The application of mHealth to mental health: opportunities and challenges

Marzano, Lisa; Bardill, Andy; Fields, Bob; Herd, Kate; Veale, David; Grey, Nick; Moran, Paul

doi:10.1016/s2215-0366(15)00268-0

Cited by 170 publications

(112 citation statements)

References 28 publications

Supporting

Mentioning

107

Contrasting

Unclassified

Order By: Relevance

“…As interest in mHealth for mental health treatment grows [22-25], it is important to evaluate which approaches are viable for different clinical populations (and when) and to gain a better understanding of the variables that may facilitate or hinder patient engagement with these novel interventions. This study provides evidence that individuals with schizophrenia-spectrum disorders can actively engage with a clinically supported mobile phone intervention for up to 6 months following hospital discharge; that gender, race, age, and history of psychiatric hospitalization were associated with their level of engagement; and that system-initiated mHealth functions led to proportionally more exposure to treatment content than on-demand tools, but that both were used regularly.…”

Section: Discussionmentioning

confidence: 99%

mHealth for Schizophrenia: Patient Engagement With a Mobile Phone Intervention Following Hospital Discharge

Ben‐Zeev

Scherer²,

Gottlieb³

et al. 2016

JMIR Ment Health

120

View full text Add to dashboard Cite

BackgroundmHealth interventions that use mobile phones as instruments for illness management are gaining popularity. Research examining mobile phone‒based mHealth programs for people with psychosis has shown that these approaches are feasible, acceptable, and clinically promising. However, most mHealth initiatives involving people with schizophrenia have spanned periods ranging from a few days to several weeks and have typically involved participants who were clinically stable.ObjectiveOur aim was to evaluate the viability of extended mHealth interventions for people with schizophrenia-spectrum disorders following hospital discharge. Specifically, we set out to examine the following: (1) Can individuals be engaged with a mobile phone intervention program during this high-risk period?, (2) Are age, gender, racial background, or hospitalization history associated with their engagement or persistence in using a mobile phone intervention over time?, and (3) Does engagement differ by characteristics of the mHealth intervention itself (ie, pre-programmed vs on-demand functions)?MethodsWe examined mHealth intervention use and demographic and clinical predictors of engagement in 342 individuals with schizophrenia-spectrum disorders who were given the FOCUS mobile phone intervention as part of a technology-assisted relapse prevention program during the 6-month high-risk period following hospitalization.ResultsOn average, participants engaged with FOCUS for 82% of the weeks they had the mobile phone. People who used FOCUS more often continued using it over longer periods: 44% used the intervention over 5-6 months, on average 4.3 days a week. Gender, race, age, and number of past psychiatric hospitalizations were associated with engagement. Females used FOCUS on average 0.4 more days a week than males. White participants engaged on average 0.7 days more a week than African-Americans and responded to prompts on 0.7 days more a week than Hispanic participants. Younger participants (age 18-29) had 0.4 fewer days of on-demand use a week than individuals who were 30-45 years old and 0.5 fewer days a week than older participants (age 46-60). Participants with fewer past hospitalizations (1-6) engaged on average 0.2 more days a week than those with seven or more. mHealth program functions were associated with engagement. Participants responded to prompts more often than they self-initiated on-demand tools, but both FOCUS functions were used regularly. Both types of intervention use declined over time (on-demand use had a steeper decline). Although mHealth use declined, the majority of individuals used both on-demand and system-prompted functions regularly throughout their participation. Therefore, neither function is extraneous.ConclusionsThe findings demonstrated that individuals with schizophrenia-spectrum disorders can actively engage with a clinically supported mobile phone intervention for up to 6 months following hospital discharge. mHealth may be useful in reaching a clinical population that is typically difficult to engage...

show abstract

Section: Discussionmentioning

confidence: 99%

mHealth for Schizophrenia: Patient Engagement With a Mobile Phone Intervention Following Hospital Discharge

Ben‐Zeev

Scherer²,

Gottlieb³

et al. 2016

JMIR Ment Health

120

View full text Add to dashboard Cite

show abstract

“…This implies that network-wide omics approaches are needed to capture the interactivity of these multiple overlapping elements [22]. This neurobiology information can be aggregated to the now abundant behavioural data available, including thorough mobile technology [23]. Psychiatry is concerned with the diagnosis, causes and treatment of mental disorders.…”

Section: The Convergence Of Different Fieldsmentioning

confidence: 99%

The new field of ‘precision psychiatry’

Fernandes

Williams

Steiner

et al. 2017

BMC Med

371

283

View full text Add to dashboard Cite

BackgroundPrecision medicine is a new and important topic in psychiatry. Psychiatry has not yet benefited from the advanced diagnostic and therapeutic technologies that form an integral part of other clinical specialties. Thus, the vision of precision medicine as applied to psychiatry – ‘precision psychiatry’ – promises to be even more transformative than in other fields of medicine, which have already lessened the translational gap.DiscussionHerein, we describe ‘precision psychiatry’ and how its several implications promise to transform the psychiatric landscape. We pay particular attention to biomarkers and to how the development of new technologies now makes their discovery possible and timely. The adoption of the term ‘precision psychiatry’ will help propel the field, since the current term ‘precision medicine’, as applied to psychiatry, is impractical and does not appropriately distinguish the field. Naming the field ‘precision psychiatry’ will help establish a stronger, unique identity to what promises to be the most important area in psychiatry in years to come.ConclusionIn summary, we provide a wide-angle lens overview of what this new field is, suggest how to propel the field forward, and provide a vision of the near future, with ‘precision psychiatry’ representing a paradigm shift that promises to change the landscape of how psychiatry is currently conceived.

show abstract

“…The importance of this trend is shown by the considerable interest in new technologies among players in the mental health field. Many references in the scientific literature are interested, for example, in the important potential for transforming and improving the therapeutic and preventive health practices of e-health technologies [6]. Not only are they likely to improve the effectiveness of care, they could also change the very nature of care [7].…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Recomposition of Norms and Representations in the Field of Psychiatry and Mental Health in the Age of Electronic Mental Health: Qualitative Study (Preprint)

Morgiève¹,

Sebbane²,

Rosario³

et al. 2018

Preprint

View full text Add to dashboard Cite

Introduction:For WHO, e-health would be seen as an effective way to improve therapeutic practices and prevention in health. Digital tools lead to major changes in the field of mental medicine. Specific analyses are required to understand and well accompany these changes. Objectives:Our objective was to highlight representations, actual uses and usability of e-health services and tools by the different stakeholders of the mental health care system, as well as to establish professional/user group profiles of these representations and uses. Methods:In order to access the representations, expectations and actual uses of different categories of actors, we carried out a qualitative study based on 10 Focus Groups (n=70, from 3 to 12 persons per group) composed of: general practitioners, psychiatrists, psychologists, social workers, occupational therapists, nurses, caregivers, users, user representatives, general public. The analyses of focus group discussions were performed independently by 4 investigators through a common analysis grid. The Constant Comparative Method was adopted in this framework. Results:The interviewees expressed different lines of tension that new technologies engender in the field of mental health. What was previously strictly under the jurisdiction of physicians tends to be fragmented and distributed over different actors and locations. New technologies reposition care in the field of domestic rather than therapeutic activities. The conception of care as an autonomous activity in the subject's life is thus questioned. The ideal of social autonomy through technology is part of the new logic of health democracy and empowerment, linked to a strong contemporary aspiration to performance. Participants emphasize the risk of a social injunction to autonomy for the digitally engaged patient, while empowerment may become a set of obligations. Conclusions:This qualitative research highlights the heterogeneity of opinions among the groups and inside each group. It suggests that the representations on e-mental health devices are still far from being stabilized and that a change management process should be set up to regulate the development and facilitate the optimal use of these tools.

show abstract

The application of mHealth to mental health: opportunities and challenges

Cited by 170 publications

References 28 publications

mHealth for Schizophrenia: Patient Engagement With a Mobile Phone Intervention Following Hospital Discharge

mHealth for Schizophrenia: Patient Engagement With a Mobile Phone Intervention Following Hospital Discharge

The new field of ‘precision psychiatry’

Analysis of the Recomposition of Norms and Representations in the Field of Psychiatry and Mental Health in the Age of Electronic Mental Health: Qualitative Study (Preprint)

Contact Info

Product

Resources

About