@article{ref1,
title="Patient-facing, semi-automated, solutions to enhance patient participation in measurement-based care practice standards in a tele-mental health specialty clinic for populations at higher risk for self-harm",
journal="International journal of medical informatics",
year="2023",
author="Price, Matthew S. and Christensen, Hande and Urquhart, Joy and Butte, Sarly and Acierno, Ron and Little, Deborah M.",
volume="177",
number="",
pages="e105155-e105155",
abstract="PURPOSE: Collecting validated surveys that describe symptom severity (measurement based care) during evidence-based psychotherapy is crucial to allow a therapist to tailor the speed and intensity of treatment. COVID clinic closures mandated we create a flexible, remote system to conduct measurement-based care, which was accomplished via RedCap. <br><br>METHODS: RedCap was used to create a semi-automated workflow allowing all clinically-indicated evidence-based surveys (including the PHQ-9) to be delivered via email to patients; with results automatically sent to their provider. Importantly, indications of suicidal ideation were automatically escalated to the provider. <br><br>RESULTS: PHQ-9 completion improved, while provider burden for collecting surveys was greatly reduced; however, depending largely upon initial provider-patient 'training', overall compliance could still be significantly improved. <br><br>CONCLUSION: This workflow gave providers additional information compared to the typical telemedicine environment, and in fact, improved data collection rates over our in-person environment. However, when patients did not complete measures on their own, the burden on providers increased.<p /> <p>Language: en</p>",
language="en",
issn="1386-5056",
doi="10.1016/j.ijmedinf.2023.105155",
url="http://dx.doi.org/10.1016/j.ijmedinf.2023.105155"
}