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Abstract: This webinar was the fourth in a series of collaborative webinars between the CTN and CSAT. In this session, an overview of the state of the science of applying digital therapeutics (e.g., mobile, web-based therapeutic tools) to substance use disorder (SUD) care was presented (30 minutes). CSAT provided an overview of their portfolio on the intersection of digital technology and SUDs, and CSAT grantees provided a few examples of this work (30 minutes). The presentations were followed by a 30 minute discussion with meeting participants on challenges and opportunities in sustainable implementation of digital therapeutics in SUD care. Presentations included:

• Overview of the State of the Science of Applying Digital Therapeutics to Substance Use Disorder (SUD) Care — Lisa A. Marsch, PhD, Dartmouth Center for Technology and Behavioral Health (Northeast Node of the CTN)
• Targeted Capacity Expansion – Technology Assisted Care (TCE-TAC) Program Overview — Wilson Washington, CSAT/SAMHSA
• The Science of Digital Therapeutics: The CHC Experience — Kasey Harding, MPH, Center for Key Populations
• Heartview Foundation Network Assisted Recovery — Kurt Snyder, Heartview Foundation
• Behavioral Tele-Health: CSAT/CTN Webinar — Dianne Clarke, PhD, Operation PAR, Inc

Abstract:

The mHealth revolution brings exciting possibilities for both researchers and clinicians, but the use of this technology also raises unique ethical concerns. The purpose of this talk is two-fold. First, we will be discussing some of the most pressing ethical challenges around mHealth. This will involve looking carefully at issues around data ownership, privacy, transparency, and consent. Second, we will introduce some possible solutions. Come discuss what researchers, clinicians, and institutions can do to address ethical risk.

Dr. Tiffany Cvrkel is a bioethicist, philosopher, and lecturer in UCLA’s Department of Molecular, Cell, & Developmental Biology. The primary focus of her work is categorizing the impact and limitations of deliberation as it occurs in the contexts of biomedical ethics. Her particular area of expertise is the ethics of emerging biomedical technologies, including the ethical challenges around mHealth, eHealth, and Big Data. In addition to being an award-winning teacher, she serves as a consultant to scientists and clinicians working with bioethical questions. She specializes in both bringing clarity to bioethical challenges and to assisting in the creation of practical solutions.

Additional Resources:

• Download slides (pdf)

Abstract:

All over the world, consumers, industry, educational organizations and healthcare systems, are increasingly incorporating mobile technologies (e.g., web/mobile monitoring and therapeutic tools; mobile sensing) into their daily lives. At the same time, researchers experience challenges in optimally incorporating such technologies into the design and execution of studies.

This seminar series will highlight leaders in their fields to discuss topics of direct relevance to the application of mobile technologies to clinical care and research. Expert speakers will discuss topics such as: the state of the science of applying mobile health technologies in research; the use of mobile technology for data collection and/or intervention delivery; and privacy, ethics, and regulatory standards that directly impact the use of such technologies in CTN research.

Webinar 1:
October 13, 2015
Kenzie Preston, PhD (NIDA)
Substance Abuse Research with Mobile Technology
View webinar video

Webinar 2: November 17, 2015
Lisa A. Marsch, PhD
(Dartmouth)
Applying Technology to Substance Use Disorders: The State of Science and Future Opportunities
View webinar video | Download slides (ppt)

Webinar 3: December 15, 2015
Amar Das, MD, PhD (Dartmouth)
Mining Big Healthcare Data: Tales from an Informatics Odyssey
View webinar video | Download slides (pptx)

Webinar 4: January 26, 2016
David Kotz, PhD (Dartmouth)
Security and Privacy: Mobile Medical Applications
View webinar video | Download slides (pdf)

Webinar 5: March 14, 2016
Susan A. Murphy,
PhD (Institute for Social Research)
Micro-Randomized Designs for Research Using mHealth Technologies
View webinar video | Download slides (pdf)

Webinar 6: April 5, 2016
Jonathan H. Chen, MD,
PhD (Stanford Dept of Medicine)
Opioid Prescribing Distribution: What If It’s Not Just a Few Bad Apples?
View webinar video | Download slides (pdf) | See also Chen’s article “The Patient You Least Want to See” (JAMA 2016;315(16):1701-1702)

Webinar 7: May 24, 2016
Clif Johnson, CRAADC (Southeast Missouri Behavioral Health)
Developing, Implementing, and Sustaining a Community Based Medication Assisted Recovery Program Using Technology. View webinar video | Download slides (pdf)

Abstract:

This workshop, led by Carmen Rosa of NIDA’s Center for the Clinical Trials Network, featured three presentations focused on the use of various types of new media in the design and conduct of clinical trials. Over 82% of adults now use internet or email, including 53% of those age 65 and older. Additionally, 67% of online adults use social networking sites. Mobile devices such as smartphones, tablets, netbooks, and laptops are now a primary source of Internet connectivity, and 79% of cell phone owners say they use text messaging. As use of these tools continues to grow, exploring ways to put them to use in clinical trials seems increasingly relevant.

The first presentation, by Erin Winstanley, “Using New Media Tools in the Design and Conduct of Clinical Trials,” provided an overview of the concept of “new media” and ways it can be applied to research, including advertising of studies, recruiting/tracking participants, communicating with participants, and disseminating research findings. An introduction to Facebook and Twitter is provided, as well as a look at the use of blogs, Pinterest, and LinkedIn.

Gloria Miele presented on “Social Media Communication Strategy,” giving participants a look at ways to think about and draft policies regarding the use of social media in your study or workplace. A variety of legal considerations, as well as examples of using social media to recruit study participants is also provided. Sample IRB guidance is included, along with IRB Best Practices for using new media. The presentation ends with a case study based on CTN-0044 (“Web Delivery of Evidence-Based, Psychosocial Treatment for Substance Use Disorders”), which used social media platforms like Facebook, as well as email and texting, to contact and follow-up with participants.

The third presentation, by Lynn Simpson, was a demonstration of the variety of uses for “REDCap, Research Electronic Data Capture, A Data Management and Survey Tool.” REDCap is a web-based application designed to give researchers and clinicians the capacity to create and manage databases and surveys in order to support data capture for research.

Related protocols: CTN-0044