This digital therapist, developed by Kaia Health, a German startup, is, by many measures, as good as a human therapist
your back is a bit tight today. Let’s modify your workout.” The voice is gentle yet commanding, the instructions rolled out in the signature cadence of a physiotherapist. It is also unmistakably robotic. Thephysio issues her commands straight from a smartphone’s speakers. A phone with a camera is all she needs to do her job: select the exercises to suit the patient’s injury, guide him through each session and order corrections when he is not doing something right .
Some European countries are designing special approval pathways that also stipulate how health apps are paid for through their health systems. In Germany health apps can get provisional approval for a year based on preliminary evidence of benefits, which obliges health insurers to pay for them. Apps that provide solid evidence from clinical trials get permanent approval. Twelve have already done so and another 19 are on the provisional list. France and Belgium are copying the German model.
Within a year most heart attack survivors prescribed cholesterol drugs are not even picking up their drugs Freespira trains them to normalise their breathing. Acacia Parks, a user whose panic attacks began when her husband was hospitalised after a car accident, is a trained psychologist. She says current treatments available for panic are awful. “You’re essentially pushing yourself towards the thing that’s causing your panic, so that you could purposely induce a panic attack and then learn to cope with it. Nobody wants to do that.
The smartness of such apps means that, effectively, they set their own dose. That means they can be prescribed to a large population without worrying too much about an individualised response. Some American health-care systems are integrating these therapeutic apps into the system-specific apps that patients already use to book appointments and see test results.
For all their promise, digital therapeutics are still a novelty among doctors. Matteo Berlucchi, a “serial digital entrepreneur” who founded Healthily, anself-care app and website, reckons that it may take as much as 15 years for digital therapies to be used as much as pills are today.
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