Monitoring daily affective symptoms and memory function using interactive voice response in outpatients receiving electroconvulsive therapy.
Monitoring daily affective symptoms and memory function using interactive voice response in outpatients receiving electroconvulsive therapy.
复制标题
使用交互式语音响应监测接受电休克治疗的门诊患者的日常情感症状和记忆功能。
DOI：
10.1097/yct.0b013e3182972bbb
复制
发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Helzer,JohnE
中科院分区：
文献类型：
--
作者：
Fazzino,TeraL;Rabinowitz,Terry;Althoff,RobertR;Helzer,JohnE
ObjectiveRecently, there has been a gradual shift from inpatient-only electroconvulsive therapy (ECT) toward outpatient administration. Potential advantages include convenience and reduced cost. But providers do not have the same opportunity to monitor treatment response and adverse effects as they do with inpatients. This can obviate some of the potential advantages of outpatient ECT, such as tailoring treatment intervals to clinical response. Scheduling is typically algorithmic rather than empirically based. Daily monitoring through an automated telephone, interactive voice response (IVR), is a potential solution to this quandary.MethodsTo test feasibility of clinical monitoring via IVR, we recruited 26 patients (69% female; mean age, 51 years) receiving outpatient ECT to make daily IVR reports of affective symptoms and subjective memory for 60 days. The IVR also administered a word recognition task daily to test objective memory. Every seventh day, a longer IVR weekly interview included questions about suicidal ideation.ResultsOverall daily call compliance was high (mean, 80%). Most participants (96%) did not consider the calls to be time-consuming. Longitudinal regression analysis using generalized estimating equations revealed that participant objective memory functioning significantly improved during the study (P< 0.05). Of 123 weekly IVR interviews, 41 reports (33%) in 14 patients endorsed suicidal ideation during the previous week.ConclusionsInteractive voice response monitoring of outpatient ECT can provide more detailed clinical information than standard outpatient ECT assessment. Interactive voice response data offer providers a comprehensive, longitudinal picture of patient treatment response and adverse effects as a basis for treatment scheduling and ongoing clinical management.
