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Beyond the Therapist's Office: Merging Measurement-Based Care and Digital Medicine in the Real World

This viewpoint focuses on the ways in which digital medicine and measurement-based care can be utilized in tandem to promote better assessment, patient engagement, and an improved quality of psychiatric care. To date, there has been an underutilization of digital measurement in psychiatry, and there...

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Autores principales: Chiauzzi, Emil, Wicks, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8460973/
https://www.ncbi.nlm.nih.gov/pubmed/34723070
http://dx.doi.org/10.1159/000517748
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author Chiauzzi, Emil
Wicks, Paul
author_facet Chiauzzi, Emil
Wicks, Paul
author_sort Chiauzzi, Emil
collection PubMed
description This viewpoint focuses on the ways in which digital medicine and measurement-based care can be utilized in tandem to promote better assessment, patient engagement, and an improved quality of psychiatric care. To date, there has been an underutilization of digital measurement in psychiatry, and there is little discussion of the feedback and patient engagement process in digital medicine. Measurement-based care is a recognized evidence-based strategy that engages patients in an understanding of their outcome data. When implemented as designed, providers review the scores and trends in outcome immediately and then provide feedback to their patients. However, the process is typically confined to office visits, which does not provide a complete picture of a patient's progress and functioning. The process is labor intensive, even with digital feedback systems, but the integration of passive metrics obtained through wearables and apps can supplement office-based observations. This enhanced measurement-based care process can provide a picture of real-world patient functioning through passive metrics (activity, sleep, etc.). This can potentially engage patients more in their health data and involve a critically needed therapeutic alliance component in digital medicine.
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spelling pubmed-84609732021-10-28 Beyond the Therapist's Office: Merging Measurement-Based Care and Digital Medicine in the Real World Chiauzzi, Emil Wicks, Paul Digit Biomark Viewpoint - Review Article This viewpoint focuses on the ways in which digital medicine and measurement-based care can be utilized in tandem to promote better assessment, patient engagement, and an improved quality of psychiatric care. To date, there has been an underutilization of digital measurement in psychiatry, and there is little discussion of the feedback and patient engagement process in digital medicine. Measurement-based care is a recognized evidence-based strategy that engages patients in an understanding of their outcome data. When implemented as designed, providers review the scores and trends in outcome immediately and then provide feedback to their patients. However, the process is typically confined to office visits, which does not provide a complete picture of a patient's progress and functioning. The process is labor intensive, even with digital feedback systems, but the integration of passive metrics obtained through wearables and apps can supplement office-based observations. This enhanced measurement-based care process can provide a picture of real-world patient functioning through passive metrics (activity, sleep, etc.). This can potentially engage patients more in their health data and involve a critically needed therapeutic alliance component in digital medicine. S. Karger AG 2021-07-29 /pmc/articles/PMC8460973/ /pubmed/34723070 http://dx.doi.org/10.1159/000517748 Text en Copyright © 2021 by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC). Usage and distribution for commercial purposes requires written permission. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
spellingShingle Viewpoint - Review Article
Chiauzzi, Emil
Wicks, Paul
Beyond the Therapist's Office: Merging Measurement-Based Care and Digital Medicine in the Real World
title Beyond the Therapist's Office: Merging Measurement-Based Care and Digital Medicine in the Real World
title_full Beyond the Therapist's Office: Merging Measurement-Based Care and Digital Medicine in the Real World
title_fullStr Beyond the Therapist's Office: Merging Measurement-Based Care and Digital Medicine in the Real World
title_full_unstemmed Beyond the Therapist's Office: Merging Measurement-Based Care and Digital Medicine in the Real World
title_short Beyond the Therapist's Office: Merging Measurement-Based Care and Digital Medicine in the Real World
title_sort beyond the therapist's office: merging measurement-based care and digital medicine in the real world
topic Viewpoint - Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8460973/
https://www.ncbi.nlm.nih.gov/pubmed/34723070
http://dx.doi.org/10.1159/000517748
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