Digital and Mobile Health Technology in Collaborative Behavioral Health Care: Scoping Review

BackgroundThe collaborative care model (CoCM) is a well-established system of behavioral health care in primary care settings. There is potential for digital and mobile technology to augment the CoCM to improve access, scalability, efficiency, and clinical outcomes....

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Main Authors: Khatiya Moon, Michael Sobolev, John M Kane
Format: Article
Language:English
Published: JMIR Publications 2022-02-01
Series:JMIR Mental Health
Online Access:https://mental.jmir.org/2022/2/e30810
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author Khatiya Moon
Michael Sobolev
John M Kane
author_facet Khatiya Moon
Michael Sobolev
John M Kane
author_sort Khatiya Moon
collection DOAJ
description BackgroundThe collaborative care model (CoCM) is a well-established system of behavioral health care in primary care settings. There is potential for digital and mobile technology to augment the CoCM to improve access, scalability, efficiency, and clinical outcomes. ObjectiveThis study aims to conduct a scoping review to synthesize the evidence available on digital and mobile health technology in collaborative care settings. MethodsThis review included cohort and experimental studies of digital and mobile technologies used to augment the CoCM. Studies examining primary care without collaborative care were excluded. A literature search was conducted using 4 electronic databases (MEDLINE, Embase, Web of Science, and Google Scholar). The search results were screened in 2 stages (title and abstract screening, followed by full-text review) by 2 reviewers. ResultsA total of 3982 nonduplicate reports were identified, of which 20 (0.5%) were included in the analysis. Most studies used a combination of novel technologies. The range of digital and mobile health technologies used included mobile apps, websites, web-based platforms, telephone-based interactive voice recordings, and mobile sensor data. None of the identified studies used social media or wearable devices. Studies that measured patient and provider satisfaction reported positive results, although some types of interventions increased provider workload, and engagement was variable. In studies where clinical outcomes were measured (7/20, 35%), there were no differences between groups, or the differences were modest. ConclusionsThe use of digital and mobile health technologies in CoCM is still limited. This study found that technology was most successful when it was integrated into the existing workflow without relying on patient or provider initiative. However, the effect of digital and mobile health on clinical outcomes in CoCM remains unclear and requires additional clinical trials.
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spelling doaj.art-33f424e7fae54dd4baec1fffd923b8ba2023-08-28T20:48:56ZengJMIR PublicationsJMIR Mental Health2368-79592022-02-0192e3081010.2196/30810Digital and Mobile Health Technology in Collaborative Behavioral Health Care: Scoping ReviewKhatiya Moonhttps://orcid.org/0000-0002-1496-4447Michael Sobolevhttps://orcid.org/0000-0002-8931-7682John M Kanehttps://orcid.org/0000-0002-2628-9442 BackgroundThe collaborative care model (CoCM) is a well-established system of behavioral health care in primary care settings. There is potential for digital and mobile technology to augment the CoCM to improve access, scalability, efficiency, and clinical outcomes. ObjectiveThis study aims to conduct a scoping review to synthesize the evidence available on digital and mobile health technology in collaborative care settings. MethodsThis review included cohort and experimental studies of digital and mobile technologies used to augment the CoCM. Studies examining primary care without collaborative care were excluded. A literature search was conducted using 4 electronic databases (MEDLINE, Embase, Web of Science, and Google Scholar). The search results were screened in 2 stages (title and abstract screening, followed by full-text review) by 2 reviewers. ResultsA total of 3982 nonduplicate reports were identified, of which 20 (0.5%) were included in the analysis. Most studies used a combination of novel technologies. The range of digital and mobile health technologies used included mobile apps, websites, web-based platforms, telephone-based interactive voice recordings, and mobile sensor data. None of the identified studies used social media or wearable devices. Studies that measured patient and provider satisfaction reported positive results, although some types of interventions increased provider workload, and engagement was variable. In studies where clinical outcomes were measured (7/20, 35%), there were no differences between groups, or the differences were modest. ConclusionsThe use of digital and mobile health technologies in CoCM is still limited. This study found that technology was most successful when it was integrated into the existing workflow without relying on patient or provider initiative. However, the effect of digital and mobile health on clinical outcomes in CoCM remains unclear and requires additional clinical trials.https://mental.jmir.org/2022/2/e30810
spellingShingle Khatiya Moon
Michael Sobolev
John M Kane
Digital and Mobile Health Technology in Collaborative Behavioral Health Care: Scoping Review
JMIR Mental Health
title Digital and Mobile Health Technology in Collaborative Behavioral Health Care: Scoping Review
title_full Digital and Mobile Health Technology in Collaborative Behavioral Health Care: Scoping Review
title_fullStr Digital and Mobile Health Technology in Collaborative Behavioral Health Care: Scoping Review
title_full_unstemmed Digital and Mobile Health Technology in Collaborative Behavioral Health Care: Scoping Review
title_short Digital and Mobile Health Technology in Collaborative Behavioral Health Care: Scoping Review
title_sort digital and mobile health technology in collaborative behavioral health care scoping review
url https://mental.jmir.org/2022/2/e30810
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