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Secure Messaging Use Among Patients with Depression: An Analysis Using Real-World Data.

Seung-Min A Ko¹, Eric J Warm², Daniel P Schauer²

¹Keck School of Medicine, University of Southern California, Los Angeles, California, USA.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association

|June 25, 2024

Summary

Patients with depression utilize secure messaging (SM) telehealth services more than those without. This digital tool enhances communication and resource allocation, supporting mental health needs through increased engagement.

Keywords:

depression linear mixed-effects model mental health secure messaging telehealth

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Area of Science:

Digital Health
Mental Health Services
Health Informatics

Background:

Depression is a prevalent mental health disorder with significant treatment gaps due to limited access and resources.
Secure messaging (SM) presents a digital solution for patients to communicate non-urgent medical queries, bridging gaps in care.
This study investigates SM initiation and exchanges as key engagement patterns in self-care health management.

Purpose of the Study:

To determine if patients with depression engage more with secure messaging (SM) compared to patients without depression.
To analyze the factors influencing SM initiation and ongoing SM exchanges.
To evaluate the role of SM telehealth in supporting patients with mental health needs.

Main Methods:

Analysis of patient portal data from a major academic medical center (January 2018 - December 2022).
Utilized linear mixed-effects modeling to analyze secure messaging (SM) initiations and exchanges.
Examined patient engagement across 2,629 zip codes over a five-year period.

Main Results:

Predictors accounted for 25.1% of the variance in SM initiations and 24.9% in SM exchanges.
Predictors showed stronger associations with SM exchanges than with SM initiations.
Findings indicate multifaceted predictors influencing SM utilization, with some enhancing and others impeding use.

Conclusions:

Secure messaging (SM) telehealth services significantly supported patients with mental health needs more than those without.
Telehealth, through SM, improves access, communication, and resource allocation for patients.
SM encourages both the initiation of use and sustained engagement through ongoing exchanges, benefiting mental health care.