Development of digital therapeutics in Hwa-byung treatment: exploring innovation potential in Korean medicine through practitioner survey

IntroductionHwa-byung (HB) is a culture-bound anger syndrome prevalent in Korea. While clinical practice guidelines emphasize mind–body modalities (MBMs) and psychotherapies for HB treatment, their implementation in Korean medicine (KM) remains unexplored. Digital therapeutics (DTx) offers potential...

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Main Author: Chan-Young Kwon
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1512337/full
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author Chan-Young Kwon
author_facet Chan-Young Kwon
author_sort Chan-Young Kwon
collection DOAJ
description IntroductionHwa-byung (HB) is a culture-bound anger syndrome prevalent in Korea. While clinical practice guidelines emphasize mind–body modalities (MBMs) and psychotherapies for HB treatment, their implementation in Korean medicine (KM) remains unexplored. Digital therapeutics (DTx) offers potential solutions for treatment delivery barriers. This study investigated current HB treatment practices among KM doctors and their perceptions on DTx implementation.MethodsA nationwide web-based survey of licensed KMDs (N = 864) was conducted in South Korea (August–September 2024). The survey assessed HB treatment practices, utilization of MBMs and psychotherapies, and attitudes toward DTx. Data were analyzed using descriptive statistics.ResultsMost KMDs utilized conventional KM treatments (acupuncture 95.4%, herbal medicine 94.0%), while MBMs (26.2%) and psychotherapies (21.3%) were underutilized despite their recognized importance. Primary barriers included time constraints (65.8%) and insufficient knowledge (62.9%). Treatment typically required 15.6 ± 60.7 weeks with 21.6 ± 37.4 sessions. While DTx knowledge was limited (mean score 2.3 ± 0.9/5), most KMDs (70.6%) expressed interest in DTx development, with 65.4% willing to implement it in practice. The estimated appropriate cost for HB DTx was 24,441.5 ± 13,566.0 KRW per session.ConclusionThis study reveals a significant gap between guidelines and clinical practice in HB treatment, particularly in implementing MBMs and psychotherapies. The positive attitude toward DTx suggests its potential as a practical solution to bridge this gap by providing accessible, standardized delivery of evidence-based psychological interventions within existing clinical workflows. Future DTx development should focus on addressing identified barriers while maintaining alignment with KM principles.
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spelling doaj-art-cd16188042d74e22b349d6e762228afb2025-01-15T06:11:01ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011110.3389/fmed.2024.15123371512337Development of digital therapeutics in Hwa-byung treatment: exploring innovation potential in Korean medicine through practitioner surveyChan-Young KwonIntroductionHwa-byung (HB) is a culture-bound anger syndrome prevalent in Korea. While clinical practice guidelines emphasize mind–body modalities (MBMs) and psychotherapies for HB treatment, their implementation in Korean medicine (KM) remains unexplored. Digital therapeutics (DTx) offers potential solutions for treatment delivery barriers. This study investigated current HB treatment practices among KM doctors and their perceptions on DTx implementation.MethodsA nationwide web-based survey of licensed KMDs (N = 864) was conducted in South Korea (August–September 2024). The survey assessed HB treatment practices, utilization of MBMs and psychotherapies, and attitudes toward DTx. Data were analyzed using descriptive statistics.ResultsMost KMDs utilized conventional KM treatments (acupuncture 95.4%, herbal medicine 94.0%), while MBMs (26.2%) and psychotherapies (21.3%) were underutilized despite their recognized importance. Primary barriers included time constraints (65.8%) and insufficient knowledge (62.9%). Treatment typically required 15.6 ± 60.7 weeks with 21.6 ± 37.4 sessions. While DTx knowledge was limited (mean score 2.3 ± 0.9/5), most KMDs (70.6%) expressed interest in DTx development, with 65.4% willing to implement it in practice. The estimated appropriate cost for HB DTx was 24,441.5 ± 13,566.0 KRW per session.ConclusionThis study reveals a significant gap between guidelines and clinical practice in HB treatment, particularly in implementing MBMs and psychotherapies. The positive attitude toward DTx suggests its potential as a practical solution to bridge this gap by providing accessible, standardized delivery of evidence-based psychological interventions within existing clinical workflows. Future DTx development should focus on addressing identified barriers while maintaining alignment with KM principles.https://www.frontiersin.org/articles/10.3389/fmed.2024.1512337/fullHwa-ByungKorean medicinedigital therapeuticsmind–body modalitiespsychotherapysurvey
spellingShingle Chan-Young Kwon
Development of digital therapeutics in Hwa-byung treatment: exploring innovation potential in Korean medicine through practitioner survey
Frontiers in Medicine
Hwa-Byung
Korean medicine
digital therapeutics
mind–body modalities
psychotherapy
survey
title Development of digital therapeutics in Hwa-byung treatment: exploring innovation potential in Korean medicine through practitioner survey
title_full Development of digital therapeutics in Hwa-byung treatment: exploring innovation potential in Korean medicine through practitioner survey
title_fullStr Development of digital therapeutics in Hwa-byung treatment: exploring innovation potential in Korean medicine through practitioner survey
title_full_unstemmed Development of digital therapeutics in Hwa-byung treatment: exploring innovation potential in Korean medicine through practitioner survey
title_short Development of digital therapeutics in Hwa-byung treatment: exploring innovation potential in Korean medicine through practitioner survey
title_sort development of digital therapeutics in hwa byung treatment exploring innovation potential in korean medicine through practitioner survey
topic Hwa-Byung
Korean medicine
digital therapeutics
mind–body modalities
psychotherapy
survey
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1512337/full
work_keys_str_mv AT chanyoungkwon developmentofdigitaltherapeuticsinhwabyungtreatmentexploringinnovationpotentialinkoreanmedicinethroughpractitionersurvey