Moon Khatiya, Sobolev Michael, Kane John M
Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, United States.
Cornell Tech, Cornell University, New York City, NY, United States.
JMIR Ment Health. 2022 Feb 16;9(2):e30810. doi: 10.2196/30810.
The collaborative care model (CoCM) is a well-established system of behavioral health care in primary care settings. There is potential for digital and mobile technology to augment the CoCM to improve access, scalability, efficiency, and clinical outcomes.
This study aims to conduct a scoping review to synthesize the evidence available on digital and mobile health technology in collaborative care settings.
This review included cohort and experimental studies of digital and mobile technologies used to augment the CoCM. Studies examining primary care without collaborative care were excluded. A literature search was conducted using 4 electronic databases (MEDLINE, Embase, Web of Science, and Google Scholar). The search results were screened in 2 stages (title and abstract screening, followed by full-text review) by 2 reviewers.
A total of 3982 nonduplicate reports were identified, of which 20 (0.5%) were included in the analysis. Most studies used a combination of novel technologies. The range of digital and mobile health technologies used included mobile apps, websites, web-based platforms, telephone-based interactive voice recordings, and mobile sensor data. None of the identified studies used social media or wearable devices. Studies that measured patient and provider satisfaction reported positive results, although some types of interventions increased provider workload, and engagement was variable. In studies where clinical outcomes were measured (7/20, 35%), there were no differences between groups, or the differences were modest.
The use of digital and mobile health technologies in CoCM is still limited. This study found that technology was most successful when it was integrated into the existing workflow without relying on patient or provider initiative. However, the effect of digital and mobile health on clinical outcomes in CoCM remains unclear and requires additional clinical trials.
协作照护模式（CoCM）是基层医疗环境中成熟的行为健康照护系统。数字和移动技术有可能增强CoCM，以改善可及性、可扩展性、效率和临床结局。
本研究旨在进行一项范围综述，以综合协作照护环境中数字和移动健康技术的现有证据。
本综述纳入了用于增强CoCM的数字和移动技术的队列研究和实验研究。排除考察无协作照护的基层医疗的研究。使用4个电子数据库（MEDLINE、Embase、科学网和谷歌学术）进行文献检索。检索结果由2名评审员分两个阶段进行筛选（标题和摘要筛选，随后进行全文审查）。
共识别出3982篇不重复报告，其中20篇（0.5%）纳入分析。大多数研究使用了多种新技术的组合。所使用的数字和移动健康技术包括移动应用程序、网站、基于网络的平台、基于电话的交互式语音录音以及移动传感器数据。所识别的研究均未使用社交媒体或可穿戴设备。测量患者和提供者满意度的研究报告了积极结果，尽管某些类型的干预增加了提供者的工作量，且参与度各不相同。在测量临床结局的研究中（7/20，35%），组间无差异，或差异较小。
CoCM中数字和移动健康技术的使用仍然有限。本研究发现，当技术融入现有工作流程而不依赖患者或提供者的主动性时最为成功。然而，数字和移动健康对CoCM临床结局的影响仍不明确，需要更多的临床试验。
