Conference December 10th, 2012Leveraging Mobile Technologies for Mental HealthKendall Ho, MD FRCPCProfessor, Emergency MedicineDirector, eHealth Strategy Office eHealth Strategy Office
  2. 2. mHealth Possibilities eHealth Strategy Office
  3. 3. (Reuters February 3, 2010) 2010 Survey (Oct-Nov 2010, 22,600) •8/10 Canadians (>16) Internet for personal use •1/3 go on line via mobile devices •64/100 for medical information
  4. 4. http://www.getselfhelp.co.uk/links2.htm
  5. 5. 2,929,514
  6. 6. SMS/Text Messaging in Health• Lifestyle management (exercise, weight, …)• Smoking cessation• Drugs of abuse cessation• Medical results reporting• Medication reminder• Diabetes• Asthma• Sexually transmitted infections• ….
  7. 7. Social Media and Popularity eHealth Strategy Office
  8. 8. Biometrics Monitoring: Examples• Cardiac rhythm• Ultrasound• Opthalmology• Nanotechnology• Pedometer• Weight• Exercise• Sleep• …. eHealth Strategy Office
  9. 9. http://www.techsling.com/2011/06/12-important-mobile-apps-for-mental-health/ •Stress Relief (3) •Anxiety CBT (3) •Quite Smoking (3) •Substance misuse (3)
  10. 10. • 1st edition 2012• 200 health Apps• Reviewed By patients• 30 languages• 64 specializations
  11. 11. goo.gl/EkoRO
  12. 12. mHealth Possibilities Evidence eHealth Strategy Office
  13. 13. Tele-Mental Health Literature Review 05-12• Video & Web conferencing: effective versus face to face• Internet: increase access, augment care• *E-mails: increase dialogue, but outcome?• *Mobile phones: immediate, convenient, sustained aftercare & ongoing management.• *Online chats: Offers increased convenience and flexibility• *Social media: increase reach and communication *Findings: •Increase patient satisfaction •inconsistent &inconclusive re: therapeutic effectiveness •More research needed eHealth Strategy Office
  14. 14. mHealth Possibilities Strategies Evidence eHealth Strategy Office
  15. 15. Motivating Behavioural Change Attitude Knowledge Skills Competence“Why do I “What should I “What “How can Icare?” know?” can I do?” contribute?” eHealth Strategy Office
  16. 16. Steps of EngagementEngagement Principles ActionsAttitude Social Media (e.g. Twitter, Youtube)“Why do I care?” Web conferencing Web screening toolsKnowledge Webinars“What should I Know?” eLearning modules Web portalsSkills Decision support tools“What can I do?” Monitoring tools Social media (e.g. discussion groups)Competence Self monitoring“How can I contribute?” Participate in research/recruitmenty O f f i c e eHealth Strateg
  17. 17. • small but significant effect on behavior (d+=0.16, 95% CI 0.09-0.23)• Interventions based on planned behaviour• Interventions with behaviour change techniques• With additional communication, in particular SMS/text messaging
  18. 18. Quantifiedself.com
  19. 19. Evaluation for “Meaningful Use”• Access• Quality• Productivity/Cost effectiveness• End user satisfaction • Patients/public • Health Professionals • …• Usability eHealth Strategy Office
  20. 20. Mobile technologies For Mental Health Strategies • Promoting behavioural Change • Community co-creation • Evaluation eHealth Strategy Office
  21. 21. Conclusion• Health professionals support public/patients in mMental Health use• Health professionals need to understand mMental Health evolution• Health professionals-public/patients connect for co-creation of mMental Health future eHealth Strategy Office
  22. 22. eHealth Strategy OfficeWeb: www.eHealth.med.ubc.caFacebook: UBC eHealth Strategy OfficeTwitter: @ehealthstrategy