Creating a Digital Health Smartphone App and Digital Phenotyping Platform for Mental Health and Diverse Healthcare Needs: an Interdisciplinary and Collaborative Approach

John Torous, Hannah Wisniewski, Bruce Bird, Elizabeth Carpenter, Gary David, Eduardo Elejalde, Dan Fulford, Synthia Guimond, Ryan Hays, Philip Henson,

Journal of Technology in Behavioral Science · 2019 · 216 citations · 20 references

DOIFull text

Open access

Concepts

TL;DR

Smartphone apps and sensors are increasingly used in healthcare, yet most platforms serve either clinicians or patients, creating a need for open, scalable tools that support both parties and their therapeutic relationship. The authors developed the LAMP platform to meet patient demands for trust, control, and community while providing clinicians with transparent, data‑driven, translational tools, aiming to deploy it in a digital psychiatry clinic and expand youth mental‑health interventions for underserved groups. LAMP was built through iterative design with extensive feedback from patients, designers, sociologists, advocates, clinicians, researchers, app developers, and philanthropists, resulting in an open, free, modular smartphone platform. The platform is actively evolving, with diverse use cases in psychiatry, neurology, anesthesia, and psychology, and its source code is freely shared to encourage adaptation and improvement.

Abstract

As the potential of smartphone apps and sensors for healthcare and clinical research continues to expand, there is a concomitant need for open, accessible, and scalable digital tools. While many current app platforms offer useful solutions for either clinicians or patients, fewer seek to serve both and support the therapeutic relationship between them. Thus, we aimed to create a novel smartphone platform at the intersection of patient demands for trust, control, and community and clinician demands for transparent, data driven, and translational tools. The resulting LAMP platform has evolved through numerous iterations and with much feedback from patients, designers, sociologists, advocates, clinicians, researchers, app developers, and philanthropists. As an open and free tool, the LAMP platform continues to evolve as reflected in its current diverse use cases across research and clinical care in psychiatry, neurology, anesthesia, and psychology. In this paper, we explore the motivation, features, current progress, and next steps to pair the platform for use in a new digital psychiatry clinic, to advance digital interventions for youth mental health, and to bridge gaps in available mental health care for underserved patient groups. The code for the LAMP platform is freely shared with this paper to encourage others to adapt and improve on our team's efforts.

References

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