Browsing by Author "Hoffman, Julia"
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- ItemAccess, utilization, and interest in mHealth applications among veterans receiving outpatient care for PTSD.(2014-11-06) Erbes, Christopher R; Stinson, Rebecca; Kuhn, Eric; Polusny, Melissa; Urban, Jessica; Hoffman, Julia; Ruzek, Josef I; Stepnowsky, Carl; Thorp, Steven RMobile health mHealth refers to the use of mobile technology e g smartphones and software i e applications to facilitate or enhance health care Several mHealth programs act as either stand alone aids for Veterans with post traumatic stress disorder PTSD or adjuncts to conventional psychotherapy approaches Veterans enrolled in a Veterans Affairs outpatient treatment program for PTSD N 188 completed anonymous questionnaires that assessed Veterans access to mHealth capable devices and their utilization of and interest in mHealth programs for PTSD The majority of respondents n 142 76 reported having access to a cell phone or tablet capable of running applications but only a small group n 18 reported use of existing mHealth programs for PTSD Age significantly predicted ownership of mHealth devices but not utilization or interest in mHealth applications among device owners Around 56 to 76 of respondents with access indicated that they were interested in trying mHealth programs for such issues as anger management sleep hygiene and management of anxiety symptoms Findings from this sample suggest that Veterans have adequate access to and interest in using mHealth applications to warrant continued development and evaluation of mobile applications for the treatment of PTSD and other mental health conditions
- ItemCurrent trends in using Internet and mobile technology to support the treatment of substance use disorders.(2012-12-18) Cucciare, Michael A; Weingardt, Kenneth R; Greene, Carolyn J; Hoffman, JuliaISSUES By allowing for the efficient delivery of instructional content and the secure collection of self report data regarding substance use and related problems the Internet has tremendous potential to improve the effectiveness and accessibility of Substance Use Disorder SUD treatment and recovery oriented services APPROACH This article discusses some of the ways in which Internet and mobile technology can facilitate complement and support the process of traditional clinician delivered treatment for individuals with SUDs KEY FINDINGS Internet applications are being used to support a range of activities including a the assessment and feedback process that constitutes a key feature of brief motivational interventions and b the concurrent monitoring of patients who are receiving treatment for SUDs to support continuing care and the ongoing recovery of SUD patients who have completed face to face treatment Internet technology is also being used to c support efficient delivery of clinical training in evidence based practices for treating individuals who may have SUDs IMPLICATIONS This emerging body of literature suggests that SUD treatment providers and program administrators can enhance the quality of clinician delivered treatment by incorporating internet applications into existing processes of care and recovery oriented services CONCLUSION Internet applications provide an unparalleled opportunity to engage patients in the treatment process incorporate real time data into treatment planning prevent relapse and promote evidence based treatment approaches
- ItemThe "PE coach" smartphone application: an innovative approach to improving implementation, fidelity, and homework adherence during prolonged exposure.(2013-08-13) Reger, Greg M; Hoffman, Julia; Riggs, David; Rothbaum, Barbara O; Ruzek, Josef; Holloway, Kevin M; Kuhn, EricProlonged exposure PE is an empirically supported treatment that is being disseminated broadly to providers in the Department of Veterans Affairs and Department of Defense Innovative methods are needed to support the implementation dissemination and patient and provider adherence to PE The PE Coach is a smartphone application app designed to mitigate barriers to PE implementation PE Coach is installed on the patient s phone and includes a range of capabilities for use during the PE session and after each session to support the treatment Functions include the ability to audio record treatment sessions onto the patient s device to construct the in vivo hierarchy on the device to record completed homework exercises to review homework adherence and to track symptom severity over time The app also allows sessions and homework to be scheduled directly in the app populating the device calendar with patient reminder notifications In the final session a visual display of symptom improvement and habituation to items on the in vivo hierarchy is presented These capabilities may significantly improve convenience provider implementation and adherence and patient compliance with treatment Future research is needed to test whether PE Coach is useful and effective