e H e a l t h S t r a t e g y O ffi c e

E-Mental Health Conference

December 10th, 2012

Leveraging Mobile Technologies for Mental Health

Kendall Ho, MD FRCPCProfessor, Emergency MedicineDirector, eHealth Strategy Office

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mHealth

Possibilities

(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

http://www.getselfhelp.co.uk/links2.htm

2,929,514

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• ….

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Social Media and Popularity

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Biometrics Monitoring: Examples

• Cardiac rhythm

• Ultrasound

• Opthalmology

• Nanotechnology

• Pedometer

• Weight

• Exercise

• Sleep

• ….

•Stress Relief (3)•Anxiety CBT (3)•Quite Smoking (3)•Substance misuse (3)

http://www.techsling.com/2011/06/12-important-mobile-apps-for-mental-health/

• 1st edition 2012• 200 health Apps• Reviewed By patients• 30 languages• 64 specializations

goo.gl/EkoRO

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mHealth

Possibilities

Evidence

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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

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mHealth

Possibilities

Evidence

Strategies

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Motivating Behavioural Change

Attitude Knowledge Skills Competence

“Why do I care?”

“What should I know?”

“What can I do?”

“How can I contribute?”

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Steps of Engagement

Engagement Principles ActionsAttitude“Why do I care?”

Social Media (e.g. Twitter, Youtube)Web conferencingWeb screening tools

Knowledge“What should I Know?”

WebinarseLearning modulesWeb portals

Skills“What can I do?”

Decision support toolsMonitoring toolsSocial media (e.g. discussion groups)

Competence“How can I contribute?”

Self monitoringParticipate in research/recruitment

• 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

Quantifiedself.com

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Evaluation for “Meaningful Use”

• Access

• Quality

• Productivity/Cost effectiveness

• End user satisfaction

• Patients/public

• Health Professionals

• …

• Usability

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Mobile technologies For Mental Health Strategies

• Promoting behavioural Change• Community co-creation• Evaluation

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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

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Web: www.eHealth.med.ubc.caFacebook: UBC eHealth Strategy OfficeTwitter: @ehealthstrategy