research-article

MedLink: a mobile intervention to address failure points in the treatment of depression in general medicine

Authors:

Colleen Stiles-Shields,

Susan M. Kaiser,

Christopher Brenner,

Eric Carty-Fickes,

Jenna DuffecyAuthors Info & Claims

PervasiveHealth '15: Proceedings of the 9th International Conference on Pervasive Computing Technologies for Healthcare

Pages 100 - 107

Published: 20 May 2015 Publication History

Abstract

Major depression is common, and imposes a high burden in terms of cost, morbidity, and suffering. Most people with depression are treated in general medicine using antidepressant medication. Outcomes are poor due to failure points across the care system, including patient non-adherence, failure of physicians to optimize the treatment regimens, and lack of patient-physician communication. This study reports on the 4-week pilot deployment of MedLink, a mobile intervention aimed at systemically addressing each of these failure points. A mobile app provides the patient with information and collects data on symptoms and side-effects. A cellularly enabled pill bottle monitors medication adherence. Data from these are provided to the physician and patient to foster communication and medication adjustments. Usability evaluation was generally favorable. Medication adherence rates in this first deployment were high with no patients discontinuing, and 84% of doses taken. Depressive symptom severity was significantly reduced. This study supports the use of a comprehensive, systemic approach to mHealth solutions to enhance processes of care for depression by general medicine physicians.

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Cited By

Kaziunas EKlinkman MAckerman M(2019)Precarious InterventionsProceedings of the ACM on Human-Computer Interaction10.1145/33592153:CSCW(1-27)Online publication date: 7-Nov-2019
https://dl.acm.org/doi/10.1145/3359215
Sanches PJanson AKarpashevich PNadal CQu CDaudén Roquet CUmair MWindlin CDoherty GHöök KSas CBrewster SFitzpatrick GCox AKostakos V(2019)HCI and Affective HealthProceedings of the 2019 CHI Conference on Human Factors in Computing Systems10.1145/3290605.3300475(1-17)Online publication date: 2-May-2019
https://dl.acm.org/doi/10.1145/3290605.3300475
Schmitt ZYarosh S(2018)Participatory Design of Technologies to Support Recovery from Substance Use DisordersProceedings of the ACM on Human-Computer Interaction10.1145/32744252:CSCW(1-27)Online publication date: 1-Nov-2018
https://dl.acm.org/doi/10.1145/3274425
Show More Cited By

Index Terms

MedLink: a mobile intervention to address failure points in the treatment of depression in general medicine
1. Applied computing
  1. Computers in other domains
    1. Personal computers and PC applications
  2. Life and medical sciences
    1. Health care information systems

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cover image ACM Other conferences

PervasiveHealth '15: Proceedings of the 9th International Conference on Pervasive Computing Technologies for Healthcare

May 2015

359 pages

ISBN:9781631900457

General Chairs:
Bert Arnrich
Boğaziçi University Istanbul, Turkey
,
Cem Ersoy
Boğaziçi University Istanbul, Turkey

In-Cooperation

SIGCHI: ACM Special Interest Group on Computer-Human Interaction

Publisher

ICST (Institute for Computer Sciences, Social-Informatics and Telecommunications Engineering)

Brussels, Belgium

Publication History

Published: 20 May 2015

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PervasiveHealth '15

PervasiveHealth '15: 9th International Conference on Pervasive Computing Technologies for Healthcare

May 20 - 23, 2015

Istanbul, Turkey

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Overall Acceptance Rate 55 of 116 submissions, 47%

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Cited By

Kaziunas EKlinkman MAckerman M(2019)Precarious InterventionsProceedings of the ACM on Human-Computer Interaction10.1145/33592153:CSCW(1-27)Online publication date: 7-Nov-2019
https://dl.acm.org/doi/10.1145/3359215
Sanches PJanson AKarpashevich PNadal CQu CDaudén Roquet CUmair MWindlin CDoherty GHöök KSas CBrewster SFitzpatrick GCox AKostakos V(2019)HCI and Affective HealthProceedings of the 2019 CHI Conference on Human Factors in Computing Systems10.1145/3290605.3300475(1-17)Online publication date: 2-May-2019
https://dl.acm.org/doi/10.1145/3290605.3300475
Schmitt ZYarosh S(2018)Participatory Design of Technologies to Support Recovery from Substance Use DisordersProceedings of the ACM on Human-Computer Interaction10.1145/32744252:CSCW(1-27)Online publication date: 1-Nov-2018
https://dl.acm.org/doi/10.1145/3274425
Paay JNielsen HLarsen HKjeldskov JBratteteig TSandnes FBerget G(2018)Happy bitsProceedings of the 10th Nordic Conference on Human-Computer Interaction10.1145/3240167.3240180(584-596)Online publication date: 29-Sep-2018
https://dl.acm.org/doi/10.1145/3240167.3240180

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