European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S761
3 Sobhraj Maternity Hospital, Gynaecology, Karachi, Pakistan
4 South London & Maudsley NHS Foundation Trust, Psychiatry,
London, United Kingdom
5 Dow University of Health Sciences, Institute of Nursing, Karachi,
Pakistan
6 The University of Central Lancashire, Preston, United Kingdom
7 Tech4Life Enterprises, Software, Karachi, Pakistan
8 Queens University, Psychiatry, Kingston, Canada
∗ Corresponding author.
Introduction Postnatal depression is known to cause disability
and suffering in women and negative consequences both for their
infants and their families, with huge costs globally. Several studies
from lowandmiddle income countries (LAMIC) have demonstrated
that effectively deliveredpsychological interventions are cost effec-
tive for improving maternal and child health, but access to these
interventions is limited in both the low and high income countries.
Objective The objective of the study is to develop and test a
mobile phone-based intervention (TechMotherCare), which will
include components of cognitive behavioural therapy (CBT) and
child development related psychoeducation.
Aim The aimof the study is to examine the feasibility and accept-
ability of the TechMotherCare intervention.
Methods A total of 36 participants will be recruited from health
centers in Karachi, Pakistan for this 2-arm randomized pilot study.
The TechMotherCare App intervention will be based on principles
of CBT and learning-through-play (LTP) a parenting intervention
and will assess the real-time depressive symptoms of participants
and respond, using intelligent real time therapy (iRTT) dependent
on symptoms reported by participants.
Results Outcome assessments will be completed after 3 months
(end of intervention). In-depth qualitative interviews will also be
conducted with participants pre- and post-intervention. The trial is
ongoing and we will present both the qualitative and quantitative
results.
Conclusions The results of this pilot trial will inform the design
of a larger randomised controlled trial using a mobile based tech-
nology platform to address the huge treatment gap in LAMICs.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1292
E-mental health: Updates on recent
achievements and pitfalls
D. Hilty ∗, A. Fiorillo (Direttore) , K. Krysta , M. Krausz ,
D. Mucic
1 Aligned Telehealth, Telemedicine, Davis, USA
2 Centro Collaboratore dell’ Organizzazione Mondiale, Dipartimento
di Psichiatria dell’, Università SUN, Naples, Italy
3 Medical University of Silesia, Department of Psychiatry and
Psychotherapy, Sosnowiec, Poland
4 School of Population and Public Health, Centre for Health
Evaluation and Outcome Sciences CHÉOS, Vancouver, Canada
5 The Little Prince Psychiatric Centre, Psychiatry, Copenhagen,
Denmark
∗ Corresponding author.
The patient-centered care features quality, affordable, and timely
care in a variety of settings – technology is a key part of that –
particularly among younger generations and child and adolescent
patients. The consumer movement related to new technologies
is nearly passing clinicians by, as new ways of communicating
with others (text, e-mail, Twitter, Facebook) revolutionizes how
we experience life and access healthcare. This paper explores a
continuum with healthy, innovative behavior on one end (e.g.,
social media) and pathological Internet use on the other end
– and the range of self-help and e-mental healthcare options
being used. Specifically, it focuses on how social media adds to,
yet may complicate healthcare delivery, such that clinicians may
need to adjust our approach to maintain therapeutic relationships,
interpersonal/clinical boundaries, and privacy/confidentiality. We
suggest planning ahead to discuss expectations about online com-
munication between doctors and patients as part of the informed
consent process, offer other do’s and dont’s for patients and clin-
icians, and review applicable guidelines. More research is needed
on consumer and patient use of technology related to healthcare,
as is an approach to basic and advancedmeasurement of outcomes.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1293
Telepsychiatry in the opinion of Polish
patients and psychiatrists
M. Wojtuszek , J. Kachnic , J. Wutke , K. Krysta∗
Medical University of Silesia, Department of Psychiatry and
Psychotherapy, Katowice, Poland
∗ Corresponding author.
Background Telepsychiatry takes advantage of modern com-
munication technologies and new forms of patient–doctor and
doctor–patient contact.
Objective This research focuses on the knowledge of telepsychia-
try and the attitude to it among patients and psychiatrists in Poland.
Subject and methods An anonymous survey was conducted
among 105 psychiatrists aged 26–74, including 74 women and 31
men and 102 patients aged 21–79, including 61 women and 41
men.
Results Research reveals that the majority of patients never met
with the concept of “epsychiatry” and do not know what it means.
However, more than 50% of respondents answered positively to
every question considering the utility of telepsychiatry. Further-
more according to 18%, it is possible to replace an eye-to-eye
conversation by videoconferencing. Only 15% of doctors claim to
have an extensive knowledge on telepsychiatry, and 10% do not
know what it means. The vast majority of physicians perceive pos-
itive aspects of this method of medical care, but 63% would not
want any general insertion of telepsychiatry. Doctors are appre-
hensive of losing personal data and medical confidentiality, and of
the necessity of legal changes.
Conclusions The obtained results allow us to conclude that Polish
patients and doctors, regardless of their knowledge, age, gender or
disease, perceive advantages of telepsychiatry. In connection with
this, implementing this method into the Polish medical market
makes sense and is in accordance with both patients’ and doc-
tors’ opinion. Based on our research, we confirmed that there is
a necessity of wider popularisation of telepsychiatry among Polish
therapists.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1294
MindfulSpot: A mindfulness mobile
app for people dealing with infertility
B. Monteiro ∗ alhardo Cunha Couto
F. Fonseca arvalho
1 Instituto Superior Miguel Torga, Psychology, Coimbra, Portugal
2 University of Coimbra, CINEICC, Faculty of Psychology and
Educational Sciences, Coimbra, Portugal
3 Instituto Superior Miguel Torga, Multimedia, Coimbra, Portugal
4 Instituto Superior Miguel Torga, Technology and programming of
information systems, Coimbra, Portugal
∗ Corresponding author.