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Supporting Talk-Based Mental Health Interventions with Digital Whiteboards Anja Perlich Julia von Thienen European Medical Informatics Conference MIE2014, September 2 Christoph Meinel Cognitive Behavioral Therapy a Case Digital


  1. Supporting Talk-Based Mental Health Interventions with Digital Whiteboards Anja Perlich Julia von Thienen European Medical Informatics Conference MIE2014, September 2 Christoph Meinel

  2. Cognitive Behavioral Therapy – a Case Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 3

  3. Cognitive Behavioral Therapy – a Case Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 3

  4. Cognitive Behavioral Therapy – a Case Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 4

  5. Cognitive Behavioral Therapy – a Case Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 4

  6. Cognitive Behavioral Therapy – a Case Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 4

  7. Cognitive Behavioral Therapy – a Case Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 5

  8. Cognitive Behavioral Therapy – a Case Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 5

  9. Cognitive Behavioral Therapy – a Case Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 5

  10. Cognitive Behavioral Therapy – a Case Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 6

  11. Cognitive Behavioral Therapy – a Case Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 6

  12. Cognitive Behavioral Therapy – a Case Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 6

  13. Cognitive Behavioral Therapy – a Case Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 6

  14. Agenda 1. Need for transparent documentation / patient‘s rights law 2. Need for efficient documentation / case report writing 3. Interactive medical documentation / Tele-Board MED

  15. Need for Transparent Documentation ■ Patient empowerment Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 8

  16. Need for Transparent Documentation ■ Patient empowerment ■ Legal requirements □ New German patients‘ rights law in 2013 Digital □ Doctors‘ obligation of a prompt and Whiteboards for Psychotherapy comprehensive documentation Documentation □ Patients‘ right to see their record and Anja Perlich 02/09/2014 to attain an electronic copy Chart 8

  17. Need for Efficient Documentation ■ Case report in psychotherapy □ Funding request for health insurance in German public health service □ Content: – Case description – Problem analysis – Treatment plan Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 9

  18. Need for Efficient Documentation: Therapists ‘ Feedback on Case Report Writing > 2/3 of the therapists need at least 5 hours for 1 report Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Sample: 34 behavior therapists Chart 10

  19. Need for Efficient Documentation: Therapists ‘ Feedback on Case Report Writing > 2/3 of the therapists often therapists need need at least 5 hours 1 week or longer for 1 report to finish 1 report Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Sample: 34 behavior therapists Chart 10

  20. Need for Efficient Documentation: Therapists ‘ Feedback on Case Report Writing > 2/3 of the therapists often > 1/3 of the therapists need need therapists at least 5 hours 1 week or longer in every 5 th case for 1 report to finish 1 report cannot read their patients ‘ handwriting Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Sample: 34 behavior therapists Chart 10

  21. Need for Efficient Documentation: Therapists ‘ Feedback on Case Report Writing > 2/3 of the therapists often > 1/3 of the > 2/3 of the therapists need need therapists therapists often at least 5 hours 1 week or longer in every 5 th case copy passages, for 1 report to finish 1 report cannot read their and > 1/3 copy patients ‘ entire reports handwriting Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Sample: 34 behavior therapists Chart 10

  22. Treatment Documentation – Towards Patient Transparency Patient Therapist Digital Whiteboards for Psychotherapy Documentation Traditional documentation: Anja Perlich The patient file resides 02/09/2014 with the therapist only. Chart 11

  23. Treatment Documentation – Towards Patient Transparency Patient Therapist vs. Digital Whiteboards for Psychotherapy Documentation Tele-Board MED: Traditional documentation: Anja Perlich The patient file is visible The patient file resides 02/09/2014 throughout therapy. with the therapist only. Chart 11

  24. Tele-Board MED – a Digital Whiteboard System for Joint Documentation ■ Patient and therapist document together ■ Board interactions with touch gestures □ Post, write, arrange sticky notes □ Draw □ Upload pictures Digital Whiteboards for ■ Export to Word and picture formats Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 12

  25. Tele-Board MED – a Digital Whiteboard System for Joint Documentation ■ Flexible template panels □ For typical use cases: anamnesis, analysis schemes □ Contain prepared icons and keywords Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 13

  26. Tele-Board MED – a Digital Whiteboard System for Joint Documentation ■ Flexible template panels □ For typical use cases: anamnesis, analysis schemes □ Contain prepared icons and keywords Digital ■ Anamnesis template Whiteboards for Psychotherapy □ according to the information that is Documentation recorded most frequently in the Anja Perlich 02/09/2014 first sessions Chart 13

  27. Tele-Board MED – Conceptual Evaluation ■ Sample: 34 behavior therapists Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 14

  28. Tele-Board MED – Conceptual Evaluation ■ Sample: 34 behavior therapists ■ Video, 15min □ Tele-Board MED: setup, interaction, functionality □ Patients‘ rights law https://med.tele-board.de Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 14

  29. Tele-Board MED – Conceptual Evaluation ■ Sample: 34 behavior therapists ■ Video, 15min □ Tele-Board MED: setup, interaction, functionality □ Patients‘ rights law https://med.tele-board.de ■ Questionnaire Digital □ Case report writing? Whiteboards for Psychotherapy □ Tele-Board MED? Documentation Anja Perlich 02/09/2014 Chart 14

  30. Tele-Board MED – Therapists ‘ Feedback ■ Almost all therapists: positive reactions towards Tele-Board MED □ Save 1/3 of their time for writing case reports due to electronic files □ Helpful to fulfill the new legal requirements of record transparency Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 15

  31. Tele-Board MED – Therapists ‘ Feedback ■ Almost all therapists: positive reactions towards Tele-Board MED □ Save 1/3 of their time for writing case reports due to electronic files □ Helpful to fulfill the new legal requirements of record transparency ■ Some therapists: in general skeptical towards electronic documentation □ Patient data security □ Disruption of therapeutic process due to technology Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 15

  32. Tele-Board MED – Outlook ■ Testing Tele-Board MED in treatment sessions Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 16

  33. Tele-Board MED – Outlook ■ Testing Tele-Board MED in treatment sessions ■ Evaluate benefits for patients Digital Whiteboards for Psychotherapy Documentation Anja Perlich 02/09/2014 Chart 16

  34. Thank you for your attention! Questions? anja.perlich@hpi.de

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