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Published on: May 15, 2020
Effect of Integrating Patient-Generated Digital Data Into Mental Health Therapy: A Randomized Controlled Trial
Raina M Merchant1, Lauren Southwick1, Rinad S Beidas1
1Center for Digital Health (Merchant, Southwick, Guntuku, Pelullo, Ungar) and Center for Health Care Innovation (Asch), Penn Medicine, University of Pennsylvania, Philadelphia; Departments of Emergency Medicine (Merchant, Southwick), Psychiatry (Beidas, Mandell), and Biostatistics, Epidemiology, and Informatics (Mitra), Perelman School of Medicine, University of Pennsylvania, Philadelphia; Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago (Beidas); Penn Cardiovascular Outcomes, Quality, and Evaluative Research Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Yang); Intramural Research Program, National Institute on Drug Abuse, Baltimore (Curtis); Department of Computer and Information Science, School of Engineering, University of Pennsylvania, Philadelphia (Ungar, Guntuku).
Objective:
The authors sought to determine whether providing summaries of patients' social media and other digital data to patients and their clinicians improves patients' health-related quality of life (HRQoL) measured by the RAND 36-Item Short Form Health Survey (SF-36).
Methods:
The authors randomly assigned 115 adults receiving outpatient mental health therapy to usual care or to periodic sharing of summaries of their digital data with their clinician providing psychosocial therapy. The study was conducted October 2020-December 2021.
Results:
Patients' mean±SD age was 31.3±10.5 years, and 82% were women. At 60 days after enrollment, no statistically significant change was detected in SF-36 scores for patients randomly allocated to the intervention (mean difference=-0.39, 95% CI=-4.17, 3.39) or to usual care (mean difference=-1.98, 95% CI=-5.74, 1.77), and no significant between-arm difference was observed (between-arm difference=1.60, 95% CI=-3.67, 6.86).
Conclusions:
Collecting and summarizing digital data for use in mental health treatment was feasible for patients but did not significantly improve their HRQoL or other measures of mental health.
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