Automated Remote Monitoring of Depression: Acceptance Among Low-Income Patients in Diabetes Disease Management

JMIR Mental Health
Magaly RamirezJeffrey Guterman

Abstract

Remote patient monitoring is increasingly integrated into health care delivery to expand access and increase effectiveness. Automation can add efficiency to remote monitoring, but patient acceptance of automated tools is critical for success. From 2010 to 2013, the Diabetes-Depression Care-management Adoption Trial (DCAT)-a quasi-experimental comparative effectiveness research trial aimed at accelerating the adoption of collaborative depression care in a safety-net health care system-tested a fully automated telephonic assessment (ATA) depression monitoring system serving low-income patients with diabetes. The aim of this study was to determine patient acceptance of ATA calls over time, and to identify factors predicting long-term patient acceptance of ATA calls. We conducted two analyses using data from the DCAT technology-facilitated care arm, in which for 12 months the ATA system periodically assessed depression symptoms, monitored treatment adherence, prompted self-care behaviors, and inquired about patients' needs for provider contact. Patients received assessments at 6, 12, and 18 months using Likert-scale measures of willingness to use ATA calls, preferred mode of reach, perceived ease of use, usefulness, nonintrusivenes...Continue Reading

Associated Clinical Trials

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Citations

Jun 2, 2020·JMIR Formative Research·Amy D WatermanMaria Aurora Posadas Salas
Jun 5, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·James E AikensJohn D Piette

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