Format

Send to

Choose Destination
Biomed Eng Online. 2018 Dec 17;17(1):183. doi: 10.1186/s12938-018-0611-4.

Review of cognitive behavioural therapy mobile apps using a reference architecture embedded in the patient-provider relationship.

Author information

1
University of Toronto, Health Sciences Bldg, 155 College St, 4th Floor, Toronto, ON, M5T 1P8, Canada.
2
University of Toronto, Health Sciences Bldg, 155 College St, 4th Floor, Toronto, ON, M5T 1P8, Canada. karim@infoclin.ca.
3
Ryerson University, 111 Gerrard Street East, Unit 301, Toronto, ON, M5B 1G8, Canada. karim@infoclin.ca.
4
Ryerson University, 350 Victoria Street, Toronto, ON, M5B 2K3, Canada.

Abstract

BACKGROUND:

Mobile health apps (mHealth apps) are increasing in popularity and utility for the management of many chronic diseases. Although the current reimbursement structure for mHealth apps is lagging behind the rapidly improving functionality, more clinicians will begin to recommend these apps as they prove their clinical worth. Payors such as the government or private insurance companies will start to reimburse for the use of these technologies, especially if they add value to patients by providing timely support, a more streamlined patient experience, and greater patient convenience. Payors are likely to see benefits for providers, as these apps could help increase productivity between in-office encounters without having to resort to expensive in-person visits when patients are having trouble managing their disease.

KEY FINDINGS:

To guide and perhaps speed up adoption of mHealth apps by patients and providers, analysis and evaluation of existing apps needs to be carried out and more feedback must be provided to app developers. In this paper, an evaluation of 35 mHealth apps claiming to provide cognitive behavioural therapy was conducted to assess the quality of the patient-provider relationship and evidence-based practices embedded in these apps. The mean score across the apps was 4.9 out of 20 functional criteria all of which were identified as important to the patient-provider relationship. The median score was 5 out of these 20 functional criteria.

CONCLUSION:

Overall, the apps reviewed were mostly stand-alone apps that do not enhance the patient-provider relationship, improve patient accountability or help providers support patients more effectively between visits. Large improvements in patient experience and provider productivity can be made through enhanced integration of mHealth apps into the healthcare system.

KEYWORDS:

Cognitive behavioural therapy; Mental health; Mobile app; Virtual care; mHealth

PMID:
30558610
PMCID:
PMC6296144
DOI:
10.1186/s12938-018-0611-4
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center