7) Use of Electronic Health Records to
Enhance Women’s Menopause Knowledge
Stuti Dang 1,2,3 , Diana I. Ruiz 1,2 , Berry Thavalaathil 4 , Carlos Gomez-
Orozco 4 , Orlando Gomez-Marin 4 , Silvina Levis 1,2,3 , Remberto
Rodriguez 1
Miami Veterans Affairs Healthcare System, 2 Miami VA Geriatric
Research Education and Clinical Center, 3 University of Miami
Miller School of Medicine, 4 South Florida Veterans Affairs
Foundation for Research and Education
1
Background: Shared decision-making (SDM), is a patient-
provider collaborative process for making health decisions,
accounting for both clinical evidence and patients’ preferences.
Women can benefit from improved SDM regarding menopause
and associated conditions, which affect aging women.
Purpose: To assess impact of weekly materials related to
women’s health sent via secure messaging from an Electronic
Health Record (EHR) on knowledge and SDM regarding
menopause.
Methods: We implemented an educational intervention
for women using the EHR, My HealtheVet. We enrolled 140
women, ages 45-60, from the Miami Veteran Affairs Healthcare
System. After 6-months, participants were surveyed using a
study-specific questionnaire and the validated SDM-Q-9.
Results: Post intervention survey respondents included 80
women, mean age 53 ± 4; 76% Non-Hispanic, 24% Hispanic;
44% White, 44% Black; 92% with a college education; and
8% who attended graduate school. Post-intervention 88% of
the women felt more knowledgeable regarding menopause
treatment options; 87% recognized that a treatment decision
was necessary, 89% felt more confident discussing menopause
treatment with their provider, and 77% agreed their ability
for SDM improved; 48% stated their doctor asked about their
preferred decision-making involvement, 47% felt their doctors
asked about their preferences, 51% weighed the options
together, 48% agreed on treatment options; 27% planned
to make an appointment with provider to discuss hormone
therapy.
Conclusions: EHRs represent a novel and practical way
to enhance women’s knowledge of menopause and other
age-related conditions, and promote SDM. EHRs promise to
enhance SDM merits further exploration, as it may improve
patient-centered care, adherence, and patient outcomes.
8) Assessing the Efficacy of Mobile
Interpersonal Therapy for Depressed
College Students
Maggie Donovan, BS 1,2,3 , Ankita Batra 2 , Adriana Shen 2 , Rachel
Reyes 2 , Pratik Doshi, MS 3
1
Glia Mental Health, 2 University of Southern California, 3 Duke
University School of Medicine
Background: Glia Mental Health is a not-for-profit
organization that aims to dynamically change how depression
is treated for college students through a mobile phone app.
Currently, mental health stigmas, private counseling expenses,
and lack of resources at college health centers prevents
students from receiving the care they need. Since nearly 30%
of college students face depression in the United States, better
treatment options need to be established. Glia was created to
provide such an option. Through free online peer support, it
delivers proven Interpersonal Therapy (IPT) via an easy-to-use
and anonymous text platform. Such IPT groups include 3 to 4
students and a trained IPT counselor. The app was tested among
USC undergraduates, who are battling depression, with the
following 3 objectives kept in mind:
1) Test the efficacy of mobile and text based services to deliver
low intensity mental health support
2) Measure the change in depression status of current students
3) Assess areas of improvement for subsequent research
Methods:
• 6 USC undergraduate students participated in the pilot
study through the Glia mobile app
• An anonymous name (ex. Pink Otter) was provided to each
student
• Demographic data, previous therapy modalities and goals
were collected
• For one hour a week for 6 weeks, students participated in
Glia IPT counseling sessions through the mobile app’s text-
based platform
• Participants answered the Patient Health Questionnaire
(PHQ-9)
Results:
• Average Reduction for the 4 students was 3.75 points on
PHQ-9 Scale.
• Pink Otter went from severe depression to moderately
severe depression
Conclusion: Overall, a 3.75 reduction in depression severity
is significant, especially considering the short time frame.
Currently, Glia Mental Health is continuing these pilot studies
to confirm the efficacy of our method and make improvements
where needed. In the future, Glia hopes to partner with
university health centers and provide its services to countless
numbers of college students.
36 | Telemedicine Telehealth Service Provider Summit