Smartphones Apps and Mental Health: Clinical Use, Research, APA - - PowerPoint PPT Presentation

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Smartphones Apps and Mental Health: Clinical Use, Research, APA - - PowerPoint PPT Presentation

Jan 09, 2024 31 likes •192 views

Smartphones Apps and Mental Health: Clinical Use, Research, APA Initiatives John Torous MD About Publishing / Initiatives Clinical / Research Advocacy / Policy Part 1: : Clinical / Research You are seeing a new patient. He tells you

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Smartphones Apps and Mental Health: Clinical Use, Research, APA Initiatives

John Torous MD

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About

Advocacy / Policy Clinical / Research Publishing / Initiatives

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Part 1: : Clinical / Research

  • You are seeing a new patient. He

tells you that she has felt ‘down’ for the last month. Sometimes he hears voices, but thinks this

  • nly happens only when he

drinks alcohol or does not get enough sleep. It is hard for him to remember exactly…

Torous J. IEEE Spectrum. 2017 http://spectrum.ieee.org/consumer-electronics/portable- devices/a-software-shrink-apps-and-wearables-could-usher-in-an-era-of-digital-psychiatry

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Part 1: : Clinical / Research

Torous J, Staples P, Shanahan M, Lin C, Peck P, Keshavan M, Onnela JP. Utilizing a Personal Smartphone Custom App to Assess the Patient Health Questionnaire-9 (PHQ-9) Depressive Symptoms in Patients With Major Depressive Disorder. JMIR Ment Health 2015;2(1):e8

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Part 1: : Clinical / Research

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Part 1: : Clinical / Research

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Part 1: Clinical / Research

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Part 1: Clinical / Research

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Part 1: Clinical / Research

50 100 150 200 250 300 350 1/23 1/25 1/27 1/29 1/31 2/2 2/4 2/6 2/8 2/10 2/12 2/14 2/16 2/18 2/20 2/22 2/24 Count Date

Schizophrenia Tracker

Orange: Without Medication White: Abilify 10 mg Yellow: Abilify 15 mg Blue: Abilify 20 mg

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Part 2: : Advocacy / APA

  • Over 10,000 mental health apps
  • Always in flux
  • How do patients or clinicians

find the good ones, and avoid the bad ones?

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Part 2: : Advocacy / APA

  • App Rating Framework
  • Live on psychiatry.org
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Part 2: Advocacy / APA

  • Presidential Task Force:

Increasing Access to Care Through Innovation

  • Technology
  • Business Models
  • Educations
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Part 3: Publishing / Initiatives

  • What is the role of randomized

controlled trials in an era of personalized medicine?

  • Digital mental health is still

nascent and studies are small.

  • The academic publishing

landscape is changing.

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Part 3: Publishing / Initiatives

  • The nature of digital psychiatry

makes ethics a central issue

  • CORE is a resource for all digital

health efforts / projects to share and learn best practices

  • https://thecore.ucsd.edu/
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Part 3: Publishing / Initiatives

  • NIH Precision Medicine Initiative
  • Will include a smartphone mood app

component in nearly all studies

  • Verily Baseline Study
  • 10,000 people using apps/wearables
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Conclusion

  • jtorous@bidmc.havrard.edu