HEALTHY LIVING
Navigating the vast world of mental health apps
(BPT) – This article is sponsored by Otsuka America Pharmaceutical, Inc.
Mental illness is a growing crisis in America that has been compounded by the pandemic1,2. In fact, more than 52 million adult Americans reported experiencing a mental illness in 2020 alone, according to the National Institute of Mental Health3. The silver lining is people are talking about their mental health and there are more options for getting help than ever before4.
“As conversations around mental health are normalized around the world, many people are exploring new and different management tools and resources to combat their condition,” said Dr. Stephen Schueller, associate professor of Psychological Science and Informatics at the University of California. Schueller continues, “In fact, one of the more common tools people are turning to are mental health apps.”
It’s estimated that more than 10,000 mental health apps are currently available in major apps stores5. With so many apps to choose from, it can be overwhelming to navigate through the options, prompting questions such as “what’s the difference between these apps?” or “which app is best for me?”
Understanding the Differences Between Apps
So, what are the differences between mental health apps and what features should potential users consider? As this is a relatively new and fast-growing area of healthcare, it’s important to understand that there are different categories of mental health apps designed to address specific objectives.
These include overall wellness apps and digital therapeutics:
- Wellness Apps
Wellness apps are software intended to promote healthy behaviors and wellness through things like teaching meditation skills, helping users stick to healthy habits, and providing general information and tips. They are not treatments for mental health conditions. These apps are generally not supported by evidence-based research and are not regulated6,7,8.
“There are a wide range of wellness apps available to patients as well as clinicians, but these apps have little to no oversight from the U.S. Food and Drug Administration, and many of them have not been reviewed or studied in a clinical trial to support claims of efficacy or safety,” according to Schueller.
- Digital Therapeutics
Unlike wellness apps, digital therapeutics are defined as high-quality software applications that help prevent, manage or treat a medical condition. These are often recommended and used under the care of a physician9.
Digital therapeutics help empower patients and clinicians with intelligent and accessible tools for addressing a wide range of conditions through high-quality, safe and effective data-driven interventions9. According to Schueller, these apps must meet certain core principles regarding user privacy, security and clinical evidence9.
- Prescription Digital Therapeutics
Within digital therapeutics, there are prescription digital therapeutics, or PDTs9. “PDTs require more rigorous and additional testing in clinical studies and ultimately must gain clearance from the FDA, demonstrating they can treat a condition safely and effectively,” said Schueller. “Importantly, PDTs can only be prescribed by a clinician.”
Having a foundational understanding of available apps and the difference between app categories is the first step, but there are also a few key questions to ask while navigating the vast world of mental health apps, including:
- Are there data or studies showing this app is effective at what it claims to do?
- Who is the app developer and what experience do they have in mental health?
- How will personal data be protected? Will data be shared with third parties?
- What do trusted sources (like clinicians, regulators or independent rating groups) say about this product?
“Taking the time to do the research and ask the critical questions is an important step before using any health app,” said Dr. Schueller, adding, “However, if you are experiencing symptoms of a mental illness, don’t try to rely on an app alone, talk to a doctor about a treatment plan that is right for you.”
For more information on navigating the vast world of mental health apps click here.
References
- Kearney, A., Hamel, L., & Brodie, M. (2021, April 14). Mental health impact of the COVID-19 pandemic: An update. KFF. https://www.kff.org/coronavirus-covid-19/poll-finding/mental-health-impact-of-the-covid-19-pandemic/
- Mental health – A Workforce Crisis. American Heart Association CEO Roundtable. (2019, March 5). https://ceoroundtable.heart.org/mental-health-a-workforce-crisis-report/
- U.S. Department of Health and Human Services. (n.d.). Mental illness. National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/mental-illness
- Naslund, J. A., & Aschbrenner, K. A. (2021, September 12). Technology use and interest in digital apps for Mental Health Promotion and lifestyle intervention among young adults with serious mental illness. Journal of Affective Disorders Reports. https://doi.org/10.1016/j.jadr.2021.100227
- Clay, R. A. (2021, January 1). Mental health apps are gaining traction. Monitor on Psychology. https://www.apa.org/monitor/2021/01/trends-mental-health-apps
- Stoyanov, S. R., et al. (2015, November 3). Mobile app rating scale: A new tool for assessing the quality of Health Mobile Apps. JMIR mHealth and uHealth. https://mhealth.jmir.org/2015/1/e27/
- Bakker, D., Kazantzis, N., Rickwood, D., & Rickard, N. (2016). Mental Health Smartphone Apps: Review and Evidence-Based Recommendations for Future Developments. JMIR mental health, 3(1), e7. https://doi.org/10.2196/mental.4984
- Torous, J., Luo, J., & Chan, S. R. (2018, March). Mental health apps: What to tell patients. Current Psychiatry. https://www.mdedge.com/psychiatry/article/159127/depression/mental-health-apps-what-tell-patients
- Digital Therapeutics Alliance. Digital Therapeutics: Combining Technology and Evidence-based Medicine to Transform Personalized Patient Care. (2018, October). https://www.dtxalliance.org/wp-content/uploads/2018/09/DTA-Report_DTx-IndustryFoundations.pdf
HEALTHY LIVING
5 habits to help maintain immune health
(Family Features) Cold and flu season is here. The best way to battle cold and flu season is to prevent coming down with anything at all. While it’s impossible to stay entirely safe from germs, sniffles and coughs, there are a few healthy habits you can incorporate for extra protection this year.
Along with the guidance you receive from your health care provider, consider these dietary and lifestyle recommendations to support your immune system naturally.
Commit to a Healthier Diet: Essential for optimizing your immune system, eating a healthy diet consisting of more foods like fruits, vegetables, nuts, seeds, legumes and whole grains is recommended by experts. These foods contain beneficial plant compounds linked to health benefits in humans. Case in point: fresh grapes.
Natural grape compounds, including antioxidants and other polyphenols, may help protect the health and function of cells. At the most basic level, healthy cells are the foundation of good health.
Making simple swaps such as choosing fresh California grapes instead of processed snacks or adding grapes into favorite recipes for a healthy boost are tasty ways to add these beneficial compounds.
Studies suggest some grape compounds may positively influence immune function, including resveratrol and certain flavonoids. Additional studies show adding heart-healthy grapes to your daily diet can help support brain, colon and skin health. Grapes are also a good source of vitamin K, which may help support lung health. Incorporate the health benefits of grapes into your diet with an easy, convenient recipe like Grape and Brussels Sprout Slaw, perfect for eating on its own or pairing with a favorite protein such as grilled chicken breast.
Prioritize Basic Hygiene: Preventive practices can help you avoid germs, protecting yourself and others at the same time. Frequently wash your hands using soap and water, limit contact with others who may be sick and cover your nose and mouth with a tissue or elbow while coughing or sneezing.
Stay Active: Cold and flu season lines up with brisk temperatures, often making it more difficult to get outside for exercise. Find an activity you enjoy like moderate-intensity walking, jogging, biking or playing an aerobic sport. The “Journal of Sport and Health Science” reports exercise can help improve immune response and reduce inflammation, making it a key way to prepare your body to fight back.
Hydrate, Hydrate, Hydrate: Staying hydrated helps your immune system by keeping the body’s defenses functioning properly. In addition to drinking water, you can increase hydration by eating foods with high water content like grapes, which contain about 82% water.
Manage Stress: You can help control stress – which has a negative impact on overall health and wellness – in a number of ways. Practice deep breathing or meditation, engage in activities and hobbies that bring joy and develop nighttime habits that promote good sleep. If snacking in the evening, choose foods such as grapes that are a natural source of melatonin, a compound which helps regulate sleep cycles. Talk with someone you trust, like a friend, family member or mental health professional, to help relieve stress.
Visit GrapesFromCalifornia.com to find more ways to support your immune health.
Grape and Brussels Sprout Slaw
Servings: 6
- 1 bag (12 ounces) shredded Brussels sprouts
- 2/3 cup finely shredded red cabbage
- 2 cups red Grapes from California, halved lengthwise
- 1/2 cup finely diced red onion
- 3 scallions, trimmed and thinly sliced
- 2 tablespoons rice vinegar
- 1 1/2 tablespoons honey
- 1 teaspoon fresh lemon or lime juice
- 1 teaspoon low-sodium soy sauce
- 2 tablespoons olive oil
- 1 tablespoon toasted (dark) sesame oil
- freshly ground black pepper, to taste
- 3 tablespoons toasted sesame seeds
- In large mixing bowl, combine shredded sprouts, cabbage, grapes, onion and scallions.
- In small bowl, whisk vinegar, honey, lemon or lime juice and soy sauce. Drizzle in olive and sesame oils while whisking. Toss well with slaw mixture. Chill 45 minutes to incorporate flavors. Season with pepper and sprinkle sesame seeds on top.
Nutritional information per serving: 170 calories; 4 g protein; 22 g carbohydrates; 9 g fat (48% calories from fat); 1.5 g saturated fat (8% calories from saturated fat); 0 mg cholesterol; 60 mg sodium; 4 g fiber.
HEALTHY LIVING
How to discuss vaccination with family, friends
(Family Features) During the fall and winter months, respiratory infections such as flu, COVID-19 and RSV can surge. People who are vaccinated lower their risk of getting seriously ill and needing medical care if they get infected. About 70% of adults in the United States said they probably or definitely will get a flu shot, and more than 50% said they probably or definitely will get an updated COVID-19 vaccine. While many people are ready to get this season’s vaccines, others might still have questions.
“It is normal for people to have questions about vaccines,” said Peter Marks, MD, PhD, director of the U.S. Food and Drug Administration’s Center for Biologics Evaluation and Research, which oversees and reviews vaccine clinical trials. “It’s important for everyone to know that all vaccines go through extensive testing before they are approved and that following approval, they are carefully monitored to identify any safety concerns so that they can be addressed quickly. Hundreds of thousands of volunteers have taken part in respiratory vaccine trials. The results tell us that these vaccines are safe and effective in preventing severe disease caused by flu, COVID-19 and RSV.”
Here are some ways to talk about the importance of this season’s vaccines with a family member or friend who is unsure about getting vaccinated.
Hear them out.When talking about vaccination, it’s important to make others feel heard. There are many reasons why people may have questions and concerns about vaccines or even the health care system in general. Listen to their thinking and try not to judge. They want to know their thoughts and feelings matter.
Focus on the facts. Instead of calling out vaccine myths, focus on vaccine truths. Concentrating on myths can cause them to become the topic of your conversation. Instead, speak about the benefits of vaccines. For instance, you can mention vaccines cut your risk of being hospitalized for flu or COVID-19 by about half.
Ask if they need help getting vaccinated. Sometimes, people just need some help to find, schedule and get a vaccination. You can help them find a vaccine location at Vaccines.gov. They may also need help finding child care or figuring out whether they can take time off from work. Offering a ride or accompanying them can also be helpful, especially if the closest vaccination site is far away. If English is not their primary language, offer to help them schedule the appointment and arrange for a medical translator if needed. When it’s easier to get vaccinated, people are more likely to take this important step to help protect their health.
Having open, honest and supportive conversations about vaccines with family members and friends can make all the difference. For more information, visit cdc.gov/RiskLessDoMoreor talk to your doctor.
Flu, COVID-19 and RSV Vaccines Help People Risk Less Severe Illness and Do More of What They Enjoy
This season’s vaccines are now available. Everyone 6 months and older should get an updated flu and COVID-19 vaccine. Everyone ages 75 and older, or 60 and older with certain health conditions such as such as heart disease, lung disease, obesity or diabetes, should get an RSV vaccine if they have not been vaccinated for RSV before.
For certain people, the risk of serious respiratory illness remains high. These include adults ages 65 and older, residents of long-term care facilities, pregnant people, people with certain health conditions and those living in rural areas. People in some racial and ethnic groups, including people who are Black or Hispanic, are also at higher risk. People who are not up to date on flu, COVID-19 and RSV vaccines can reduce their risk by getting their 2024-25 vaccines as soon as they can.
To get started, visit Vaccines.gov.
Photos courtesy of Shutterstock
SOURCE:
United States Department of Health and Human Services
HEALTHY LIVING
Smart starts for a healthy heart
Improve hydration, skip added sugars with better-for-you beverages
(Family Features) How you start your morning can impact the rest of your day. If you’re looking to incorporate healthier choices into your morning routine, try a concept known as “habit stacking.” Building tiny, healthier habits into routines you already have, like enjoying a morning beverage or breakfast before you check your email instead of jumping right into the day’s tasks, can make it easier to stick to a new habit when it’s built into an existing routine.
If you already enjoy the routine of breakfast to start the day, consider swapping sugary drinks for beverages without added sugars like unsweetened green or black tea. When incorporated as part of an overall healthy diet, unsweetened tea can help support heart health.
If you need help getting started, Lipton, a proud national sponsor of the American Heart Association’s Life is Why campaign, created these easy-to-make, better-for-you tea recipes.
A small handful of ingredients makes a big splash in Green Tea Berry Banana Smoothies, ideal for an on-the-go breakfast. For a little refreshment any time of day, simple Sparkling Green Tea Cranberry Spritzers offer a solution with 0 grams of added sugars while non-alcoholic Green Tea Mojito Mocktails provide natural sweetness with 100% fruit juice.
Choosing beverages with no added sugars can contribute to a healthy heart, according to the American Heart Association, making these recipes perfect for daily habit stacking. Water is needed to keep your body running at its best, and because unsweetened tea is 99.5 % water, it provides a delicious way to help hydrate.
Discover more ways to improve daily routines at Heart.org/eatsmart.
Green Tea Berry Banana Smoothies
Recipe courtesy of the American Heart Association
Servings: 4 (1 1/2 cups per serving)
- 3 cups water
- 8 single-serving green tea bags
- 16 ounces frozen mixed berries (about 3 cups)
- 2 medium bananas, peeled, cut in half and frozen
- 1 cup fat-free plain Greek yogurt
- 2 teaspoons fresh-grated peeled gingerroot (optional)
- 2 teaspoons vanilla extract (optional)
- 2 teaspoons chia or flax seeds (optional)
- In small saucepan over high heat, bring water to boil. Remove pan from heat. Submerge tea bags. Steep 4 minutes. Discard tea bags. Let tea mixture cool 30 minutes. Pour into pitcher. Refrigerate 2 hours, or until chilled.
- In food processor or blender, process tea, berries, bananas and yogurt until smooth. Add gingerroot and vanilla, if desired, and process until smooth. Pour into four glasses. Sprinkle with chia seeds, if desired.
Nutritional information per serving (without optional ingredients): 136 calories; 1 g total fat (0 g saturated fat, trans fat, polyunsaturated fat and monounsaturated fat); 3 mg cholesterol; 23 mg sodium; 29 g carbohydrates; 5 g fiber; 18 g total sugars (0 g added sugars); 8 g protein.
Green Tea Mojito Mocktails
Recipe courtesy of the American Heart Association
Servings: 4 (1 1/2 cups per serving)
- 4 cups water
- 4 single-serving green tea bags
- 32-40 sprigs fresh mint, plus additional for garnish, divided
- 2 cups ice cubes
- 1 cup 100% white grape juice
- 1/2 cup fresh lime juice (about 4 medium limes)
- 1 medium lime, cut into four wedges or lime zest twists (optional)
- In small saucepan over high heat, bring water to boil. Remove pan from heat. Submerge tea bags. Steep 4 minutes. Discard tea bags. Let tea mixture cool 30 minutes. Pour into pitcher. Refrigerate 2 hours, or until chilled.
- At serving time, add mint leaves to four glasses. Using muddler or wooden spoon, mash mint leaves several times to release juices. Don’t mash into pulp. Add ice.
- Stir white grape juice and lime juice into tea mixture. Pour into glasses. Garnish each with lime wedge and mint leaf.
Tip: To get more juice from citrus, before slicing, microwave fruit on high 30 seconds, or until warm. When cool enough to handle, use citrus reamer or handheld juice press to juice citrus.
Nutritional information per serving: 45 calories; 0 g total fat (0 g saturated fat, trans fat, polyunsaturated fat and monounsaturated fat); 0 mg cholesterol; 7 mg sodium; 13 g carbohydrates; 0 g fiber; 10 g total sugars (0 g added sugars); 1 g protein.
Sparkling Green Tea Cranberry Spritzers
Recipe courtesy of the American Heart Association
Servings: 4 (1 1/2 cups per serving)
- 4 cups water
- 4 single-serving green tea bags
- 1 cup 100% cranberry juice or 100% cranberry-pomegranate juice
- 2 cups ice cubes
- 1/2 cup seltzer (flavored or plain) or low-sodium club soda, chilled
- 4 orange slices or lime wedges (optional)
- In small saucepan over high heat, bring water to boil. Remove pan from heat. Submerge tea bags. Steep 4 minutes. Discard tea bags. Let tea mixture cool 30 minutes. Pour into pitcher. Stir in cranberry juice. Refrigerate 2 hours, or until chilled.
- At serving time, put ice cubes in four glasses. Pour tea mixture into glasses. Top each serving with seltzer. Garnish with orange slices.
Tip: To create cranberry-flavored ice cubes, fill ice cube tray with 100% cranberry juice and freeze.
Nutritional information per serving: 32 calories: 0 g total fat (0 g saturated fat, trans fat, polyunsaturated fat and monounsaturated fat); 0 mg cholesterol; 4 mg sodium; 8 mg carbohydrates; 0 g fiber; 8 g total sugars (0 g added sugars); 1 g protein.
SOURCE:
American Heart Association
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