tickit: an ehealth solution to the "don't ask, don't tell" face to face clinical...
TRANSCRIPT
Title of Presentation Goes Here
Presenter Name(s) Presenter Name(s)
Affiliation
April 6-8, 2014 San Francisco, CA
Annual Conference on Youth + Tech + Health
TickiT: an mHealth solution
to the “Don’t Ask, Don’t Tell” face to face clinic visit
Psychosocial Screening: Understanding the patient’s environment
Context and Environment
contribute to health outcomes.
Why Screen? In surgical wards percentage of patients reporting concerns was significant Hayden W. Archives of Disease in Childhood
Do Ask, Do Tell
Family doctors were trained with psychosocial interviews
Practices
40 902 Patients
80% Presented with physical reasons
90% had 1 or more psychosocial risks
Lena Sanci, Australian Association of Adolescent Health Meeting
What does the research tell us about youth response to
screening? Adolescents view health care providers as credible sources of information and would like to discuss broader health care issues with them
Don’t Ask, They Won’t Tell”: Adolescents are not likely to divulge sensitive information unless they have good rapport with the health professional and unless directly asked
BUT i
Klein, JAH 2002, Blum, 1996, Marks, J Peds 1988
Current Mental Health Intake Practice Focus on mental health symptoms
Time Consuming Documentation Challenges
Personal and Individualized,
but may be incomplete
Can Be Uncomfortable
Interview
Types of Screening methods
Interview: HEADDSS, SHADESS not standardized time consuming manual data entry
Current Mental Health Intake Practice Focus on mental health symptoms
Mental Health Checklists
• efficient, focus on symptoms • validated but cant be updated
leads to stale checklists • self report challenges
• health literacy • questionnaire fatigue
Self administered Adolescent Screening Questionnaire ASQ
Key Issues: • Participants suggested making the
questions appear more positive. • Poor Uptake: 25% (10/40)
adolescents refused to participate rate. It was higher in male patients
Is there a better way?
TickiT
Process: Experience Continuum
Physical Action
Social Interaction
Emotional Reaction
Before Arrive On Location Depart After
Process: Co-creation
Co Creation: User testing Extensive field testing UBC Study Icons and platform comprehensible across age, gender and ethnicity Saewyc E, in press
Interactive Survey
Templates
Survey Chapters
Branch to the Right
Questions
Multiple Language Support
Educational Patient
Feedback
Flagging System
Red flags rapidly identify risks
Green flags help providers engage
patients
CSV Export for Research
Screening Risk Assessment vs.
Communication Tool Communication tool helps treatment by engaging the patient in their healthcare.
Not just treatment but sustainable change that empowers the patient.
TickiT Feasibility Study: BCCH and McMaster 80 Youth going through HEEADSS
YOUTH LOVED US
Canada BC Children’s Hospital
Toronto Hospital for SickKids McMaster Children’s Hospital
Children’s Aid Toronto University of British Columbia
USA Boston Children’s Hospital
Brown University Seattle Children’s Hospital
Australia Sydney Children’sHospital
TickiT is being used in
Inpatient Units Pediatric Subspecialty
Clinics Community Clinics
Transition Readiness Youth Clinics
School Counseling Sleep Research
Pediatric Urology Pilot Orthodontic Clinics
Current clients & clinical scenarios
Opportunities for new Questionnaires
