Mobile Interventions for Severe Mental Illness Design and Preliminary Data From Three Approaches
Mobile Interventions for Severe Mental Illness Design and Preliminary Data From Three Approaches
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DOI：
10.1097/nmd.0b013e3181f49ea3
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发表时间：
2010-10-01
影响因子：
1.9
通讯作者：
Jeste, Dilip V.
中科院分区：
文献类型：
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作者：
Depp, Colin A.;Mausbach, Brent;Jeste, Dilip V.
移动设备可用于提供心理社会干预，但在严重精神疾病方面的应用很少。我们提供了3个正在进行的针对双相情感障碍或精神分裂症的移动干预的临床试验的基本原理、设计和初步数据。项目1使用个人数字助理，根据实时数据，促使人们参与个性化的自我管理行为。项目二采用短信体验抽样，方便案例管理。项目3建立在精神分裂症群体功能技能培训的基础上，在治疗间隙与治疗师进行手机联系。初步结果是参与者的磨损最小，没有设备损坏；然而，需要解决若干操作和技术障碍。依从性与非精神病人群相似，参与者满意度高。因此，移动设备在加强对严重精神疾病的社会心理干预方面似乎是可行和可接受的，未来的研究将建立疗效、成本效益以及伦理和安全协议。
Mobile devices can be used to deliver psychosocial interventions, yet there is little prior application in severe mental illness. We provide the rationale, design, and preliminary data from 3 ongoing clinical trials of mobile interventions developed for bipolar disorder or schizophrenia. Project 1 used a personal digital assistant to prompt engagement in personalized self-management behaviors based on real-time data. Project 2 employed experience sampling through text messages to facilitate case management. Project 3 was built on group functional skills training for schizophrenia by incorporating between-session mobile phone contacts with therapists. Preliminary findings were of minimal participant attrition, and no broken devices; yet, several operational and technical barriers needed to be addressed. Adherence was similar to that reported in nonpsychiatric populations, with high participant satisfaction. Therefore, mobile devices seem feasible and acceptable in augmenting psychosocial interventions for severe mental illness, with future research in establishing efficacy, cost effectiveness, and ethical and safety protocols.