Managing chronic pathologies with a stepped mHealth-based approach in clinical psychology and medicine.

Gianluca Castelnuovo,Giancarlo Mauri,Martina Ceccarini,Eugenio Santoro,Roberto Cattivelli,Enrico Molinari,Maria Borrello,Francesco Sicurello,Anna Melesi,Italo Zoppis,Giada Pietrabissa,Stefania Corti,Gian Mauro Manzoni,Emanuele Maria Giusti

doi:10.3389/fpsyg.2015.00407

Abstract

Chronic diseases and conditions typically require long-term monitoring and treatment protocols both in traditional settings and in out-patient frameworks. The economic burden of chronic conditions is a key challenge and new and mobile technologies could offer good solutions. mHealth could be considered an evolution of eHealth and could be defined as the practice of medicine and public health supported by mobile communication devices. mHealth approach could overcome limitations linked with the traditional, restricted, and highly expensive in-patient treatment of many chronic pathologies. Possible applications include stepped mHealth approach, where patients can be monitored and treated in their everyday contexts. Unfortunately, many barriers for the spread of mHealth are still present. Due the significant impact of psychosocial factors on disease evolution, psychotherapies have to be included into the chronic disease protocols. Existing psychological theories of health behavior change have to be adapted to the new technological contexts and requirements. In conclusion, clinical psychology and medicine have to face the “chronic care management” challenge in both traditional and mHealth settings.

Highlights

Specialty section: This article was submitted to Psychology for Clinical Settings, a section of the journal Frontiers in Psychology
Specialty section: This article was submitted to Psychology for Clinical Settings, a section of the journal Frontiers in Received: 15 January 2015 Accepted: 23 March 2015 Published: 14 April 2015
The economic burden of chronic conditions is a key challenge and new and mobile technologies could offer good solutions. mHealth could be considered an evolution of eHealth and could be defined as the practice of medicine and public health supported by mobile communication devices. mHealth approach could overcome limitations linked with the traditional, restricted, and highly expensive in-patient treatment of many chronic pathologies

Summary

Introduction

Specialty section: This article was submitted to Psychology for Clinical Settings, a section of the journal Frontiers in Psychology. Another interesting approach and solution is the Chronic Care Model, developed by Wagner et al (2001a,b; Glasgow et al, 2001), that is based on the collaboration between a well coordinated team of clinicians-providers and an actively engaged patient, promoting self-management skills, tracking, and sharing information about patient health status and treatment programs, focusing on the family, social, and community networks (O’Donnell, 2011).

Results

Conclusion