Digital Therapeutics In Mental Health

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An increasing number of creative approaches to treating medical diseases, including mental health issues, have been made possible by the ongoing advancements in healthcare and the technology used in healthcare applications. Digital therapeutics is one such newly emerging discipline that uses digital technologies and software to offer evidence-based therapeutics and enhance patient outcomes.1 Several obstacles have long beset traditional mental health treatment, such as the stigma attached to seeking assistance, lengthy wait periods, and restricted access to licenced specialists. These obstacles have often kept people from getting the prompt and efficient care they need. Furthermore, these problems have been made worse by the COVID-19 epidemic, which has increased mental health concerns and raised the need for scalable and easily available remedies.2

The promise of digital therapeutics

Due to the widespread use of digital devices and the potential of technology, digital therapeutics provide a possible answer to these problems by enabling the direct delivery of individualised, scientifically supported treatments to patients. These digital tools, which come in a variety of formats — including web-based platforms, mobile apps, and virtual reality experiences — are intended to treat a broad spectrum of mental health issues, such as drug misuse, depression, anxiety, and post-traumatic stress disorder (PTSD).3

Better access 

One of the main benefits of digital therapeutics is their capacity to get over the logistical and geographic obstacles that conventional mental health treatment faces. By enabling patients to use these digital tools from the comfort of their homes, face-to-face appointments are no longer necessary, which relieves pressure on the healthcare system. Individuals who live in distant or underdeveloped locations, as well as those with restricted mobility or transit alternatives, may find this improved accessibility to be very helpful. Digital treatments are also a financially sensible option for payers and healthcare providers since they can be readily scaled to a broader population.4 Digital treatments may free up doctors' time by automating certain elements of therapy, such as symptom monitoring and personalised suggestions. This allows the physicians to concentrate on more complicated situations and provide more individualised assistance.5

Personalized and adaptive interventions 

The therapies provided by digital therapeutics are highly personalised and catered to the requirements and preferences of each patient. These digital solutions use sophisticated algorithms, machine learning, and data analytics to continuously track patient progress, modify the treatment plan as necessary, and provide real-time assistance and feedback.6 Higher levels of engagement and better treatment results may result from this degree of personalisation. Successful results are also more probable when patients follow a treatment plan that is customised to meet their unique requirements and preferences.7

Evidence-based approach 

The foundation of evidence-based methods in digital medicine is an important feature. Extensive clinical studies and research have been conducted on digital therapy solutions to validate their effectiveness in enhancing mental health outcomes. Patients will get treatments that are supported by scientific research and have been shown to be successful in treating their individual mental health difficulties, thanks to this evidence-based approach.8

Improved outcomes and cost-effectiveness 

Digital therapeutics have the potential to enhance patient outcomes and make mental health treatments more affordable for healthcare systems. Digital therapeutics may prevent mental health problems from becoming worse by offering quick and easily accessible interventions. This can help avoid the need for more expensive and time-consuming treatments like long-term therapy or hospitalisation.9 Furthermore, the information gathered by digital therapeutics might provide insightful information on patient behaviour, adherence to treatment, and the efficacy of different treatments. This information may help with the continuous development and improvement of digital therapeutic solutions, as well as future treatment plans and resource allocation.10

Challenges and considerations

Digital treatments have great potential for improving mental health, but there are some issues and concerns that need to be taken into account. To guarantee the preservation of patient rights and the integrity of the healthcare system, issues with data privacy, security, and the moral use of patient information must be properly handled. Furthermore, there may be technological, legal, and logistical challenges associated with integrating digital therapeutics into current healthcare systems. To overcome these obstacles and guarantee smooth deployment and payment, healthcare providers, payers, and technology businesses must work together.11

The future of digital therapeutics in mental health

Digital therapeutics are expected to become more and more significant in the provision of mental health services as the discipline develops. In the years to come, we can anticipate a further integration of digital therapeutics into mainstream healthcare, with the potential for these solutions to become a standard component of comprehensive mental health treatment plans. This is due to the ongoing advancements in technology, the development of increasingly sophisticated and user-friendly digital tools, and the growing acceptance of these solutions by patients and healthcare providers.10 Digital therapeutics may eventually aid in bridging the gap between the demand for mental health services and the restricted availability of traditional care, enabling people to have a more active role in their own mental health and well-being. This is contingent on the evidence base for these solutions continuing to expand.12 

FAQ’s

How effective is mental health treatment?

 The type of treatment, the degree and nature of the patient's ailment, and the patient's desire to participate in therapy are some of the variables that affect how successful mental health treatment is. Studies indicate that evidence-based interventions, such as medication management, mindfulness-based therapies, and cognitive-behavioural therapy (CBT), are very successful in lowering symptoms and enhancing the quality of life for people with mental health issues. However, co-occurring problems, therapist-client rapport, and treatment adherence can all have an impact on how successful a treatment plan is.13

What are the barriers to digital mental health?

Several barriers may hinder the widespread adoption and effectiveness of digital mental health interventions, including:

  • Digital Divide: The effectiveness of digital mental health treatments may be limited by disparities in digital literacy and access, especially among marginalised communities14
  • Data Privacy Concerns: Consumers may be reluctant to use these solutions because they are worried about the confidentiality and privacy of their health information while using digital mental health platforms15
  • Regulatory Challenges: Regulations controlling digital health technology might differ from place to place, which makes it difficult for developers to comply with regulations16
  • Stigma and Acceptance: Stigma surrounding mental illness and scepticism about the effectiveness of digital interventions may deter individuals from seeking or engaging in digital mental health treatment17

Should digital technology be used in mental health interventions?

Digital technology offers several benefits, including enhanced accessibility, scalability, and personalisation, making it a useful tool in mental health therapeutics. Digital interventions may supplement conventional mental health therapies by offering more alternatives for remote access, self-management, and support. Examples of these interventions include web-based platforms, smartphone apps, and virtual reality experiences. However, to maximise their efficacy and safety, digital therapeutics must be user-friendly, evidence-based, and compliant with best practices in digital health.18

What is the success rate of therapy?

The style of therapy, the precise treatment objectives, and the circumstances of each individual can all affect the success rate of therapy. Research indicates that for many people with mental health conditions, treatment can be helpful in lowering symptoms and enhancing functioning. For instance, research has shown that cognitive-behavioural therapy (CBT) is successful in treating a variety of disorders, including obsessive-compulsive disorder (OCD), PTSD, anxiety, and depression. In clinical trials, CBT has been proven to have success rates ranging from 50% to 75%. However, success rates might differ due to co-occurring disorders, therapist competency, and treatment adherence.19

Summary

Long-standing issues with conventional mental health care, such as stigma, access restrictions, and protracted wait periods, are being addressed by the emergence of digital therapeutics in this field. The COVID-19 epidemic has made these problems worse, increasing the need for scalable solutions. With the use of digital platforms like smartphone applications and virtual reality experiences, digital therapeutics provide individualised, research-based treatments. They offer tailored and adaptable therapeutics, enhance care accessibility, and have shown efficacy in clinical trials. Furthermore, digital therapeutics can prevent mental health disorders from becoming worse and provide important data for their continuous development, which can result in improved results and cost-effectiveness. However, to ensure their widespread adoption issues like data privacy, regulatory compliance, and equal access must be resolved. Despite these challenges, the future of mental health will likely be increasingly influenced by digital technologies offering innovative solutions to improve mental health care.

References

  • Choi H, Kim B, Kim I, Kang JG, Lee Y, Lee H, et al. Analysis of the Status and Future Direction for Digital Therapeutics in Children and Adolescent Psychiatry. J Korean Acad Child Adolesc Psychiatry [Internet]. 2023 Oct 1 [cited 2024 Apr 16];34(4):192–203. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10568185/.
  • Digital Therapies [Internet]. [cited 2024 Apr 16]. Available from: https://www.maudsleybrc.nihr.ac.uk/research/digital-therapies/.
  • Abernethy A, Adams L, Barrett M, Bechtel C, Brennan P, Butte A, et al. The Promise of Digital Health: Then, Now, and the Future. NAM Perspect [Internet]. [cited 2024 Apr 16];2022:10.31478/202206e. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9499383/.
  • Khirasaria R, Singh V, Batta A. Exploring digital therapeutics: The next paradigm of modern health-care industry. Perspect Clin Res [Internet]. 2020 [cited 2024 Apr 16];11(2):54–8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7342342/.
  • Yan K, Balijepalli C, Druyts E. The Impact of Digital Therapeutics on Current Health Technology Assessment Frameworks. Front Digit Health [Internet]. 2021 Jun 9 [cited 2024 Apr 16];3:667016. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8521991/.
  • Guni A, Normahani P, Davies A, Jaffer U. Harnessing Machine Learning to Personalize Web-Based Health Care Content. J Med Internet Res [Internet]. 2021 Oct 19 [cited 2024 Apr 16];23(10):e25497. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8564651/.
  • Fernandes JB, Teixeira F, Godinho C. Personalized Care and Treatment Compliance in Chronic Conditions. J Pers Med [Internet]. 2022 May 1 [cited 2024 Apr 16];12(5):737. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9147940/.
  • Phan P, Mitragotri S, Zhao Z. Digital therapeutics in the clinic. Bioeng Transl Med [Internet]. 2023 May 3 [cited 2024 Apr 16];8(4):e10536. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10354777/.
  • Gentili A, Failla G, Melnyk A, Puleo V, Tanna GLD, Ricciardi W, et al. The cost-effectiveness of digital health interventions: A systematic review of the literature. Front Public Health [Internet]. 2022 Aug 11 [cited 2024 Apr 16];10:787135. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9403754/.
  • Dang A, Arora D, Rane P. Role of digital therapeutics and the changing future of healthcare. J Fam Med Prim Care [Internet]. 2020 May 31 [cited 2024 Apr 16];9(5):2207–13. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7380804/.
  • Smith KA, Blease C, Faurholt-Jepsen M, Firth J, Daele TV, Moreno C, et al. Digital mental health: challenges and next steps. BMJ Ment Health [Internet]. 2023 Feb 1 [cited 2024 Apr 16];26(1). Available from: https://mentalhealth.bmj.com/content/26/1/e300670.
  • Nwosu A, Boardman S, Husain MM, Doraiswamy PM. Digital therapeutics for mental health: Is attrition the Achilles heel? Front Psychiatry [Internet]. 2022 Aug 5 [cited 2024 Apr 16];13:900615. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9380224/.
  • Alang S, McAlpine D. Treatment Modalities and Perceived Effectiveness of Treatment Among Adults With Depression. Health Serv Insights [Internet]. 2020 May 6 [cited 2024 Apr 18];13:1178632920918288. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218458/.
  • Spanakis P, Peckham E, Mathers A, Shiers D, Gilbody S. The digital divide: amplifying health inequalities for people with severe mental illness in the time of COVID-19. Br J Psychiatry [Internet]. [cited 2024 Apr 18];219(4):529–31. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111186/.
  • Lustgarten SD, Garrison YL, Sinnard MT, Flynn AW. Digital privacy in mental healthcare: current issues and recommendations for technology use. Curr Opin Psychol [Internet]. 2020 Dec [cited 2024 Apr 18];36:25–31. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7195295/.
  • Taher R, Hsu CW, Hampshire C, Fialho C, Heaysman C, Stahl D, et al. The Safety of Digital Mental Health Interventions: Systematic Review and Recommendations. JMIR Ment Health [Internet]. 2023 Oct 9 [cited 2024 Apr 18];10:e47433. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594135/.
  • Rodríguez-Rivas ME, Cangas AJ, Cariola LA, Varela JJ, Valdebenito S. Innovative Technology–Based Interventions to Reduce Stigma Toward People With Mental Illness: Systematic Review and Meta-analysis. JMIR Serious Games [Internet]. 2022 May 30 [cited 2024 Apr 18];10(2):e35099. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9153904/.
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  • Nakao M, Shirotsuki K, Sugaya N. Cognitive–behavioral therapy for management of mental health and stress-related disorders: Recent advances in techniques and technologies. Biopsychosoc Med [Internet]. 2021 Oct 3 [cited 2024 Apr 18];15:16. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8489050/.

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This content is purely informational and isn’t medical guidance. It shouldn’t replace professional medical counsel. Always consult your physician regarding treatment risks and benefits. See our editorial standards for more details.

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Nooruldeen Taffar

Physician | Health Informatician | Medical Writer

Dr. Nooruldeen Taffar is a trained physician with a Master’s degree in Health Informatics, specialising in the integration of artificial intelligence into clinical workflows. With a strong background in both clinical practice and digital health, Dr. Nooruldeen Taffar leverages their expertise to enhance patient care through AI-driven solutions and optimise healthcare systems for efficiency.

As a passionate advocate for technology in medicine, they contribute to the field through research, writing, and implementation of innovative strategies to improve medical practices.

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