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Lamo Y, Mukhiya SK, Rabbi F, Aminifar A, Lillehaug SI, Tørresen J, H Pham M, Côtè-Allard U, Noori FM, Guribye F, Inal Y, Flobakk E, Wake JD, Myklebost S, Lundervold AJ, Hammar A, Nordby E, Kahlon S, Kenter R, Sekse RJT, Griffin KF, Jakobsen P, Ødegaard KJ, Skar YS, Nordgreen T. Towards adaptive technology in routine mental health care. Digit Health 2022; 8:20552076221128678. [PMID: 36386244 PMCID: PMC9661551 DOI: 10.1177/20552076221128678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
This paper summarizes the information technology-related research findings after 5 years with the INTROducing Mental health through Adaptive Technology project. The aim was to improve mental healthcare by introducing new technologies for adaptive interventions in mental healthcare through interdisciplinary research and development. We focus on the challenges related to internet-delivered psychological treatments, emphasising artificial intelligence, human-computer interaction, and software engineering. We present the main research findings, the developed artefacts, and lessons learned from the project before outlining directions for future research. The main findings from this project are encapsulated in a reference architecture that is used for establishing an infrastructure for adaptive internet-delivered psychological treatment systems in clinical contexts. The infrastructure is developed by introducing an interdisciplinary design and development process inspired by domain-driven design, user-centred design, and the person based approach for intervention design. The process aligns the software development with the intervention design and illustrates their mutual dependencies. Finally, we present software artefacts produced within the project and discuss how they are related to the proposed reference architecture. Our results indicate that the proposed development process, the reference architecture and the produced software can be practical means of designing adaptive mental health care treatments in correspondence with the patients’ needs and preferences. In summary, we have created the initial version of an information technology infrastructure to support the development and deployment of Internet-delivered mental health interventions with inherent support for data sharing, data analysis, reusability of treatment content, and adaptation of intervention based on user needs and preferences.
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Affiliation(s)
- Yngve Lamo
- Department of Computer Science, Electrical Engineering, and Mathematical Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Suresh K Mukhiya
- Department of Computer Science, Electrical Engineering, and Mathematical Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Fazle Rabbi
- Department of Computer Science, Electrical Engineering, and Mathematical Sciences, Western Norway University of Applied Sciences, Bergen, Norway
- Department of Information Science and Media Studies, Faculty of Social Science, University of Bergen, Bergen, Noway
| | - Amin Aminifar
- Department of Computer Science, Electrical Engineering, and Mathematical Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Svein I Lillehaug
- Department of Computer Science, Electrical Engineering, and Mathematical Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Jim Tørresen
- Department of Informatics, Faculty of Mathematics and Natural Sciences, University of Oslo, Oslo, Norway
| | - Minh H Pham
- Department of Informatics, Faculty of Mathematics and Natural Sciences, University of Oslo, Oslo, Norway
| | - Ulysse Côtè-Allard
- Department of Informatics, Faculty of Mathematics and Natural Sciences, University of Oslo, Oslo, Norway
| | - Farzan M Noori
- Department of Informatics, Faculty of Mathematics and Natural Sciences, University of Oslo, Oslo, Norway
| | - Frode Guribye
- Department of Information Science and Media Studies, Faculty of Social Science, University of Bergen, Bergen, Noway
| | - Yavuz Inal
- Department of Information Science and Media Studies, Faculty of Social Science, University of Bergen, Bergen, Noway
| | - Eivind Flobakk
- Department of Information Science and Media Studies, Faculty of Social Science, University of Bergen, Bergen, Noway
| | - Jo D Wake
- NORCE Norwegian Research Centre AS, Bergen, Norway
| | - Sunniva Myklebost
- Department of Biological and Medical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway
| | - Astri J Lundervold
- Department of Biological and Medical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway
| | - Aasa Hammar
- Department of Biological and Medical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway
- Division of Psychiatry, Haukeland University Hospital, Bergen, Norway
| | - Emilie Nordby
- Division of Psychiatry, Haukeland University Hospital, Bergen, Norway
| | - Smiti Kahlon
- Division of Psychiatry, Haukeland University Hospital, Bergen, Norway
| | - Robin Kenter
- Department of Clinical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway
| | - Ragnhild JT Sekse
- Department of Clinical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway
| | | | - Petter Jakobsen
- Norment, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway
- Department of Clinical Medicine, University of Bergen, Bergen, Norway
| | - Ketil Joachim Ødegaard
- Norment, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway
- Department of Clinical Medicine, University of Bergen, Bergen, Norway
| | | | - Tine Nordgreen
- Division of Psychiatry, Haukeland University Hospital, Bergen, Norway
- Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway
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Campbell KM, Kaur-Walker K, Singh S, Braxton MM, Acheampong C, White CD, Tumin D. Institutional and Faculty Partnerships to Promote Learner Preparedness for Health Professions Education. J Racial Ethn Health Disparities 2020; 8:1315-1321. [PMID: 33051747 PMCID: PMC7553150 DOI: 10.1007/s40615-020-00893-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Revised: 10/02/2020] [Accepted: 10/06/2020] [Indexed: 11/13/2022]
Abstract
By the year 2060, it is projected that 57% of the US population will be members of minority groups, with no one group being the majority. While there is increasing diversity of the population, there remain significant disparities in morbidity and mortality affecting minority groups, and persistent low numbers of underrepresented students in the health professions. Increasing the numbers of underrepresented minority students in health care and decreasing the disparity gap have been a priority for many institutions. Increasing diversity requires an approach that not only involves health professions schools but also involves undergraduate institutions, faculty, and other professionals who provide pre-health training to students. In 2018, a group of academic medicine leaders convened the Innovators, Collaborators, and Leaders conference with faculty at institutions across the state of North Carolina to discuss ways to improve learner preparedness for health professions education and increase numbers of underrepresented students pursuing health careers. In this manuscript, the authors share results from the conference and how institutional and faculty partnerships can promote learner preparedness for health professions education.
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Affiliation(s)
- Kendall M Campbell
- Division of Academic Affairs, Brody School of Medicine, East Carolina University, 600 Moye Blvd AD-47, Greenville, NC, 27834, USA.
| | - Kulwinder Kaur-Walker
- Department of Health and Human Studies, Elizabeth City State University, Elizabeth City, NC, USA
| | - Sarwyn Singh
- Reproductive and Developmental Biology Laboratory, National Institute of Environmental Health Sciences, Durham, NC, USA
| | | | - Cassandra Acheampong
- Division of Academic Affairs, Brody School of Medicine, East Carolina University, 600 Moye Blvd AD-47, Greenville, NC, 27834, USA
| | - Catherine D White
- Department of Biology, North Carolina A&T State University, Greensboro, NC, USA
| | - Dmitry Tumin
- Division of Academic Affairs, Brody School of Medicine, East Carolina University, 600 Moye Blvd AD-47, Greenville, NC, 27834, USA
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