depression management
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2021 ◽  
Vol 1 (1) ◽  
pp. 185-203
Author(s):  
Michael Ingram ◽  
Gerald Maguire ◽  
Stephen M. Stahl

Author(s):  
Gaurav Soni

The aim of the Internet of things (IoT) is to bring every object online. These different objects generate huge data which consequently lead to the need of requirements of efficient storage and processing. Cloud computing is an emerging technology to overcome this problem. The pandemic due to COVID-19 has caused great impact on people’s approach to have proper lifestyle. People these days are found inactive, unhappy and less energetic, because of their busy routine and continual ignorance of overall health. By keeping a track of their mental and physical health, one could achieve better response and hence expected lifestyle. Our solution is to detect, analyze and deliver a solution to treat depression and assist people with fulfilling their daily energy requirement for being more active and enthusiastic. Our solution is a Soft-Ui Web Application that gives smooth UI/UX experience to users showcasing fluctuations in energy and playing games to get cognitive features’ result. The hardware is a wearable wrist band made with NodeMCU embedded with accelerometer and heart rate sensors. An analytical report is generated and updated in real time and user could download as per their convenience.


10.2196/20969 ◽  
2021 ◽  
Vol 5 (7) ◽  
pp. e20969
Author(s):  
Arpita Bhattacharya ◽  
Ria Nagar ◽  
Jessica Jenness ◽  
Sean A Munson ◽  
Julie A Kientz

Background Many teenagers in the United States experience challenges with symptoms of depression, and they lack adequate resources for accessing in-person mental health care. Involving teens and clinicians in designing technologies that use evidence-based practices that reduce barriers to accessing mental health care is crucial. Interventions based on behavioral activation (BA) help teens understand the relationship between mood and activity, help them practice goal-directed behaviors to improve mood, and may be particularly well-suited to delivery via internet-based platforms. Objective This study aims to understand the needs and challenges that teens and mental health clinicians face in depression management and involve them in the design process of a remote intervention that uses asynchronous remote communities. Our goal is to understand the benefits and challenges of adapting BA to an internet-based platform that supports the asynchronous remote community approach as a delivery tool for teen depression management. Methods We enrolled mental health clinicians (n=10) and teens (n=8) in separate, private, internet-based groups on Slack (Slack Technologies Inc). They participated in 20-minute design activities for 10 weeks and were then invited to interviews about their experiences in the study. Results Both teen and clinician participants wanted internet-based support for BA as a supplement to in-person therapy. Although participants perceived the asynchronous format as conducive to supporting accessible care, teens and clinicians raised concerns about safety, privacy, and the moderating of the internet-based group. Design decisions that address these concerns need to be balanced with the potential benefits of learning coping skills, increasing access to mental health care, and promoting asynchronous human connection to support teens. Conclusions We discuss considerations for balancing tensions in privacy and safety while designing and selecting internet-based platforms to support remote care and integrating evidence-based support when designing digital technologies for the treatment of teens with depression.


Author(s):  
Rwamahe Rutakumwa ◽  
Joshua Ssebunnya ◽  
James Mugisha ◽  
Richard Steven Mpango ◽  
Christine Tusiime ◽  
...  

Abstract Background HIV/AIDS continues to be a major global public health problem with Eastern and Southern Africa being the regions most affected. With increased access to effective antiretroviral therapy, HIV has become a chronic and manageable disease, bringing to the fore issues of quality of life including mental wellbeing. Despite this, the majority of HIV care providers in sub-Saharan Africa, including Uganda’s Ministry of Health, do not routinely provide mental health care including depression management. The purpose of this paper is to explore stakeholders’ perspectives on the feasibility and acceptability of integrating depression management into routine adult HIV care. The paper addresses a specific objective of the formative phase of the HIV + D study aimed at developing and evaluating a model for integrating depression management into routine HIV care in Uganda. Methods This was a qualitative study. Data were collected through in-depth interviews with 11 patients at enrollment and follow-up in the pilot phase, and exit interviews with 11 adherent patients (those who completed their psychotherapy sessions) and six non-adherent patients (those missing at least two sessions) at the end of the pilot phase. Key informant interviews were held with four clinicians, five supervisors and one mental health specialist, as were three focus group discussions with lay health workers. These were purposively sampled at four public health facilities in Mpigi District. Data were analysed thematically. Results Patients highlighted the benefits of treating depression in the context of HIV care, including improved adherence to antiretroviral therapy, overcoming sleeplessness and suicidal ideation, and regaining a sense of self-efficacy. Although clinicians and other stakeholders reported benefits of treating depression, they cited challenges in managing depression with HIV care, which were organisational (increased workload) and patient related (extended waiting time and perceptions of preferential treatment). Stakeholders generally shared perspectives on how best to integrate, including recommendations for organisational level interventions–training, harmonisation in scheduling appointments and structural changes–and patient level interventions to enhance knowledge about depression. Conclusions Integrating depression management into routine HIV care in Uganda is acceptable among key stakeholders, but the technical and operational feasibility of integration would require changes both at the organisational and patient levels.


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