Bridging the gap from medical to psychological safety assessment: consensus study in a digital mental health context.

Journal article

Taher, R., Bhanushali, Palak, Allan, S., Alvarez-Jimenez, Mario, Bolton, Heather, Dennison, Laura, Wallace, Brian E., Hadjistavropoulos, Heather D, Hall, Charlotte L, Hardy, Amy, Henry, A., Lane, Sam, Maguire, Tess, Moreton, Adam, Moukhtarian, Talar R., Vallejos, Elvira Perez, Shergill, Sukhi, Stahl, Daniel, Thew, Graham R., Timulak, Ladislav, van den Berg, David, Viganò, Noemi, Stock, Ben Wensley, Young, Katherine S. and Yiend, Jenny 2024. Bridging the gap from medical to psychological safety assessment: consensus study in a digital mental health context. BJPsych Open. 10 (4), p. e126. https://doi.org/10.1192/bjo.2024.713
AuthorsTaher, R., Bhanushali, Palak, Allan, S., Alvarez-Jimenez, Mario, Bolton, Heather, Dennison, Laura, Wallace, Brian E., Hadjistavropoulos, Heather D, Hall, Charlotte L, Hardy, Amy, Henry, A., Lane, Sam, Maguire, Tess, Moreton, Adam, Moukhtarian, Talar R., Vallejos, Elvira Perez, Shergill, Sukhi, Stahl, Daniel, Thew, Graham R., Timulak, Ladislav, van den Berg, David, Viganò, Noemi, Stock, Ben Wensley, Young, Katherine S. and Yiend, Jenny
AbstractDigital Mental Health Interventions (DMHIs) that meet the definition of a medical device are regulated by the Medicines and Healthcare products Regulatory Agency (MHRA) in the UK. The MHRA uses procedures that were originally developed for pharmaceuticals to assess the safety of DMHIs. There is recognition that this may not be ideal, as is evident by an ongoing consultation for reform led by the MHRA and the National Institute for Health and Care Excellence. The aim of this study was to generate an experts' consensus on how the medical regulatory method used for assessing safety could best be adapted for DMHIs. An online Delphi study containing three rounds was conducted with an international panel of 20 experts with experience/knowledge in the field of UK digital mental health. Sixty-four items were generated, of which 41 achieved consensus (64%). Consensus emerged around ten recommendations, falling into five main themes: Enhancing the quality of adverse events data in DMHIs; Re-defining serious adverse events for DMHIs; Reassessing short-term symptom deterioration in psychological interventions as a therapeutic risk; Maximising the benefit of the Yellow Card Scheme; and Developing a harmonised approach for assessing the safety of psychological interventions in general. The implementation of the recommendations provided by this consensus could improve the assessment of safety of DMHIs, making them more effective in detecting and mitigating risk.
KeywordsDigital mental health interventions; Consensus; Mental health; Safety; MHRA
Year2024
JournalBJPsych Open
Journal citation10 (4), p. e126
PublisherCambridge University Press
ISSN2056-4724
Digital Object Identifier (DOI)https://doi.org/10.1192/bjo.2024.713
https://doi.org/S2056472424007130
Official URLhttps://www.cambridge.org/core/journals/bjpsych-open/article/bridging-the-gap-from-medical-to-psychological-safety-assessment-consensus-study-in-a-digital-mental-health-context/91014B17B1C8F872E686CF6316A94363
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Online03 Jun 2024
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Deposited19 Jun 2024
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