E-Mental Health and models of care: The evidence base and feasibility of picking one vs. another?

2016 ◽  
Vol 33 (S1) ◽  
pp. S26-S26
Author(s):  
D. Hilty
Keyword(s):  
Social Media ◽  
New Technologies ◽  
Healthcare Delivery ◽  
Online Communication ◽  
Mental Healthcare ◽  
Evidence Base ◽  
Models Of Care ◽  
Patient Centered ◽  
Use Of Technology ◽  
Pathological Internet Use

The patient-centered care features quality, affordable, and timely care in a variety of settings – technology is a key part of that – particularly among younger generations and child and adolescent patients. The consumer movement related to new technologies is nearly passing clinicians by, as new ways of communicating with others (text, email, Twitter, Facebook) revolutionizes how we experience life and access healthcare. This paper explores a continuum with healthy, innovative behavior on one end (e.g., social media) and pathological Internet use on the other end–and the range of self-help and e-mental healthcare options being used. Specifically, it focuses on how social media adds to, yet may complicate healthcare delivery, such that clinicians may need to adjust our approach to maintain therapeutic relationships, interpersonal/clinical boundaries, and privacy/confidentiality. We suggest planning ahead to discuss expectations about online communication between doctors and patients as part of the informed consent process, offer other do's and don’ts for patients and clinicians, and review applicable guidelines. More research is needed on consumer and patient use of technology related to healthcare, as is an approach to basic and advanced measurement of outcomes.Disclosure of interestThe author has not supplied his declaration of competing interest.

E-mental health: Updates on recent achievements and pitfalls

2016 ◽  
Vol 33 (S1) ◽  
pp. S609-S609
Author(s):  
D. Hilty ◽  
A. Fiorillo ◽  
K. Krysta ◽  
M. Krausz ◽  
D. Mucic
Keyword(s):  
Social Media ◽  
New Technologies ◽  
Healthcare Delivery ◽  
Online Communication ◽  
Mental Healthcare ◽  
Patient Centered ◽  
Use Of Technology ◽  
Pathological Internet Use ◽  
Centered Care ◽  
Competing Interest

The patient-centered care features quality, affordable, and timely care in a variety of settings – technology is a key part of that – particularly among younger generations and child and adolescent patients. The consumer movement related to new technologies is nearly passing clinicians by, as new ways of communicating with others (text, e-mail, Twitter, Facebook) revolutionizes how we experience life and access healthcare. This paper explores a continuum with healthy, innovative behavior on one end (e.g., social media) and pathological Internet use on the other end – and the range of self-help and e-mental healthcare options being used. Specifically, it focuses on how social media adds to, yet may complicate healthcare delivery, such that clinicians may need to adjust our approach to maintain therapeutic relationships, interpersonal/clinical boundaries, and privacy/confidentiality. We suggest planning ahead to discuss expectations about online communication between doctors and patients as part of the informed consent process, offer other do's and dont's for patients and clinicians, and review applicable guidelines. More research is needed on consumer and patient use of technology related to healthcare, as is an approach to basic and advanced measurement of outcomes.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Electronic Communication, Telehealth, and Social Media

2018 ◽  
Author(s):  
Muniya S. Khanna ◽  
Tommy Chou
Keyword(s):  
Social Media ◽  
Rural Communities ◽  
Unmet Need ◽  
Mental Healthcare ◽  
Evidence Base ◽  
Intervention Delivery ◽  
Safety Issues ◽  
Video Teleconferencing ◽  
Empirically Supported ◽  
Traditional Service

Explosive growth of communication technologies and increased ubiquity of Internet access in both urban and rural communities and particularly in youth have occurred. Coupled with concerns regarding limitations to traditional service provision models, researchers and practitioners are looking to affordable, acceptable technologies to expand the reach of evidence-based care and reduce barriers to intervention and unmet need in areas with few providers. This chapter describes the present literature on use of video teleconferencing, web-based programs, social media, and smartphone apps to enhance mental health intervention delivery, psychiatric assessment, and training and supervision. The strengths of the various delivery methods are discussed for providing empirically supported mental healthcare, focusing on implications related to science and practice with children and families. Outlined also are current limitations, risks, and challenges to technology-mediated services, including the significant gaps in the evidence base underlying these technologies and the legal, ethical, and safety issues that remain.

The Impact of COVID-19 on the Prevalence and Perception of Telehealth Utilization. (Preprint)

2021 ◽  
Author(s):  
Khalid Adnan Shamiyah ◽  
Simon Whitebridge ◽  
Nitya Kumar ◽  
Stephen Atkin ◽  
Khawla Fuad Ali ◽  
...  
Keyword(s):  
Social Media ◽  
Public Attitudes ◽  
Healthcare Delivery ◽  
Mena Region ◽  
Patient Centered ◽  
Patient Acceptability ◽  
Online Social Media ◽  
Centered Care ◽  
Future Utility ◽  
The Impact

BACKGROUND Due to the COVID-19 pandemic, telehealth has emerged as a safer way to access healthcare. The telehealth industry has been rapidly expanding over the last decade as a modality to provide patient-centered care. However, the prevalence of its use and patient acceptability remains unclear in the Middle East and North Africa (MENA) region. OBJECTIVE The primary aim was to assess the prevalence of telehealth use before and during the pandemic by utilizing social media (Instagram) as an online platform for survey administration across different countries simultaneously. Our secondary aim was to assess the perceptions regarding telehealth usage amongst those utilizing it. METHODS An online social media platform (Instagram) that reaches 130,000 subjects daily, was used to administer a questionnaire that assessed the current prevalence of telehealth use and public attitudes and acceptability towards this modality of healthcare delivery during the COVID-19 pandemic. RESULTS 1524 respondents participated in the survey (females 89.3%; age range 25-38) of whom 91.2% lived in the GCC. Prior to COVID-19, 1440 (88%) had no exposure to telehealth. Following the covid-19 pandemic telehealth usage increased by 237% to a total of 644 users (40%) (follow-up consultations (n=410, 47%); first-time consultations (n=348, 40%)) that was associated with older age (p=0.001), having one or more comorbidities (p=0.001), taking one or more pills (p=0.001), living in the GCC (p=0.003). Those who reported using telehealth (n=679), 247 (36.4%) reported their willingness to continue using telehealth, 254 (37.4%) were unsure and 178 (26.2%) did not wish to continue to use telehealth after the COVID19 pandemic. An inverse relationship between telehealth usage and the increasing number of medical comorbidities was shown (OR= 0.76, p= 0.023). Respondents using messaging or video telehealth usage were more likely recommend virtual visits than those who used audio calls (OR= 0.49, p= 0.024). Overall, there was general satisfaction with telehealth usage and respondents found telehealth to be equally effective to in-person visits. CONCLUSIONS Telehealth usage increased dramatically and was found to be acceptable though less so if there were other comorbidities; however, further innovation to increase telehealth acceptability is needed if this is to have greater future utility in healthcare delivery.

scholarly journals Tomorrow's world: current developments in the therapeutic use of technology for psychosis

2016 ◽  
Vol 22 (5) ◽  
pp. 301-310 ◽  
Author(s):  
Puffn O'Hanlon ◽  
Golnar Aref-Adib ◽  
Andres Fonseca ◽  
Brynmor Lloyd-Evans ◽  
David Osborn ◽  
...  
Keyword(s):  
Mental Health ◽  
Communication Technology ◽  
Mental Health Problems ◽  
Mental Healthcare ◽  
Evidence Base ◽  
Therapeutic Use ◽  
Use Of Technology ◽  
Assessment And Treatment ◽  
Common Mental Health Problems ◽  
Information And Communication

SummaryThere is now an established evidence base for the use of information and communication technology (ICT) to support mental healthcare (‘e-mental health’) for common mental health problems. Recently, there have been significant developments in the therapeutic use of computers, mobile phones, gaming and virtual reality technologies for the assessment and treatment of psychosis. We provide an overview of the therapeutic use of ICT for psychosis, drawing on searches of the scientific literature and the internet and using interviews with experts in the field. We outline interventions that are already relevant to clinical practice, some that may become available in the foreseeable future and emerging challenges for their implementation.

The Cancer Survivorship Journey: Models of Care, Disparities, Barriers, and Future Directions

2016 ◽  
pp. 231-239 ◽  
Author(s):  
Michael T. Halpern ◽  
Mary S. McCabe ◽  
Mary Ann Burg
Keyword(s):  
Insurance Coverage ◽  
Evidence Base ◽  
Models Of Care ◽  
Future Research ◽  
Survivorship Care ◽  
Patient Centered ◽  
High Quality ◽  
Patient Reported ◽  
Centered Care ◽  
Policies And Programs

Although the number of long-term cancer survivors has increased substantially over past years, the journey of survivorship does not always include high-quality, patient-centered care. A variety of survivorship care models have evolved based on who provides this care, the survivor population, the site of care, and/or the capacity for delivering specific services. Other areas of survivorship care being explored include how long follow-up care is needed, application of a risk-based approach to survivorship care, and the role of the survivor in his or her own recovery. However, there is little evidence indicating whether any models improve clinical or patient-reported outcomes. A newer focus in survivorship care has included assessment of potential disparities; the sociodemographic characteristics of population subgroups associated with barriers to receiving high-quality cancer treatment may also affect the survivorship period. Developing policies and programs to address disparities in survivorship care is not simple, and examining how financial hardship affects cancer outcomes, reducing economic barriers to care, and increasing incorporation of patient-centered strategies may be important components. Here too, there is little evidence regarding the best strategies to address these disparities. Barriers to providing high-quality, patient-centered survivorship care include lack of evidence, lack of a trained survivorship workforce, lack of reimbursement structures/insurance coverage, and lack of a health care system that reduces fragmented care. Future research needs to focus on developing a survivorship care evidence base, exploring strategies to facilitate provision of survivorship care, and disseminating best survivorship care practices to diverse and international audiences.

Effective Cultural Communication via Information and Communication Technologies and Social Media Use

2018 ◽  
pp. 7002-7013 ◽  
Author(s):  
Androniki Kavoura ◽  
Stella Sylaiou
Keyword(s):  
Social Media ◽  
Information And Communication Technologies ◽  
New Technologies ◽  
Communication Technologies ◽  
Interactive Approach ◽  
Communication Tools ◽  
Cultural Organizations ◽  
Use Of Technology ◽  
Information And Communication ◽  
Use Of Social Media

Cultural organizations need to adopt contemporary methods and ways of communication for heritage management. Raising people's interest for cultural heritage may take place via the implementation of innovative communication tools that allow for engagement to take place. Research though has shown that cultural organizations are more reluctant than firms are to implement a two-way communication process with new technologies and social media. Do cultural organizations employ Information and Communication Technologies (ICTs) and social media in an interactive approach? This chapter aims to illustrate the significance that should be attributed to innovation through the use of technology for communication purposes by cultural organizations. The way communication trends take place in the field of cultural management and communication is presented, along with an overview of the technological outlook that can be invaluable. The use of innovative communication tools that are employed by cultural organizations for their communication strategies has been little researched as a topic. This study aims to add to the literature on the use of social media, mobile devices and ICTs by cultural organizations.

scholarly journals Dalyvavimas internete: politiškai aktyvus jaunimas ir jo komunikacija socialinėse medijose

2012 ◽  
Vol 59 ◽  
pp. 105-116 ◽  
Author(s):  
Lina Auškalnienė
Keyword(s):  
Social Media ◽  
Young People ◽  
Political Participation ◽  
Political Communication ◽  
New Technologies ◽  
Online Communication ◽  
The Internet ◽  
Communication Practice ◽  
Democratic Engagement ◽  
Politically Active

Informacijos ir komunikacijos technologijų plėtra yra viena pagrindinių charakteristikų, apibūdinančių socialinius, kultūrinius, ekonominius XXI a. demokratijos procesus. Fundamentalūs kaitos procesai veikia ir politikos komunikacijos sritį – neišvengiama pokyčių, įsitraukia nauji veikėjai, naudojami nauji įrankiai, kinta komunikacijos įpročiai. Šio straipsnio tikslas – apžvelgti literatūrą, kurioje nagrinėjami iššūkiai bei galimybės, siejamos su piliečių įsitraukimo bei politinio dalyvavimo praktikomis socialiniais tinklais ir ryšiais grindžiamoje virtualiojoje erdvėje. Straipsnyje taip pat pristatomas bandomasis tyrimas, analizuojantis politiškai aktyvių jaunų žmonių demokratinio įsitraukimo praktikas socialinėse medijose. Keliami klausimai aktualūs ir ateities tyrimams bei diskusijoms: ar socialinės medijos galėtų tapti patraukliu kanalu, prisidedančiu aktyvinant jaunų auditorijų politinio bei pilietinio dalyvavimo praktikas?Assessing participation online: Youth and Their Involvement in Social MediaLina Auškalnienė SummaryThe role of political participation and civic engagement as the backbones of modern deliberative democracy is challenged by new opportunities for involvement online. Fundamental societal transformations, facilitated by new technologies, are changing the way we interact, communicate, produce and exchange knowledge. By nature being a bottom-up experiment, social media are more and more involved into the everyday communication practice and become one of the major political communication channels.The purpose of this paper is to review the literature analysing the democratic citizens’ engagement and political participation in the era of the Internet, particularly focusing on the involvement of young people in the decision-making process. Moreover, a pilot case study is presented, reflecting the practices of politically active young individuals in the online communicative space. The data available are analysed to shed some light on the debate and to focus attention on several aspects of youth participation. Looking further, the questions are raised: is the Internet an attractive channel to enhance political interest and discussion among the youngsters? What impact may online communication practice via social media have on civic and political participation of young people offline?Key words: social media, political participation, democratic engagement, political communication, Internet, youth

Telehealth and the Treatment of Voice Disorders: A Discussion Regarding Evidence

2013 ◽  
Vol 23 (3) ◽  
pp. 88-94
Author(s):  
Lisa Kelchner
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Underserved Populations ◽  
Healthcare Delivery ◽  
Models Of Care ◽  
Home Health ◽  
Self Management ◽  
Widespread Application ◽  
Use Of Technology ◽  
Health Care Consumer

Telehealth is becoming a major component of healthcare delivery and consumption. Although it has a substantial history internationally and within certain U.S. health sectors (e.g., military, transport medicine, home health care), widespread application to broader populations of U.S. health care consumers has taken place within only the last decade. Telehealth permits increased access to care, particularly for rural and underserved populations (Mashima & Doarn, 2008). Additional benefits include improved convenience, reduced healthcare costs, and greater opportunity for supported self-management in the patient’s own environment. Moreover, given the use of technology to manage all other aspects of personal life, the health care consumer should expect that medicine and allied health will make progress toward adapting their traditional models of care to more effective and efficient methods.

Effective Cultural Communication via Information and Communication Technologies and Social Media Use

2019 ◽  
pp. 377-390 ◽  
Author(s):  
Androniki Kavoura ◽  
Stella Sylaiou
Keyword(s):  
Social Media ◽  
Information And Communication Technologies ◽  
New Technologies ◽  
Communication Technologies ◽  
Interactive Approach ◽  
Communication Tools ◽  
Cultural Organizations ◽  
Use Of Technology ◽  
Information And Communication ◽  
Use Of Social Media

Cultural organizations need to adopt contemporary methods and ways of communication for heritage management. Raising people's interest for cultural heritage may take place via the implementation of innovative communication tools that allow for engagement to take place. Research though has shown that cultural organizations are more reluctant than firms are to implement a two-way communication process with new technologies and social media. Do cultural organizations employ information and communication technologies (ICTs) and social media in an interactive approach? This chapter aims to illustrate the significance that should be attributed to innovation through the use of technology for communication purposes by cultural organizations. The way communication trends take place in the field of cultural management and communication is presented, along with an overview of the technological outlook that can be invaluable. The use of innovative communication tools that are employed by cultural organizations for their communication strategies has been little researched as a topic. This study aims to add to the literature on the use of social media, mobile devices, and ICTs by cultural organizations.

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