Integration of Artificial Intelligence (AI) Based Cognitive Behavioral Therapy (CBT) with the Electronic Medical Record (EMR), and Effectiveness Comparison to In-Person CBT

The Opportunity

Patients visit a doctor’s office because they’re in pain. Acute pain is easy to manage, but one in five Americans actually live with chronic pain, and it typically doesn’t stop there. Chronic pain can lead to physical dysfunction and exacerbate anxiety and depression.

Our Approach

Dr. Cheng’s team sought to solve two inter-related problems. The first problem was how to treat pain using a holistic, person-centered approach at the Living Well Center. The second problem was how to harness technology to practically improve patient care. The team set out to create an effective, automated, point-of-care Electronic Medical Record (EMR) notification for clinicians when a patient exhibits concerning anxiety and/or depression symptoms. They assessed the effectiveness of a mobile health (mHealth)-based tool (Wysa©) to improve patient-reported anxiety and depression symptoms at one and two months, as well as enable point-of-care visualization of patients’ mHealth behavioral health treatment usage via the EMR.

The Solution

At the end of its year-long project, the team found that this intervention Improved Patient-Reported Outcomes Measurement Information System (PROMIS) visualization was clinically stable and that there is a role for a mHealth mental health tool for orthopedic patients.