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Tag: decision support
10/13/2022

AI Tool Can Detect Signs of Mental Health Decline in Text Messages

Article Excerpt:  Text messaging is a growing part of mental health evaluation and treatment as telehealth services have increased in recent years. However, text messaging-based interventions can lack some of the emotional reference points and subtle mental health indicators that clinicians use when navigating in-person visits with patients, the press release states. Mental health providers are facing burnout, like their peers in other medical specialties. But they are tasked with providing high-quality care during a behavioral healthcare provider shortage and the US youth mental health crisis. These strains, the press release notes, can cause undertrained or overworked clinicians to miss cognitive distortions that act as warning signs of mental health decline in their text exchanges with patients.

Full Article: https://tinyurl.com/2eh9hrmb

Article Source: Health IT Analytics

07/26/2022

Research Team Receives $7 Million Funding Award to Study Most Effective Way of Sharing Clinic Visit Information with Older Adults

Article Excerpt: A Dartmouth-led research group, including investigators from Vanderbilt University Medical Center (VUMC), University of Texas Medical Branch (UTMB) at Galveston, and Harvard Medical School, has received a five-year, $7 million funding award from the Patient-Centered Outcomes Research Institute (PCORI). Their project will assess the effectiveness of visit information provided to older adult patients and caregivers—as an audio recording compared to reviewing the physician note of the visit using the patient electronic health portal—on quality of life… “Providing written summaries of office visits through online patient portals is a widely adopted approach to close this information gap,” explains Principal Investigator Paul Barr, PhD, an associate professor of The Dartmouth Institute for Health Policy & Clinical Practice, and Center for Technology & Behavioral Health at the Geisel School of Medicine… “But it hasn’t been clear if this is the best way to share information,” he says. “Visit audio recordings have emerged as another evidence-based strategy to share information. This has resulted in a decisional dilemma for patients and healthcare leaders who ask the question, ‘What is the most effective approach to communicate healthcare visit information to older adults living in the community?’”

Full Article: https://tinyurl.com/shmbd3pt

Article Source: Dartmouth Geisel School of Medicine News. Also posted on News-Medical.Net.

04/04/2022

A digital health registry with clinical decision support for improving quality of antenatal care in Palestine (eRegQual): a pragmatic, cluster-randomised, controlled, superiority trial

Venkateswaran M, Ghanem B, Abbas E, Khader KA, Ward IA, Awwad T, Baniode M, Frost MJ, Hijaz T, Isbeih M, Mørkrid K, Rose CJ, & Frøen JF. (2022). A digital health registry with clinical decision support for improving quality of antenatal care in Palestine (eRegQual): a pragmatic, cluster-randomised, controlled, superiority trial. The Lancet. Digital Health, 4(2), e126–e136. https://doi.org/10.1016/S2589-7500(21)00269-7

The public health system in Palestine implemented a digital maternal and child health eRegistry with clinical decision support. Researchers compared the quality of antenatal care between primary care clinics with eRegistry and those with paper-based records. The study is a cluster-randomized controlled trial in primary health care clinics that provide antenatal care in the West Bank, Palestine. Fifty-nine clusters were randomly assigned to the control (paper-based records) group and 60 clusters to the intervention (eRegistry with clinical decision support) group. Researchers looked at the effectiveness of the eRegistry system in improving the provision of timely and appropriate screening and management in routine antenatal care, and health outcomes at delivery for mothers and newborns. Between January to September 2017, 3217 pregnant women and 3148 pregnant women received care in the intervention and control clinics respectively. The results found women were more often screened for risk factors and referred to high-risk clinics in intervention clinics (17.6%) compared to control clinics (12.6%). Compared to the control group, pregnant women were more often screened and managed for anemia, gestational diabetes, and hypertension in the intervention group than in the control group (adjusted ORs from 1.45 to 1.88). Only 9.4% of pregnant women attended the full schedule of routine antenatal care across both groups. There were no differences in fetal growth monitoring, antenatal care attendance, or adverse outcomes at delivery in the control and intervention groups. Overall, the improvements in most process outcomes strengthen the evidence of digital client tracking in lower-middle income settings and digital interventions can facilitate better coverage of antenatal care.

12/01/2021

Startups Use Tech, ‘Gamification’ for Public Health Problems

Article Excerpt: Matthew Loper’s mission to use technology and science to revolutionize health care began when he observed vastly different outcomes for relatives with the same disease… Loper, one of a bevy of entrepreneurs seeking to transform health care and insurance through technology, wanted to understand how the outcomes could diverge so extremely. “How do you actually create motivation in people?” Loper said. “How do you get someone who never would have gone to see their doctor or taken those medications, or used that app, to actually follow through with it?”  Wellth (an app that incentivizes users to make healthy choices, like regularly taking medicine), founded in 2014, seeks the answers by employing behavioral economics, which takes into account individual biases and how they affect decision-making.

Full Article: https://tinyurl.com/ycknpmxz

Article Source: Medical Xpress

03/13/2020

Dartmouth’s Geisel Med School Awarded $3 Million for Type 1 Diabetes Research

Article Excerpt: Geisel School of Medicine The Center for Technology and Behavioral Health at Dartmouth’s Geisel School of Medicine will be awarded a 5-year, $3 million grant from the National Institutes of Health (NIH) for a study led by Catherine Stanger, PhD, to test the effectiveness of innovative behavioral intervention tools in helping to improve the health of high-risk patients who suffer from Type 1 diabetes—a condition which is difficult and expensive to manage.

Full Article: https://tinyurl.com/rn2bp24

Article Source: Vermont Biz

03/10/2020

Videogames and Vaping: Can One Popular Phenomenon Be Used to Prevent Another?

Article Excerpt: Ninety percent of teenagers in the United States play videogames, and videogame interventions appear to promote health behavior change and associated outcomes (e.g., knowledge, risk perception, and self-efficacy) in adolescents. SmokeSCREEN is a web-based interactive videogame designed to bolster knowledge of e-cigarettes and vaping and build peer pressure refusal skills in adolescents.

Full Article: https://tinyurl.com/sy5u5st

Article Source: BASIS

03/09/2020

Geisel To Receive $3 Million Award to Study New Digital Tools for Managing Type 1 Diabetes

Article Excerpt: The Center for Technology and Behavior Health at Dartmouth’s Geisel School of Medicine will be awarded a 5-year, $3 million grant from the National Institutes of Health (NIH) for a study led by Catherine Stanger, PhD, to test the effectiveness of innovative behavioral intervention tools in helping to improve the health of high-risk patients who suffer from Type 1 diabetes—a condition which is difficult and expensive to manage.

Full Article: https://tinyurl.com/wlro6np

Article Source: Dartmouth Geisel School of Medicine News

03/08/2020

More Than $700K To Go Toward Type 1 Diabetes Research

Article Excerpt: Nearly $713,000 in federal funding is going to Dartmouth College to support research to test new ways to better treat and control type 1 diabetes. The funding will go toward a five-year study that will use digital tools to support behavioral changes to help young people with diabetes follow a complicated medical regimen and achieve better health outcomes…The funding to Dartmouth’s Center for Technology and Behavioral Health will go toward a study led by Dr. Catherine Stanger.

Full Article: https://tinyurl.com/rq3454p

Article Source: Concord Monitor

03/02/2020

NH Delegation Announces $712K in Federal Funding to Support Type 1 Diabetes Research

Article Excerpt: U.S. Senator Jeanne Shaheen (D-NH), a senior member of the Senate Appropriations Committee, and U.S. Senator Maggie Hassan (D-NH) and Representatives Annie Kuster (NH-02) and Chris Pappas (NH-01) today announced the award of $712,837 in federal funding to Dartmouth College’s Center for Technology and Behavioral Health in support of the first year of a five-year research study to test new ways to better treat and control type 1 diabetes.

Full Article: https://tinyurl.com/yx8xjfsn

Article Source: Senator Jeanne Shaheen Press Releases.  Also posted on Senator Maggie Hassan Press Releases.