Integrating Patient-Generated Digital Data Into Mental Health Therapy: Mixed Methods Analysis of User Experience.

Autor:	Southwick L; Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, 3600 Civic Center Boulevard, Philadelphia, PA, 19104, United States, 1-914-582-6995.; Center for Health Care Transformation and Innovation, Penn Medicine, Philadelphia, PA, United States., Sharma M; Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, 3600 Civic Center Boulevard, Philadelphia, PA, 19104, United States, 1-914-582-6995.; Center for Health Care Transformation and Innovation, Penn Medicine, Philadelphia, PA, United States., Rai S; Department of Computer and Information Science, School of Engineering, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States., Beidas RS; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States., Mandell DS; Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States., Asch DA; Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States., Curtis B; Intramural Research Program, National Institute on Drug Abuse, Baltimore, MD, United States., Guntuku SC; Center for Health Care Transformation and Innovation, Penn Medicine, Philadelphia, PA, United States.; Department of Computer and Information Science, School of Engineering, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States., Merchant RM; Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, 3600 Civic Center Boulevard, Philadelphia, PA, 19104, United States, 1-914-582-6995.; Center for Health Care Transformation and Innovation, Penn Medicine, Philadelphia, PA, United States.
Jazyk:	angličtina
Zdroj:	JMIR mental health [JMIR Ment Health] 2024 Dec 16; Vol. 11, pp. e59785. Date of Electronic Publication: 2024 Dec 16.
DOI:	10.2196/59785
Abstrakt:	Background: Therapists and their patients increasingly discuss digital data from social media, smartphone sensors, and other online engagements within the context of psychotherapy. Objective: We examined patients' and mental health therapists' experiences and perceptions following a randomized controlled trial in which they both received regular summaries of patients' digital data (eg, dashboard) to review and discuss in session. The dashboard included data that patients consented to share from their social media posts, phone usage, and online searches. Methods: Following the randomized controlled trial, patient (n=56) and therapist (n=44) participants completed a debriefing survey after their study completion (from December 2021 to January 2022). Participants were asked about their experience receiving a digital data dashboard in psychotherapy via closed- and open-ended questions. We calculated descriptive statistics for closed-ended questions and conducted qualitative coding via NVivo (version 10; Lumivero) and natural language processing using the machine learning tool latent Dirichlet allocation to analyze open-ended questions. Results: Of 100 participants, nearly half (n=48, 49%) described their experience with the dashboard as "positive," while the other half noted a "neutral" experience. Responses to the open-ended questions resulted in three thematic areas (nine subcategories): (1) dashboard experience (positive, neutral or negative, and comfortable); (2) perception of the dashboard's impact on enhancing therapy (accountability, increased awareness over time, and objectivity); and (3) dashboard refinements (additional sources, tailored content, and privacy). Conclusions: Patients reported that receiving their digital data helped them stay "accountable," while therapists indicated that the dashboard helped "tailor treatment plans." Patient and therapist surveys provided important feedback on their experience regularly discussing dashboards in psychotherapy. (© Lauren Southwick, Meghana Sharma, Sunny Rai, Rinad S Beidas, David S Mandell, David A Asch, Brenda Curtis, Sharath Chandra Guntuku, Raina M Merchant. Originally published in JMIR Mental Health (https://mental.jmir.org).)
Databáze:	MEDLINE
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