Behavioral Health Care and Technology

Using Science-Based Innovations to Transform Practice

Edited by Lisa Marsch, Sarah Lord, and Jesse Dallery

Reflects the state of scientific research in the development, evaluation, and implementation of technology-based therapeutic tools targeting behavioral health
Content reviews the state of what is known from scientific research in this arena and what gaps remain in a scientific understanding of how to harness technology to provide evidence-based behavioral health care.
Prepared for a diverse stakeholder audience, including: researchers, clinicians, program administrators, and persons in policy/regulatory arenas.
Covers the full spectrum of topics related to technology-based behavioral health, including: optimal development and testing models, implementation, regulatory, policy and systems level considerations; as well as the future of this approach to healthcare delivery.

Behavioral Health Care and Technology

Using Science-Based Innovations to Transform Practice

Edited by Lisa Marsch, Sarah Lord, and Jesse Dallery

Description

In recent years, there has been an explosion of research focused on using technology in health care, including web- and mobile- health assessment and intervention tools, as well as smartphone sensors and smart environments for monitoring and promoting health behavior. This work has shown that technology-based therapeutic tools offer considerable promise for monitoring and responding to individuals' health behavior in real-time. They may also function as important "clinician-extenders" or stand-alone tools, may be cost-effective and may offer countless opportunities for tailoring behavioral monitoring and intervention delivery in a manner that is optimally responsive to each individual's profile and health behavior trajectory over time. Additionally, informational and communication technologies may be used in the context of decision support tools to help individuals better understand and access treatment. Technology may enable entirely new models of health care both within and outside of formal systems of care and thus offers the opportunity to revolutionize health care delivery.

This edited book will define the state of scientific research related to the development, experimental evaluation, and effective dissemination of technology-based therapeutic tools targeting behavioral health. Behavioral Health Care and Technology will provide an overview of current evidence-based approaches to leverage technology to promote behavioral health, including management of substance use, mental health, diet/exercise, medication adherence, as well as chronic disease self-management. Additionally, the book will define the state of implementation research examining models for deploying technology-based behavioral health care systems and integrating them into various care settings to increase the quality and reach of evidence-based behavioral health care while reducing costs.

Behavioral Health Care and Technology

Using Science-Based Innovations to Transform Practice

Edited by Lisa Marsch, Sarah Lord, and Jesse Dallery

Contents
Introduction
Section I: OPTIMAL MODELS FOR DEVELOPING TECHNOLOGY-BASED THERAPEUTIC TOOLS TARGETING BEHAVIORAL HEALTH
Chapter 1: Technology and the Stage Model of Behavioral Intervention Development
Chapter 2: Theoretical Models to Inform Technology-Based Health Behavior Interventions
Section II: EVIDENCE-BASED APPROACHES TO HARNESSING TECHNOLOGY TO PROMOTE BEHAVIORAL HEALTH
Chapter 3: Behavioral Monitoring and Assessment Via Mobile Sensing Technologies
Chapter 4: Technology-based Behavioral Interventions for Alcohol and Drug Use Problems
Chapter 5: Using Behavioral Intervention Technologies to Reduce the Burden of Mood and Anxiety Disorders
Chapter 6: Technologies for People with Serious Mental Illness
Chapter 7: Applying Technology to Medication Management and Adherence
Chapter 8: Technological Approaches to Assess and Treat Cigarette Smoking
Chapter 9: Technology-based Interventions to Promote Diet, Exercise and Weight Control
Chapter 10: Evidence-based Approaches to Harnessing Technology to Provide Social-Emotional Support
Section III: METHODS FOR THE EVALUATION OF TECHNOLOGY-BASED BEHAVIORAL HEALTHCARE
Chapter 11: mHealth Analytics
Chapter 12: Research Designs to Develop and Evaluate Technology-Based Health Behavior Interventions
Chapter 13: Evaluating Mechanisms of Behavior Change to Inform and Evaluate Technology-Based Interventions
Chapter 14: Economics Analysis of Technology-Based Behavioral Healthcare Systems
Section IV: EFFECTIVE DISSEMINATION AND IMPLEMENTATION
Chapter 15: Models for Effective Dissemination and Implementation of Technology-based Behavioral Health Care Systems
Chapter 16: Privacy, Security, and Regulatory Considerations as Related to Behavioral Health Information Technology
Chapter 17: Harnessing mHealth in Low-Resource Settings to Overcome Health System Constraints and Achieve Universal Access to Health
Chapter 18: Open Architecture and Standards in Mobile Health
Section V: PUBLIC HEALTH AND POLICY IMPLICATIONS
Chapter 19: Using Technology to Integrate Behavioral Health into Primary Care
Chapter 20: The Potential of Technology Solutions for Behavioral Healthcare Disparities
Chapter 21: Behavioral Health Information Technology Adoption in the Context of a Changing Healthcare Landscape
Chapter 22: Envisioning the Future: Transformation of Health Care Systems via Technology

Behavioral Health Care and Technology

Using Science-Based Innovations to Transform Practice

Edited by Lisa Marsch, Sarah Lord, and Jesse Dallery

Author Information

Edited by Lisa Marsch, Associate Professor of Psychiatry, Center for Technology and Behavioral Health, Dartmouth Psychiatric Research Center, Geisel School of Medicine, Sarah Lord, Assistant Professor of Psychiatry, Center for Technology and Behavioral Health, Dartmouth Psychiatric Research Center, Geisel School of Medicine, and Jesse Dallery, Associate Professor of Psychology, Department of Psychology, University of Florida

Lisa A. Marsch, PhD Associate Professor, Department of Psychiatry; and Director, Center for Technology and Behavioral Health Dartmouth Psychiatric Research Center Geisel School of Medicine Dartmouth College Hanover, NH

Sarah Elizabeth Lord, PhD Assistant Professor of Psychiatry,Geisel School of Medicine at Dartmouth; and Director, Dissemination and Implementation Core, Center for Technology and Behavioral Health Dartmouth Psychiatric Research Center Dartmouth College Hanover, NH

Jesse Dallery, PhD Associate Professor, Department of Psychology; and Center for Technology and Health University of Florida Gainesville, FL

Contributors:

Mustafa al'Absi, PhD
University of Minnesota

Lola Awoyinka, MPH
Center for Health Enhancement Systems Studies (CHESS)
Department of Industrial and Systems Engineering
University of Wisconsin - Madison
Madison, WI, USA

Amanda N. Baraldi
Arizona State University

Matt Berg
Ona Systems, Kenya

J Gayle Beck Ph.D
University of Memphis
Dror Ben-Zeev, PhD
Dartmouth Psychiatric Research Center, Geisel School of Medicine
Dartmouth College, Lebanon, NH, USA

Timothy Bickmore
College of Computer and Information Science
Northeastern University

Hayden B. Bosworth, PhD
Center for Health Services Research in Primary Care,
Durham Veterans Affairs Medical Center,
Durham, NC, USA
Department of Medicine,
Division of General Internal Medicine, School of Nursing, Duke University,
Department of Psychiatry and Behavioral Sciences, Duke University,
Durham, NC, USA

Rachel M. Brian, MPH
Dartmouth Psychiatric Research Center, Geisel School of Medicine,
Dartmouth College,
Lebanon, NH, USA

Jesse Dallery, PhD
Professor
Director, Science Core, Center for Technology and Behavioral Health
Department of Psychology,
University of Florida

Robert E. Drake, MD, PhD
Dartmouth Psychiatric Research Center, Geisel School of Medicine,
Dartmouth College,
Lebanon, NH, USA

Emre Ertin, Ph.D.
The Ohio State University

Deborah Estrin, PhD
Professor, Computer Science, Cornell Tech, NYC
Professor, Public Health, Weill Cornell Medical College
New York, NY, USA

Michael Christopher Gibbons, MD, MPH
Associate Director, Johns Hopkins Urban Health Institute
Assistant Professor, Medicine, Public Health and Health Informatics
Johns Hopkins University
Baltimore, MD

Wendy J. Nilsen, PhD
Office of Behavioral and Social Sciences Research
National Institutes of Health
Bethesda, MD

Melissa M. Goldstein, JD
Milken Institute School of Public Health at the George Washington University
Washington, DC

Lianne Gonsalves
Department of Reproductive Health and Research
World Health Organization
Geneva, Switzerland

David H. Gustafson, PhD
Center for Health Enhancement Systems Studies (CHESS)
Department of Industrial and Systems Engineering
University of Wisconsin - Madison
Madison, WI, USA

Julia E. Hoffman, PsyD
National Director, Mobile Health, Mental Health Services,
US Department of Veterans Affairs
Faculty Affiliate, National Center for PTSD Dissemination & Training Division
Menlo Park, CA, USA

Roberta Johnson, MA, Med
Center for Health Enhancement Systems Studies (CHESS)
Department of Industrial and Systems Engineering
University of Wisconsin - Madison
Madison, WI, USA

Santosh Kumar, PhD
University of Memphis

Allison Kurti
Department of Psychology
University of Florida
Gainesville, FL 32611

Alain Labrique
Johns Hopkins University Global mHealth Initiative, USA
Department of International Health, Johns Hopkins Bloomberg School of Public Health, USA

Ginger Lockhart
Utah State University

Sarah Lord, PhD
Director, Dissemination and Implementation Core, Center for Technology and Behavioral Health
Director, Center for Supported Employment Technology
Assistant Professor
Department of Psychiatry
Geisel School of Medicine at Dartmouth
Dartmouth College

David P. MacKinnon
Arizona State University

Lisa A. Marsch, PhD
Director, Center for Technology and Behavioral Health
Direct, Dartmouth Psychiatric Research Center
Department of Psychiatry,
Geisel School of Medicine
Dartmouth College

Sarah Martner
Department of Psychology
University of Florida
Gainesville, FL 32611

Garrett Mehl
Department of Reproductive Health and Research
World Health Organization
Geneva, Switzerland

Lisa S. Onken
National Institute on Drug Abuse

Misha Pavel, PhD
College of Computer and Information Science
and
Bouve College of Health Sciences
Northeastern University
Boston, MA

Kelly M. Ramsey
Program Manager
Mobile Behavior Design Lab
National Center for PTSD Dissemination & Training Division
Menlo Park, CA, USA

William T. Riley, PhD
Chief, Science of Research and Technology Branch
Behavioral Research Program
Division of Cancer Control and Population Sciences
National Cancer Institute

Marcia S. Scott, Ph.D.
National Institute on Alcohol Abuse and Alcoholism (NIAAA), National Institutes of Health

Tamsyn Seimon
Consultant, Switzerland

Inbal Nahum-Shani, PhD
Research Assistant Professor
Survey Research Center
Institute for Social Research
University of Michigan

Ryan J. Shaw, PhD, RN
Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center,
Durham, NC, USA
School of Nursing, Duke University, Durham, NC, USA

Varda Shoham
National Institute of Mental Health

Daniel M. Smith
University of Rhode Island

Deborah F. Tate, PhD
Associate Professor
Department of Health Behavior
Department of Nutrition
Director
Communication for Health Applications and Interventions Core
Lineberger Comprehensive Cancer Center
Nutrition Obesity Research Center
UNC Weight Research Program
University of North Carolina at Chapel Hill
Chapel Hill, NC

Marleen Temmerman
Department of Reproductive Health and Research
World Health Organization
Geneva, Switzerland

Carmina G. Valle, PhD, MPH
Postdoctoral Fellow
Cancer Health Disparities Training Program
UNC Weight Research Program
University of North Carolina at Chapel Hill
Chapel Hill, NC, USA

Lavanya Vasudevan
Johns Hopkins University Global mHealth Initiative, USA
Duke Global Health Institute, Duke University, USA
Department of International Health, Johns Hopkins Bloomberg School of Public Health, USA

Theodore A. Walls
University of Rhode Island

Ingrid C. Wurpts
Arizona State University

Leah L. Zullig, PhD, MPH
Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center,
Durham, NC, USA

Behavioral Health Care and Technology

Using Science-Based Innovations to Transform Practice

Edited by Lisa Marsch, Sarah Lord, and Jesse Dallery

Reviews and Awards

"Kudos to Marsch, Lord, and Dallery for a thoughtful interdisciplinary collection that bridges the disconnect between theoretical and practical aspects of technology use to improve behaviors related to critical health issues in the US and globally." - Patricia Mechael, Columbia University

"For those who purchase this book, I would not recommend letting it gather dust on the bookshelf. In a similar vein, I hope that the editors have already begun work on the second edition, because like our cellular devices, this book will be history before we know it." - H. Russell Searight, PsycCRITIQUES

"This book would be of interest to both researchers and clinicians from a wide variety of disciplines with a shared interest in behavioural healthcare and technology... a useful handbook for introducing this exceptionally interesting topic area." - Sara Simblett, Journal of Mental Health