Use of mobile technologies in patients with psychosis: A systematic review

Bonet, Lucía; Izquierdo, Clara; Escartí, María J.; Sancho, José Vicente; Arce, David; Blanquer, Ignácio; Sanjuán, Julio

doi:10.1016/j.rpsmen.2017.05.010

Cited by 27 publications

(17 citation statements)

References 25 publications

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“…Smartphones, which are widespread and easily accessible, are a potentially viable mechanism to support the delivery of the care of first-episode psychosis [2]. People with psychosis commonly own Smartphones, use them in a similar way to the general population [3][4][5] and are willing and able to use digital health interventions (DHIs) [6,7].…”

Section: Introductionmentioning

confidence: 99%

A qualitative study of stakeholder views on the use of a digital app for supported self-management in early intervention services for psychosis

et al. 2021

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Background Digital tools such as Smartphones have the potential to increase access to mental health support including self-management interventions for individuals with psychosis, and ultimately to improve outcomes. Self-management strategies, including relapse prevention and crisis planning and setting personal recovery goals, are intended to assist people with long-term conditions to take an active role in their recovery, with evidence for a range of benefits. However, their implementation is inconsistent, and access and uptake need to be improved. The current study explores the acceptability of a Smartphone app (My Journey 3) that has been developed to facilitate supported self-management in Early Intervention in Psychosis (EIP) services. Methods Semi-structured one-to-one interviews were conducted with twenty-one EIP service users who had access to My Journey 3 as part of a feasibility trial, and with thirteen EIP service clinicians who were supporting service users with the app. Interviews focused on the acceptability and usability of My Journey 3. Data was coded to themes based on the Acceptability of Healthcare Interventions framework. Results Many service user participants found My Journey 3 to be acceptable. The symptom and medication trackers in particular were described as helpful. A smaller number of service users disliked the intervention. Individual-level factors that appeared to influence acceptability and engagement included recovery stage and symptom severity. Clinicians tended to report that My Journey 3 was a potentially positive addition to service users’ care, but they often felt unable to provide support due to competing demands in their work, which in turn may have impacted acceptability and usage of the app. Conclusions Our findings suggest that the app is perceived as having potential to improve users’ capacity to self-manage and work towards recovery goals, but barriers prevented many clinicians providing consistent and effective support as intended. Further evaluation of supported self-management apps in psychosis is warranted but needs to address implementation challenges from the start.

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Section: Introductionmentioning

confidence: 99%

A qualitative study of stakeholder views on the use of a digital app for supported self-management in early intervention services for psychosis

et al. 2021

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“…In the past decade there has been increasing research interest into the utilisation of online interventions for individuals with more serious mental illness, such as psychosis (Bonet et al, 2017; O'Hanlon et al, 2016). Preliminary research suggests that online interventions for psychosis are feasible and acceptable (Alvarez-Jimenez et al, 2014; Berry et al, 2016; Firth et al, 2016; Gay et al, 2016; Thomas et al, 2017), particularly for symptom monitoring and clinical management (Bell et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Predicting engagement with an online psychosocial intervention for psychosis: Exploring individual- and intervention-level predictors

Arnold

Villagonzalo

Meyer

et al. 2019

Internet Interventions

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BackgroundIndividuals with psychosis demonstrate positive attitudes towards utilising digital technology in mental health treatment. Although preliminary research suggests digital interventions are feasible and acceptable in this population, little is known about how to best promote engagement with these resources. Candidate predictors include therapist support, sources of motivation and recovery style. Understanding what factors predict engagement will aid more effective design and implementation of digital interventions to improve clinical benefits.ObjectiveThis study aimed to investigate demographic, psychological, and treatment variables that predict overall and type of engagement with a psychosocial, online intervention for individuals with psychosis.MethodsNinety-eight participants with a history of psychosis were given access to a web program containing modules on self-management and recovery, which they were asked to use flexibly at their own pace. Activity was automatically logged by the system. Baseline measures of demographics, recovery style and motivation were administered, and participants were randomised to receive either website access alone, or website access plus weekly, asynchronous emails from an online coach over 12 weeks. Log and baseline assessment data were used in negative binomial regressions to examine predictors of depth and breadth of use over the intervention period. A logistic regression was used to examine the impact of predictor variables on usage profiles (active or passive).ResultsDepth and breadth of engagement were positively predicted by receiving email support, low levels of externally controlled motivations for website use, older age, and having a tertiary education. There was a significant interaction between level of controlled motivation and condition (+/−email) on breadth and depth of engagement: receiving asynchronous emails was associated with increased engagement for individuals with low, but not high, levels of externally controlled motivations. Receiving email support and more autonomous motivations for treatment predicted more active use of the website.ConclusionsAsynchronous email support can promote engagement with online interventions for individuals with psychosis, potentially enabling self-management of illness and improving clinical outcomes. However, those using online interventions due to external motivating factors, may have low levels of engagement with the intervention, irrespective of coaching provided. These findings may guide design and implementation of future online interventions in this population.

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“…Recent evidence suggests that people with psychosis are adopting digital technology in a similar way to the general population,18–20 and that they are interested in using mental health interventions delivered via Smartphones 21 22. A systematic review has found that interventions delivered through apps or text messaging on Smartphones are acceptable and feasible for people with psychosis and may support recovery 23. Smartphone apps based on self-management principles have shown promise in a wide range of long-term health conditions,24 and are a potential way to deliver accessible low-cost support to adults with psychosis.…”

Section: Introductionmentioning

confidence: 99%

App to support Recovery in Early Intervention Services (ARIES) study: protocol of a feasibility randomised controlled trial of a self-management Smartphone application for psychosis

et al. 2019

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IntroductionMental health interventions delivered through digital technology have potential applications in promoting recovery and improving outcomes among people in the early stages of psychosis. Self-management approaches are recommended for the treatment of psychosis and could be delivered via applications (apps) installed on Smartphones to provide low-cost accessible support. We describe the protocol for a feasibility trial investigating a self-management Smartphone app intervention for adults using Early Intervention in Psychosis (EIP) services.Methods and analysisIn this feasibility randomised controlled trial, 40 participants will be recruited from EIP services in London and Surrey. Twenty participants will be randomised to receive a supported self-management Smartphone app (My Journey 3) plus Treatment As Usual (TAU), while the other 20 participants will receive TAU only. The primary objective of this study is to evaluate the feasibility of conducting a full-scale trial of this intervention in EIP services. Participant data will be collected at baseline and at two follow-up assessments conducted 4 months and 12 months post-baseline. Analysed outcome measures will include relapse of psychosis (operationalised as admission to a hospital or community acute alternative), mental health and well-being, recovery, quality of life and psychopathology. Semi-structured interviews with participants and EIP service clinicians will additionally explore experiences of using My Journey 3 and participating in the trial and suggestions for improving the intervention.Ethics and disseminationThe App to support Recovery in Early Intervention Services study has been reviewed and approved by the National Research Ethics Service Committee London—Brent (Research Ethics Committee reference: 15/LO/1453). The findings of this study will be disseminated through peer-reviewed scientific journals and conferences, magazines and web publications.Trial registration numberISRCTN10004994.

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Use of mobile technologies in patients with psychosis: A systematic review

Cited by 27 publications

References 25 publications

A qualitative study of stakeholder views on the use of a digital app for supported self-management in early intervention services for psychosis

A qualitative study of stakeholder views on the use of a digital app for supported self-management in early intervention services for psychosis

Predicting engagement with an online psychosocial intervention for psychosis: Exploring individual- and intervention-level predictors

App to support Recovery in Early Intervention Services (ARIES) study: protocol of a feasibility randomised controlled trial of a self-management Smartphone application for psychosis

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