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

David C. Mohr, Enid Montague, Colleen Stiles-Shields, Susan M. Kaiser, Christopher Brenner, Eric Carty-Fickes, Hannah Palac, Jenna Duffecy

Research output: Chapter in Book/Report/Conference proceedingConference contribution

23 Scopus citations

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.

Original languageEnglish (US)
Title of host publicationProceedings of the 2015 9th International Conference on Pervasive Computing Technologies for Healthcare, PervasiveHealth 2015
PublisherInstitute of Electrical and Electronics Engineers Inc.
Pages100-107
Number of pages8
ISBN (Electronic)9781631900457
DOIs
StatePublished - Dec 8 2015
Event9th International Conference on Pervasive Computing Technologies for Healthcare, PervasiveHealth 2015 - Istanbul, Turkey
Duration: May 20 2015May 23 2015

Publication series

NameProceedings of the 2015 9th International Conference on Pervasive Computing Technologies for Healthcare, PervasiveHealth 2015

Other

Other9th International Conference on Pervasive Computing Technologies for Healthcare, PervasiveHealth 2015
Country/TerritoryTurkey
CityIstanbul
Period5/20/155/23/15

Keywords

  • adherence
  • mHealth
  • mental health

ASJC Scopus subject areas

  • Health Informatics
  • Computer Science Applications

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