Opportunities for digital health technology: identifying unmet needs for bipolar misdiagnosis and depression care management

Frontiers in Digital Health

Digital Health

Richard H. Christie¹  Sarah M. Kark¹  Aaron J. Masino²  Michelle A. Worthington³ 

[1] AiCure, New York, NY, United States;AiCure, New York, NY, United States;Department of Biostatistics, Epidemiology, and Biomedical Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States;Department of Psychology, Yale University, New Haven, CT, United States;

关键词: digital health technology;    qualitative research;    semi-structured interviews;    psychiatry;    needs assessment;    bipolar misdiagnosis;    digital tool development;    text analysis;   

DOI  :  10.3389/fdgth.2023.1221754

 received in 2023-05-12, accepted in 2023-08-22,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionDigital health technologies (DHTs) driven by artificial intelligence applications, particularly those including predictive models derived with machine learning methods, have garnered substantial attention and financial investment in recent years. Yet, there is little evidence of widespread adoption and scant proof of gains in patient health outcomes. One factor of this paradox is the disconnect between DHT developers and digital health ecosystem stakeholders, which can result in developing technologies that are highly sophisticated but clinically irrelevant. Here, we aimed to uncover challenges faced by psychiatrists treating patients with major depressive disorder (MDD). Specifically, we focused on challenges psychiatrists raised about bipolar disorder (BD) misdiagnosis.MethodsWe conducted semi-structured interviews with 10 United States–based psychiatrists. We applied text and thematic analysis to the resulting interview transcripts.ResultsThree main themes emerged: (1) BD is often misdiagnosed, (2) information crucial to evaluating BD is often occluded from clinical observation, and (3) BD misdiagnosis has important treatment implications.DiscussionUsing upstream stakeholder engagement methods, we were able to identify a narrow, unforeseen, and clinically relevant problem. We propose an organizing framework for development of digital tools based upon clinician-identified unmet need.

【 授权许可】

Unknown   
© 2023 Kark, Worthington, Christie and Masino.