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Using Digital Measurement–Based Care for the Treatment of Anxiety and Depression in Children and Adolescents: Observational Retrospective Analysis of Bend Health Data

BACKGROUND: A growing body of evidence supports the efficacy of measurement-based care (MBC) for children and adolescents experiencing mental health concerns, particularly anxiety and depression. In recent years, MBC has increasingly transitioned to web-based spaces in the form of digital mental hea...

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Autores principales: Huffman, Landry Goodgame, Lawrence-Sidebottom, Darian, Huberty, Jennifer, Roots, Monika, Roots, Kurt, Parikh, Amit, Guerra, Rachael, Weiser, Jaclyn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160939/
https://www.ncbi.nlm.nih.gov/pubmed/37079366
http://dx.doi.org/10.2196/46154
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author Huffman, Landry Goodgame
Lawrence-Sidebottom, Darian
Huberty, Jennifer
Roots, Monika
Roots, Kurt
Parikh, Amit
Guerra, Rachael
Weiser, Jaclyn
author_facet Huffman, Landry Goodgame
Lawrence-Sidebottom, Darian
Huberty, Jennifer
Roots, Monika
Roots, Kurt
Parikh, Amit
Guerra, Rachael
Weiser, Jaclyn
author_sort Huffman, Landry Goodgame
collection PubMed
description BACKGROUND: A growing body of evidence supports the efficacy of measurement-based care (MBC) for children and adolescents experiencing mental health concerns, particularly anxiety and depression. In recent years, MBC has increasingly transitioned to web-based spaces in the form of digital mental health interventions (DMHIs), which render high-quality mental health care more accessible nationwide. Although extant research is promising, the emergence of MBC DMHIs means that much is unknown regarding their effectiveness as a treatment for anxiety and depression, particularly among children and adolescents. OBJECTIVE: This study uses preliminary data from children and adolescents participating in an MBC DMHI administered by Bend Health Inc, a mental health care provider that uses a collaborative care model to assess changes in anxiety and depressive symptoms during participation in the MBC DMHI. METHODS: Caregivers of children and adolescents participating in Bend Health Inc for anxiety or depressive symptoms reported measures of their children’s symptoms every 30 days throughout the duration of participation in Bend Health Inc. Data from 114 children (age 6-12 years) and adolescents (age 13-17 years) were used for the analyses (anxiety symptom group: n=98, depressive symptom group: n=61). RESULTS: Among children and adolescents participating in care with Bend Health Inc, 73% (72/98) exhibited improvements in anxiety symptoms and 73% (44/61) exhibited improvement in depressive symptoms, as indicated by either a decrease in symptom severity or screening out of completing the complete assessment. Among those with complete assessment data, group-level anxiety symptom T-scores exhibited a moderate decrease of 4.69 points (P=.002) from the first to the last assessment. However, members’ depressive symptom T-scores remained largely stable throughout their involvement. CONCLUSIONS: As increasing numbers of young people and families seek DMHIs over traditional mental health treatments due to their accessibility and affordability, this study offers promising early evidence that youth anxiety symptoms decrease during involvement in an MBC DMHI such as Bend Health Inc. However, further analyses with enhanced longitudinal symptom measures are necessary to determine whether depressive symptoms show similar improvements among those involved in Bend Health Inc.
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spelling pubmed-101609392023-05-06 Using Digital Measurement–Based Care for the Treatment of Anxiety and Depression in Children and Adolescents: Observational Retrospective Analysis of Bend Health Data Huffman, Landry Goodgame Lawrence-Sidebottom, Darian Huberty, Jennifer Roots, Monika Roots, Kurt Parikh, Amit Guerra, Rachael Weiser, Jaclyn JMIR Pediatr Parent Original Paper BACKGROUND: A growing body of evidence supports the efficacy of measurement-based care (MBC) for children and adolescents experiencing mental health concerns, particularly anxiety and depression. In recent years, MBC has increasingly transitioned to web-based spaces in the form of digital mental health interventions (DMHIs), which render high-quality mental health care more accessible nationwide. Although extant research is promising, the emergence of MBC DMHIs means that much is unknown regarding their effectiveness as a treatment for anxiety and depression, particularly among children and adolescents. OBJECTIVE: This study uses preliminary data from children and adolescents participating in an MBC DMHI administered by Bend Health Inc, a mental health care provider that uses a collaborative care model to assess changes in anxiety and depressive symptoms during participation in the MBC DMHI. METHODS: Caregivers of children and adolescents participating in Bend Health Inc for anxiety or depressive symptoms reported measures of their children’s symptoms every 30 days throughout the duration of participation in Bend Health Inc. Data from 114 children (age 6-12 years) and adolescents (age 13-17 years) were used for the analyses (anxiety symptom group: n=98, depressive symptom group: n=61). RESULTS: Among children and adolescents participating in care with Bend Health Inc, 73% (72/98) exhibited improvements in anxiety symptoms and 73% (44/61) exhibited improvement in depressive symptoms, as indicated by either a decrease in symptom severity or screening out of completing the complete assessment. Among those with complete assessment data, group-level anxiety symptom T-scores exhibited a moderate decrease of 4.69 points (P=.002) from the first to the last assessment. However, members’ depressive symptom T-scores remained largely stable throughout their involvement. CONCLUSIONS: As increasing numbers of young people and families seek DMHIs over traditional mental health treatments due to their accessibility and affordability, this study offers promising early evidence that youth anxiety symptoms decrease during involvement in an MBC DMHI such as Bend Health Inc. However, further analyses with enhanced longitudinal symptom measures are necessary to determine whether depressive symptoms show similar improvements among those involved in Bend Health Inc. JMIR Publications 2023-04-20 /pmc/articles/PMC10160939/ /pubmed/37079366 http://dx.doi.org/10.2196/46154 Text en ©Landry Goodgame Huffman, Darian Lawrence-Sidebottom, Jennifer Huberty, Monika Roots, Kurt Roots, Amit Parikh, Rachael Guerra, Jaclyn Weiser. Originally published in JMIR Pediatrics and Parenting (https://pediatrics.jmir.org), 20.04.2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Pediatrics and Parenting, is properly cited. The complete bibliographic information, a link to the original publication on https://pediatrics.jmir.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Huffman, Landry Goodgame
Lawrence-Sidebottom, Darian
Huberty, Jennifer
Roots, Monika
Roots, Kurt
Parikh, Amit
Guerra, Rachael
Weiser, Jaclyn
Using Digital Measurement–Based Care for the Treatment of Anxiety and Depression in Children and Adolescents: Observational Retrospective Analysis of Bend Health Data
title Using Digital Measurement–Based Care for the Treatment of Anxiety and Depression in Children and Adolescents: Observational Retrospective Analysis of Bend Health Data
title_full Using Digital Measurement–Based Care for the Treatment of Anxiety and Depression in Children and Adolescents: Observational Retrospective Analysis of Bend Health Data
title_fullStr Using Digital Measurement–Based Care for the Treatment of Anxiety and Depression in Children and Adolescents: Observational Retrospective Analysis of Bend Health Data
title_full_unstemmed Using Digital Measurement–Based Care for the Treatment of Anxiety and Depression in Children and Adolescents: Observational Retrospective Analysis of Bend Health Data
title_short Using Digital Measurement–Based Care for the Treatment of Anxiety and Depression in Children and Adolescents: Observational Retrospective Analysis of Bend Health Data
title_sort using digital measurement–based care for the treatment of anxiety and depression in children and adolescents: observational retrospective analysis of bend health data
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160939/
https://www.ncbi.nlm.nih.gov/pubmed/37079366
http://dx.doi.org/10.2196/46154
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