Dror Ben-Zeev1, Rachel M Brian1, Geneva Jonathan1, Lisa Razzano1, Nicole Pashka1, Elizabeth Carpenter-Song1, Robert E Drake1, Emily A Scherer1. 1. Dr. Ben-Zeev and Ms. Brian are with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle. Ms. Jonathan is with the Department of Psychiatry and Behavioral Sciences, Northwestern University, Evanston, Illinois. Dr. Razzano is with the Department of Psychiatry, University of Illinois at Chicago and with Thresholds, Chicago. Ms. Pashka is with Thresholds, Chicago. Dr. Carpenter-Song is with the Department of Anthropology, Dartmouth College, Hanover, New Hampshire. Dr. Drake is with the Dartmouth Institute for Health Policy and Clinical Practice and Dr. Scherer is with the Department of Biomedical Data Science and the Department of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire. Dr. Drake is also with Westat, Rockville, Maryland.
Abstract
OBJECTIVE: mHealth approaches that use mobile phones to deliver interventions can help improve access to care for people with serious mental illness. The goal was to evaluate how mHealth performs against more traditional treatment. METHODS: A three-month randomized controlled trial was conducted of a smartphone-delivered intervention (FOCUS) versus a clinic-based group intervention (Wellness Recovery Action Plan [WRAP]). Participants were 163 clients, mostly from racial minority groups and with long-term, serious mental illness (schizophrenia or schizoaffective disorder, 49%; bipolar disorder, 28%; and major depressive disorder, 23%). Outcomes were engagement throughout the intervention; satisfaction posttreatment (three months); and improvement in clinical symptoms, recovery, and quality of life (assessed at baseline, posttreatment, and six months). RESULTS: Participants assigned to FOCUS were more likely than those assigned to WRAP to commence treatment (90% versus 58%) and remain fully engaged in eight weeks of care (56% versus 40%). Satisfaction ratings were comparably high for both interventions. Participants in both groups improved significantly and did not differ in clinical outcomes, including general psychopathology and depression. Significant improvements in recovery were seen for the WRAP group posttreatment, and significant improvements in recovery and quality of life were seen for the FOCUS group at six months. CONCLUSIONS: Both interventions produced significant gains among clients with serious and persistent mental illnesses who were mostly from racial minority groups. The mHealth intervention showed superior patient engagement and produced patient satisfaction and clinical and recovery outcomes that were comparable to those from a widely used clinic-based group intervention for illness management.
RCT Entities:
OBJECTIVE: mHealth approaches that use mobile phones to deliver interventions can help improve access to care for people with serious mental illness. The goal was to evaluate how mHealth performs against more traditional treatment. METHODS: A three-month randomized controlled trial was conducted of a smartphone-delivered intervention (FOCUS) versus a clinic-based group intervention (Wellness Recovery Action Plan [WRAP]). Participants were 163 clients, mostly from racial minority groups and with long-term, serious mental illness (schizophrenia or schizoaffective disorder, 49%; bipolar disorder, 28%; and major depressive disorder, 23%). Outcomes were engagement throughout the intervention; satisfaction posttreatment (three months); and improvement in clinical symptoms, recovery, and quality of life (assessed at baseline, posttreatment, and six months). RESULTS:Participants assigned to FOCUS were more likely than those assigned to WRAP to commence treatment (90% versus 58%) and remain fully engaged in eight weeks of care (56% versus 40%). Satisfaction ratings were comparably high for both interventions. Participants in both groups improved significantly and did not differ in clinical outcomes, including general psychopathology and depression. Significant improvements in recovery were seen for the WRAP group posttreatment, and significant improvements in recovery and quality of life were seen for the FOCUS group at six months. CONCLUSIONS: Both interventions produced significant gains among clients with serious and persistent mental illnesses who were mostly from racial minority groups. The mHealth intervention showed superior patient engagement and produced patient satisfaction and clinical and recovery outcomes that were comparable to those from a widely used clinic-based group intervention for illness management.
Entities:
Keywords:
Computer technology; Digital Health; Mobile Health; Psychoses; Psychotherapy/outcome studies; Schizophrenia; Smartphone
Authors: Kimberly H McManama O'Brien; Adeline Wyman Battalen; Christina M Sellers; Anthony Spirito; Shirley Yen; Eleni Maneta; Colleen A Ryan; Jordan M Braciszeweski Journal: J Technol Hum Serv Date: 2019-02-10
Authors: Ulrike Stentzel; Neeltje van den Berg; Kilson Moon; Lara N Schulze; Josephine Schulte; Jens M Langosch; Wolfgang Hoffmann; Hans J Grabe Journal: BMC Psychiatry Date: 2021-06-29 Impact factor: 3.630
Authors: Roger Vilardaga; Javier Rizo; Paige E Palenski; Paolo Mannelli; Jason A Oliver; Francis J Mcclernon Journal: Nicotine Tob Res Date: 2020-08-24 Impact factor: 4.244
Authors: Benjamin Buck; Kevin A Hallgren; Andrew T Campbell; Tanzeem Choudhury; John M Kane; Dror Ben-Zeev Journal: Front Psychiatry Date: 2021-05-31 Impact factor: 4.157