scholarly journals Applying the Principles for Digital Development: Case Study of a Smartphone App to Support Collaborative Care for Rural Patients With Posttraumatic Stress Disorder or Bipolar Disorder

10.2196/10048 ◽  
2018 ◽  
Vol 20 (6) ◽  
pp. e10048 ◽  
Author(s):  
Amy M Bauer ◽  
Sarah Hodsdon ◽  
Jared M Bechtel ◽  
John C Fortney
Keyword(s):  
Bipolar Disorder ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Collaborative Care ◽  
Stress Disorder ◽  
Smartphone App ◽  
Digital Development ◽  
Rural Patients

scholarly journals Applying the Principles for Digital Development: Case Study of a Smartphone App to Support Collaborative Care for Rural Patients With Posttraumatic Stress Disorder or Bipolar Disorder (Preprint)

2018 ◽  
Author(s):  
Amy M Bauer ◽  
Sarah Hodsdon ◽  
Jared M Bechtel ◽  
John C Fortney
Keyword(s):  
Collaborative Care ◽  
Stress Disorder ◽  
Smartphone App ◽  
Web Based ◽  
Health Technologies ◽  
Care Managers ◽  
System Usability ◽  
Digital Development ◽  
Psychiatric Conditions ◽  
Rural Patients

BACKGROUND Despite a proliferation of patient-facing mobile apps for mental disorders, there is little literature guiding efforts to incorporate mobile tools into clinical care delivery and integrate patient-generated data into care processes for patients with complex psychiatric disorders. OBJECTIVE The aim of this study was to seek to gain an understanding of how to incorporate a patient-provider mobile health (mHealth) platform to support the delivery of integrated primary care–based mental health services (Collaborative Care) to rural patients with posttraumatic stress disorder and/or bipolar disorder. METHODS Using the Principles for Digital Development as a framework, we describe our experience designing, developing, and deploying a mobile system to support Collaborative Care. The system consists of a patient-facing smartphone app that integrates with a Web-based clinical patient registry used by behavioral health care managers and consulting psychiatrists. Throughout development, we engaged representatives from the system’s two user types: (1) providers, who use the Web-based registry and (2) patients, who directly use the mobile app. We extracted mobile metadata to describe the early adoption and use of the system by care managers and patients and report preliminary results from an in-app patient feedback survey that includes a System Usability Scale (SUS). RESULTS Each of the nine Principles for Digital Development is illustrated with examples. The first 10 patients to use the smartphone app have completed symptom measures on average every 14 days over an average period of 20 weeks. The mean SUS score at week 8 among four patients who completed this measure was 91.9 (range 72.5-100). We present lessons learned about the technical and training requirements for integration into practice that can inform future efforts to incorporate health technologies to improve care for patients with psychiatric conditions. CONCLUSIONS Adhering to the Principles for Digital Development, we created and deployed an mHealth system to support Collaborative Care for patients with complex psychiatric conditions in rural health centers. Preliminary data among the initial users support high system usability and show promise for sustained use. On the basis of our experience, we propose five additional principles to extend this framework and inform future efforts to incorporate health technologies to improve care for patients with psychiatric conditions: design for public health impact, add value for all users, test the product and the process, acknowledge disruption, and anticipate variability.

scholarly journals Hallucinations Are Real to Patients With Dementia

2017 ◽  
Vol 3 ◽  
pp. 233372141772110 ◽  
Author(s):  
R. C. Hamdy ◽  
A. Kinser ◽  
J. V. Lewis ◽  
R. Copeland ◽  
A. Depelteau ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Clinical Features ◽  
Dementia With Lewy Bodies ◽  
Stress Disorder ◽  
Lewy Bodies ◽  
Attention Span ◽  
Short Attention Span

In this case study, we present a patient with preexistent posttraumatic stress disorder and psychosis who has been recently diagnosed with Dementia with Lewy Bodies. He is experiencing vivid hallucinations. What went wrong between him and his wife as a result of these hallucinations is presented. Alternative actions that could have been used are suggested. Objectives At the end of this case study, readers will know the following: The characteristic clinical features of Dementia with Lewy Bodies (DLB). Patients experiencing hallucinations should not be contradicted, to them, these hallucinations are real. Easy distractibility and short attention span can be exploited to avert or defuse potentially catastrophic situations. Patients with dementia should not have access to loaded guns.

Posttraumatic stress disorder collaborative care: A quality improvement study in veterans affairs primary care.

2021 ◽  
Vol 39 (2) ◽  
pp. 198-211
Author(s):  
Jessica A. Chen ◽  
Matthew Jakupcak ◽  
Russell McCann ◽  
Jacqueline J. Fickel ◽  
Carol E. Simons ◽  
...  
Keyword(s):  
Primary Care ◽  
Posttraumatic Stress Disorder ◽  
Quality Improvement ◽  
Posttraumatic Stress ◽  
Collaborative Care ◽  
Stress Disorder ◽  
Veterans Affairs

Posttraumatic Stress Disorder and Mild Head Trauma: Follow-up of a Case Study

1993 ◽  
Vol 76 (1) ◽  
pp. 243-246 ◽  
Author(s):  
Arthur MacNeill Horton
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Head Trauma ◽  
Behavior Therapy ◽  
Stress Disorder ◽  
Neuropsychological Test ◽  
Neuropsychological Deficits ◽  
Current Report

A current conceptual conundrum is the question of whether it is possible to have a co-occurrence of both Posttraumatic Stress Disorder and head trauma. The current report describes the results of behavior therapy and a series of neuropsychological tests for a man who suffered Posttraumatic Stress Disorder and neuropsychological deficits after an automobile accident. A series of neuropsychological test batteries documented considerable improvement. The patient was also treated for Posttraumatic Stress Disorder with behavior therapy so symptoms abated much earlier than the neuropsychological deficits.

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