Mobile Phone Ownership and Endorsement of "mHealth" Among People With Psychosis: A Meta-analysis of Cross-sectional Studies
Mobile Phone Ownership and Endorsement of "mHealth" Among People With Psychosis: A Meta-analysis of Cross-sectional Studies
复制标题
DOI：
10.1093/schbul/sbv132
复制
发表时间：
2016-03-01
影响因子：
6.6
通讯作者：
Yung, Alison R.
中科院分区：
文献类型：
--
作者：
Firth, Joseph;Cotter, Jack;Yung, Alison R.
目前，人们越来越关注使用移动的电话来支持治疗精神障碍，例如精神分裂症。然而，这些干预措施的广泛实施将最终取决于患者对移动的设备的访问以及他们参与移动的健康（“mHealth”）的意愿。因此，我们进行了一项系统回顾和荟萃分析，以评估精神病患者的移动的手机所有权和对移动健康的兴趣。使用与移动的电话和精神疾病同义的检索词，对奥维德MEDLINE、Embase、PsycINFO、CENTRAL、AMED、卫生技术评估数据库和健康管理信息联盟数据库进行了电子检索。初步文献检索得到2572个结果。15项研究符合入选标准，报告了来自12个独立精神病患者样本的数据（n = 3227）。有关移动的手机的所有权，使用，并与精神障碍患者的mHealth意见的数据从这些研究中提取，并应用荟萃分析技术。总体移动的手机拥有率为66.4%（95% CI = 54.1%-77.6%）。然而，我们发现强有力的统计证据表明，自2007年以来，移动的电话拥有率显著增加，过去2年调查的患者中的比率为81.4%（n = 454）。此外，在移动健康可接受性调查中，大多数患者都赞成使用移动的电话，以加强与服务的联系并支持自我管理。考虑到移动的电话的日益普及和患者对移动健康的广泛接受，现在有必要制定和评估移动健康干预措施，以加强精神病患者的医疗服务。
There is currently growing interest in using mobile phones to support the treatment of psychotic disorders, such as schizophrenia. However, the widespread implementation of these interventions will ultimately depend upon patients' access to mobile devices and their willingness to engage with mobile health ("mHealth"). Thus, we conducted a systematic review and meta-analysis to assess mobile phone ownership and interest in mHealth among patients with psychosis. An electronic search of Ovid MEDLINE, Embase, PsycINFO, CENTRAL, AMED, Health Technology Assessment Database, and Health Management Information Consortium Database was conducted, using search terms synonymous with mobile phones and psychotic disorders. The initial literature search yielded 2572 results. Fifteen studies matched eligibility criteria, reporting data from 12 independent samples of psychiatric patients (n = 3227). Data pertaining to mobile phone ownership, usage, and opinions on mHealth among patients with psychotic disorders were extracted from these studies, and meta-analytic techniques were applied. The overall mobile phone ownership rate was 66.4% (95% CI = 54.1%-77.6%). However, we found strong statistical evidence that mobile phone ownership has been significantly increasing since 2007, and the rate among patients surveyed in the last 2 years was 81.4% (n = 454). Furthermore, in surveys of mHealth acceptability, the majority of patients responded in favor of using mobile phones to enhance contact with services and support self-management. Considering the increasing availability of mobile phones and the broad acceptability of mHealth among patients, there is now a need to develop and evaluate mHealth interventions to enhance healthcare services for people with psychosis.