Research and education
As a matter of fact, the usability of computerized programs is beneficial in adjunct to treatment as usual for many neurological and mental disorders. Several studies have proven the clinical effectiveness of virtual therapies within treating and improvement of emotional behavior disorders. However, e-therapies could be suggested only for selective patients under the healthcare professional supervision. Moreover, the fact that all sessions are not fully completed emphasizes the high rate of drop-out from the study and that the further development of the programs is needed, at least from the technical aspect. Implementation of interactive and video/ audio based exercises are valuable. However, despite of the modern design of the programs and friendly-user interface the approach to the content of the sessions should be constantly improving.
Furthermore, study revealed that cCBT programs can significantly reduce therapists’ time using program regularly and with a short clinician supervision after each module. It is calculated that a systematic follow-up for a 10-15 minutes per patient during a week using ICT devices such as e-consultation via messengers, apps, e-mails or by phone with each participant shows improvements in patients’ health condition while assessing. Therefore, eMental health interventions (both web-based programs and mobile applications) are emerging in terms of availability and have to be mentioned as applicable.
Another aspect leads to discuss and determine whether the privacy and protection of health data of patients are enough ensured. As cCBT could be provided cross-border therewith, from a legal viewpoint should be clearly defined several issues:
- who has right to access to the personal health data and who is owner of such sensitive data?
- how is provided an access to the personal health information and whether it is necessary to limit?
- could legalization of iCBT treatment in EU Member States be as a positive solution in terms of implementation and has it an impact on improving acceptance among healthcare professionals?
Melita Sogomonjan, Tallinn University of Technology (TUT)