Research topics SFI

Early Health Technology Assessment (Early HTA)

The group working on early HTA will research how decision-makers can receive decision support at an early stage in innovation or quality improvement processes. Early HTA is applied for new services and technologies that are still under development. Within this framework, the group will research which methodological approaches and epidemiological designs are necessary to validate available data and assess the value of innovation at an early stage. The work package builds on research from the Center for Connected Care (C3).  Results for the C3 collaboration were synthesized in a decision support “Step Up”, this will be further developed and adjusted to needs in mental health through research in Forhelse. Research in the work package began at the end of 2023. Listed are our three focus areas for the research in Wp3 Early HTA.

1) Gain a deeper understanding of dependencies and challenges for the private and public healthcare sectors in relation to producing needs-based health services.

How do we work?
Digital Therapy in Public and Private Sectors
The demand for digital therapy within private and public healthcare varies. It appears that patients are more likely to accept or even prefer digital therapy with private providers. Is this based on economic models, differences in patient groups, or differences in attitudes among healthcare professionals in the public and private sectors? We want to interview clinicians and leaders in mental health to explore views and experiences regarding the use of video consultations in therapy across public and private sectors. Key questions in this work will be: What are the differences in digital practice between public and private healthcare services? What are healthcare professionals’ experiences with success criteria and challenges in digital therapy? What are leaders’ and healthcare professionals’ views on the feasibility of digital therapy?

2) Study the development and implementation of digitalization of existing health services.

How do we work?
Together for Improvement: Digitalization for Enhanced Shared Decision-Making in Mental Health Care
The project’s goal is to investigate whether we can use digital tools to increase shared decision-making in mental health care, both regarding the content of the treatment and the form of communication. We will test the mobile application iTandem in various patient populations and gain insights into the app’s impact on the degree of interaction, engagement, and adherence. Additionally, we will examine whether other digital elements, such as video and telephone, contribute to a greater sense of shared decision-making in the service.

The purpose of the project is to study the integration of digital tools in the follow-up of people with severe mental illness, to gain a better understanding of whether and how this can enhance the quality of treatment and increase adherence. Furthermore, we will investigate the potential effects of various follow-up options for this patient group. We will use early HTA, a framework developed at the C3 to investigate this. The method measures the extent to which the solutions meet the needs of stakeholders (patients, relatives, the healthcare system, and society) and simulates socio-economic effects.

3) Further develop tools for early HTA based on economic simulation and stakeholder analyses to identify unmet needs for change.

How do we work?
Cognitive Behavioral Therapy for Insomnia Patients – Digital Sleep Course
The project’s goal is to investigate whether cognitive behavioral therapy can provide heart patients with a good night’s sleep. Through the trial of a sleep course, heart patients at Vestre Viken will be included in a randomized controlled trial to investigate whether cognitive behavioral therapy can affect the patients’ degree of insomnia. Before the study is completed, the team in the work package will contribute to early HTA and simulate potential economic outcomes of treating the patient group for insomnia. We will assess how the intervention will affect the healthcare service in terms of economic outcomes and health care utilization. We will also look at socio-economic measures such as sick leave and disability in the patient group. The formative results will be validated according to the results from a planned RCT and will contribute to further develop the framework for early HTA.

Linn Nathalie Støme, Oslo University Hospital, leads the group.

Linn Støme

Linn Nathalie Støme

E-postadresse

Post doc, Centre for connected care (C3) Oslo universitetssykehus