Do cognitive impairments limit treatment gains in a standalone digital intervention for psychosis? A test of the digital divide

Fulford, Daniel; Schupbach, Elizabeth; Gard, David E.; Mueser, Kim T.; Mow, Jessica; Leung, Lawrence

doi:10.1016/j.scog.2022.100244

Cited by 5 publications

(4 citation statements)

References 31 publications

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“…The study results indicate that the real-time monitoring of auditory verbal hallucination can enhance diagnostic resolution. MASS* 74 – 76 No N/A + + − Fulford et al 2022 74 The MASS app seeks to address social impairment by offering social skills training and administering EMA surveys. The study findings indicate that there is no association between cognitive functions and engagement or outcomes of the MASS intervention.…”

Section: Resultsmentioning

confidence: 99%

Accessibility and availability of smartphone apps for schizophrenia

et al. 2022

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App-based interventions have the potential to enhance access to and quality of care for patients with schizophrenia. However, less is known about the current state of schizophrenia apps in research and how those translate to publicly available apps. This study, therefore, aimed to review schizophrenia apps offered on marketplaces and research literature with a focus on accessibility and availability. A search of recent reviews, gray literature, PubMed, and Google Scholar was conducted in August 2022. A search of the U.S. Apple App Store and Google Play App Store was conducted in July 2022. All eligible studies and apps were systematically screened/reviewed. The academic research search produced 264 results; 60 eligible studies were identified. 51.7% of research apps were built on psychosis-specific platforms and 48.3% of research apps were built on non-specific platforms. 83.3% of research apps offered monitoring functionalities. Only nine apps, two designed on psychosis-specific platforms and seven on non-specific platforms were easily accessible. The search of app marketplaces uncovered 537 apps; only six eligible marketplace apps were identified. 83.3% of marketplace apps only offered psychoeducation. All marketplace apps lacked frequent updates with the average time since last update 1121 days. There are few clinically relevant apps accessible to patients on the commercial marketplaces. While research efforts are expanding, many research apps are unavailable today. Better translation of apps from research to the marketplace and a focus on sustainable interventions are important targets for the field.

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Section: Resultsmentioning

confidence: 99%

Accessibility and availability of smartphone apps for schizophrenia

et al. 2022

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“…Easy access to support in daily life could be particularly useful for people with psychosis where there is an increased prevalence of cognitive difficulties [58,59]. It is also worth considering literacy levels as studies have revealed that these tend to be lower in people with psychosis compared to the general population [60,61].…”

Section: Discussionmentioning

confidence: 99%

A systematic review of users experiences of using digital interventions within psychosis: a thematic synthesis of qualitative research

Dennard,

Patel,

Garety

et al. 2024

Soc Psychiatry Psychiatr Epidemiol

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Purpose Although the development of digital mental health support for people with psychosis has been increasing, the development and opportunities to access this have been more limited compared to other mental health conditions. Qualitative research exploring the experiences of using digital interventions amongst people with psychosis is even less well developed; however, such research is crucial in capturing the experiences of using digital interventions to ensure they are meeting the needs of people with psychosis. This paper aimed to synthesise qualitative data related to the experiences of people with psychosis who have used digital interventions. Methods A systematic literature search was conducted of articles published between 1992 and October 2023 using PubMed, MBase, PsycINFO, & OVID Medline. Two reviewers independently reviewed and screened 268 papers. Papers that met inclusion criteria were quality assessed using The Critical Appraisal Skills Programme (CASP) qualitative studies checklist. The Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) checklist was used to guide the structure of the report. Results A thematic synthesis of 19 studies revealed six overarching themes which related to different aspects and features of the digital interventions: participants’ relationship with technology; the accessibility of the interventions; how the interventions could impact on individuals’ awareness and management of mental health; enhanced communication and relationships; and opportunities for reflection. Conclusions Benefits of using digital interventions are discussed. Areas for development and improvements are highlighted. Finally, recommendations for stakeholders who develop and implement digital interventions for psychosis are made.

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“…되어 있는 기능의 회복이 있을 수 있다. 10,12) 개인적 회복에 초 점을 맞춘 모바일 앱에 관한 연구는 총 6편으로, 27,32,36,39,44,46) 이 중에서 일상생활 기능 향상 및 자기 관리를 위한 연구는 총 4편, 36,39,44,46) 사회적 기능의 개선을 위한 연구는 총 3편이 다. 27,32,39) 일상생활 기능 향상 및 자기 관리 일상생활 기능의 향상 및 자기 관리의 개선을 위한 연구는 선정된 논문 중 총 4편이 해당된다.…”

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“…10,12) 개인적 회복에 초 점을 맞춘 모바일 앱에 관한 연구는 총 6편으로, 27,32,36,39,44,46) 이 중에서 일상생활 기능 향상 및 자기 관리를 위한 연구는 총 4편, 36,39,44,46) 사회적 기능의 개선을 위한 연구는 총 3편이 다. 27,32,39) 일상생활 기능 향상 및 자기 관리 일상생활 기능의 향상 및 자기 관리의 개선을 위한 연구는 선정된 논문 중 총 4편이 해당된다. 36,39,44,46) 13,14) 임상적 회복에 초점을 맞춘 모바일 앱에 관한 연구는 총 14편으로, 29,30,35,[37][38][39][40][41][42][43][44][45][46][47] 이 중에서 증상의 재발 방지를 위한 연구 는 총 5편, 30,[37][38][39][40] 증상의 관리를 위한 연구는 총 9편, 29,35,37,[41][42][43][44][45][46] 정신 증상 중 인지 기능의 회복과 연관된 앱이 2편이 해당된 다.…”

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A Review of Mobile App-Based Psychosocial Intervention for Personal and Clinical Recovery for People With Psychosis

You,

Jeong

2024

Korean J Schizophr Res

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Objectives: The social and economic costs of severe mental illness, including psychosis, are increasing, and methods to reduce costs such as a mobile app-based approach have been tried more than ever. This study aims to explore and analyze the methods that have been used in previous studies for mobile app-based psychosocial interventions for personal and clinical recovery of psychosis.Methods: To identify mobile apps associated with psychosis, psychotic disorder, and other related terms, we searched for literature published from 2017 to 2023 (n=21). After classifying them into personal and clinical recovery, we qualitatively analyzed each study’s topics, objectives, measurement tools, results, and other aspects.Results: For personal recovery, the focus was mainly on improving daily living, self-management, and cognitive and social function improvement, and for clinical recovery, the focus was mainly on preventing symptom recurrence and managing symptoms. Mobile apps for improving daily living functions, cognitive functions, and relapse prevention have significant effects. While mobile apps for improving social function and symptom management mainly reported smaller effects.Conclusion: The results of this study suggest that mobile app-based psychosocial interventions for personal and clinical recovery of psychosis are likely to be utilized. Finally, the significance and limitations of the studies were discussed.

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Do cognitive impairments limit treatment gains in a standalone digital intervention for psychosis? A test of the digital divide

Cited by 5 publications

References 31 publications

Accessibility and availability of smartphone apps for schizophrenia

Accessibility and availability of smartphone apps for schizophrenia

A systematic review of users experiences of using digital interventions within psychosis: a thematic synthesis of qualitative research

A Review of Mobile App-Based Psychosocial Intervention for Personal and Clinical Recovery for People With Psychosis

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