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Using Wearable Digital Devices to Screen Children for Mental Health Conditions: Ethical Promises and Challenges

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dc.contributor.authorO’Leary, Aislingen
dc.contributor.authorLahey, Timothyen
dc.contributor.authorLovato, Juniperen
dc.contributor.authorLoftness, Brynen
dc.contributor.authorDouglas, Antranigen
dc.contributor.authorSkelton, Josephen
dc.contributor.authorCohen, Jenna G.en
dc.contributor.authorCopeland, William E.en
dc.contributor.authorMcGinnis, Ryan S.en
dc.contributor.authorMcGinnis, Ellen W.en
dc.date.accessioned2024-05-24T13:37:23Zen
dc.date.available2024-05-24T13:37:23Zen
dc.date.issued2024-05-18en
dc.date.updated2024-05-24T13:05:01Zen
dc.description.abstractIn response to a burgeoning pediatric mental health epidemic, recent guidelines have instructed pediatricians to regularly screen their patients for mental health disorders with consistency and standardization. Yet, gold-standard screening surveys to evaluate mental health problems in children typically rely solely on reports given by caregivers, who tend to unintentionally under-report, and in some cases over-report, child symptomology. Digital phenotype screening tools (DPSTs), currently being developed in research settings, may help overcome reporting bias by providing objective measures of physiology and behavior to supplement child mental health screening. Prior to their implementation in pediatric practice, however, the ethical dimensions of DPSTs should be explored. Herein, we consider some promises and challenges of DPSTs under three broad categories: accuracy and bias, privacy, and accessibility and implementation. We find that DPSTs have demonstrated accuracy, may eliminate concerns regarding under- and over-reporting, and may be more accessible than gold-standard surveys. However, we also find that if DPSTs are not responsibly developed and deployed, they may be biased, raise privacy concerns, and be cost-prohibitive. To counteract these potential shortcomings, we identify ways to support the responsible and ethical development of DPSTs for clinical practice to improve mental health screening in children.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationO’Leary, A.; Lahey, T.; Lovato, J.; Loftness, B.; Douglas, A.; Skelton, J.; Cohen, J.G.; Copeland, W.E.; McGinnis, R.S.; McGinnis, E.W. Using Wearable Digital Devices to Screen Children for Mental Health Conditions: Ethical Promises and Challenges. Sensors 2024, 24, 3214.en
dc.identifier.doihttps://doi.org/10.3390/s24103214en
dc.identifier.urihttps://hdl.handle.net/10919/119093en
dc.language.isoenen
dc.publisherMDPIen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectmental healthen
dc.subjectpediatricsen
dc.subjectdigital healthen
dc.subjectethicsen
dc.subjectartificial intelligenceen
dc.subjectwearablesen
dc.titleUsing Wearable Digital Devices to Screen Children for Mental Health Conditions: Ethical Promises and Challengesen
dc.title.serialSensorsen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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