Faculty, Staff and Student Publications
Language
English
Publication Date
9-1-2023
Journal
International Journal of Medical Informatics
DOI
10.1016/j.ijmedinf.2023.105155
PMID
37467589
Abstract
Purpose: Collecting validated surveys that describe symptom severity (measurement based care) during evidence-based psychotherapy is crucial to allow a therapist to tailor the speed and intensity of treatment. COVID clinic closures mandated we create a flexible, remote system to conduct measurement-based care, which was accomplished via RedCap.
Methods: RedCap was used to create a semi-automated workflow allowing all clinically-indicated evidence-based surveys (including the PHQ-9) to be delivered via email to patients; with results automatically sent to their provider. Importantly, indications of suicidal ideation were automatically escalated to the provider.
Results: PHQ-9 completion improved, while provider burden for collecting surveys was greatly reduced; however, depending largely upon initial provider-patient 'training', overall compliance could still be significantly improved.
Conclusion: This workflow gave providers additional information compared to the typical telemedicine environment, and in fact, improved data collection rates over our in-person environment. However, when patients did not complete measures on their own, the burden on providers increased.
Keywords
Humans, Patient Participation, Mental Health, COVID-19, Surveys and Questionnaires, Self-Injurious Behavior, Evidence-based Medicine, Patient Workflow to Monitor Treatment Success, Provider Compliance, Trauma Clinic
Published Open-Access
yes
Recommended Citation
Price, Matthew S; Christensen, Hande; Urquhart, Joy; et al., "Patient-Facing, Semi-Automated, Solutions To Enhance Patient Participation in Measurement-Based Care Practice Standards in a Tele-Mental Health Specialty Clinic for Populations at Higher Risk for Self-Harm" (2023). Faculty, Staff and Student Publications. 4339.
https://digitalcommons.library.tmc.edu/uthmed_docs/4339