The Use of Mobile Apps and SMS Messaging as Physical and Mental Health Interventions: Systematic Review

Rathbone, Amy Leigh; Prescott, Julie

doi:10.1176/appi.focus.16406

Cited by 68 publications

(88 citation statements)

References 70 publications

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“…The studies reported support existing evidence that smart‐messaging, through a brief and low‐intensity intervention, might have a positive impact on physical and mental health (Rathbone & Prescott, ). This paper also supports current evidence on the effectiveness of digital methods for relapse prevention in anxiety and depressive disorders (Hennemann et al , ).…”

Section: Discussionsupporting

confidence: 79%

“…Current evidence suggests that brief, easily implemented reminders, such as targeted text messages, can act as effective prompts for therapeutic and healthy behaviour change (Boksmati, Butler‐Henderson, Anderson, & Sahama, ; Hall, Cole‐Lewis, & Bernhardt, ; Robotham, Satkunanathan, Reynolds, Stahl, & Wykes, ). ‘Smart‐messaging’ interventions like this can improve physical and mental health across a range of health problems (Rathbone & Prescott, ). Yet, smart‐messaging has not been used, in a personalized way, to enhance relapse prevention in CBT for anxiety and depressive disorders, despite evidence that smart‐messaging is one of the easiest and most cost‐effective digital interventions to integrate within routine care (Boksmati et al , ; Hall et al , ; Wong et al , ).…”

Section: Introductionmentioning

confidence: 99%

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Preventing relapse with personalized smart‐messaging after cognitive behavioural therapy: A proof‐of‐concept evaluation

Malins

Biswas

Patel

et al. 2020

British J Clinic Psychol

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Objectives. Cognitive behavioural therapy (CBT) can improve symptoms of anxiety and depression, but also reduces the risk of future relapse after therapy completion. However, current CBT relapse prevention methods are resource-intensive and can be limited in clinical practice. This paper investigates a personalized means of reducing relapse using smart-messaging in two settings: research and routine care.Design. Study 1 presents a cohort study comparing a cohort of smart-messaging users versus non-users. Study 2 presents time series follow-up data from a case series of smartmessaging users from clinical practice.Methods. Fifteen of 56 CBT completers who participated in a trial for the treatment of health anxiety wrote advice they would want if in future they were doing well, experiencing early warning signs of relapse, or experiencing full relapse. Following CBT, participants received weekly text-message requests to rate their well-being. Dependent upon their response, participants received tailored advice they had written, appropriate to the wellbeing level reported after recovery from health anxiety. Smart-messaging was also trialled in a routine practice sample of 14 CBT completers with anxiety and depression.Results. Across a 12-month follow-up, participants receiving smart-messaging showed greater health improvements than those who did not. Well-being scores showed stability between CBT completion and 6-month follow-up among routine care patients.Conclusions. These findings suggest that a low-intensity, personalized relapse prevention method can have a clinical benefit following CBT for common mental health problems. Practitioner pointsPost-treatment outcomes may be improved using personalized smart-messaging to prevent relapse following cognitive behavioural therapy (CBT) for health anxiety.

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Preventing relapse with personalized smart‐messaging after cognitive behavioural therapy: A proof‐of‐concept evaluation

Malins

Biswas

Patel

et al. 2020

British J Clinic Psychol

View full text Add to dashboard Cite

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“…Education versus incentive-based systems to reduce smoking may work to different degrees. These modern alternatives to conventional educational and awareness campaigns could include mobile apps, ipad programmes and text messages [43,44]. But simply offering education may not be adequate, and there is much more to be done to understand this.…”

Section: Smoking Cessation and Infant Mortalitymentioning

confidence: 99%

Parent-Carer Education: Reducing the Risks for Neonatal and Infant Mortality

Pillay¹

2019

Neonatal Medicine

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In this chapter, the role of engaging parents, family members, partners, significant others and carers (subsequently referred to as parent-carers) as key partners in targeted strategies for reducing the risks associated with neonatal mortality is discussed, especially within the context of less resource-constrained environments. Parent-carer education, sharing information on regionally prevalent risk factors and associations with death in the first 28 days of life and in infancy, can be potentially impactful and could drive behavioural changes, while promoting acquisition of newer life-saving skills such as basic life support training. Such education can be considered participatory learning and action. It affords parent-carers the confidence and knowledge on measures to key risks in infancy, such as the risk of sudden infant death, and how to recognize when their baby may be ill, facilitating timely access to appropriate healthcare services. Potentially, these then empower parent-carers to work with health services proactively in measures to reduce the risks for neonatal mortality.mortality is explored, especially in less resource-constrained environments, by focusing on parent-carer education around risks for neonatal mortality, while using learning points from around the world. Potentially, these initiatives empower parent-carers to acquire the necessary skills to manage their baby at risk and also engage in risk-reducing behaviours for the benefit of their baby. Reducing neonatal mortality through parent-carer educationBefore embarking on parent education, understanding the risk factors for neonatal mortality is important. In poorly resourced areas, key risk factors and associations are infection, hypothermia, lack of breastfeeding, failure to recognise signs of illness in their baby and failure to provide adequate basic resuscitation at birth. Education packages focused on improving neonatal mortality therefore include information on maintaining warmth; drying; wrapping; skin-to-skin contact; supporting breastfeeding; infection prevention including handwashing, cord care, recognising signs of illness in their newborn baby and infant and basic life support [7].For neonatal teams in relatively higher resourced environments, where access to public health facilities and general maternal education are less of an issue, and most of the above are routinely adopted, what are other key risk factors and what other kinds of initiatives are needed in order to make a difference to current neonatal mortality rates, and can they work?In attempting to address this, the key risk factors here for neonatal mortality need to be identified. The most significant of these is prematurity [8][9][10]. In a report on perinatal mortality from MBRRACE on 2016 deaths, approximately 70% of all extended perinatal deaths occurred preterm, and almost 40% were in less than 28 weeks' gestation [9]. Optimising place of birth for the most vulnerable preterm births less than 26 weeks gestation at birth does reduce their mortality rates [11] and op...

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“…Numerous medical applications already exist, for example, in the field of chronic disease management . Clinical use of well‐designed smartphone applications can provide a considerable added value for both patients and medical staff . Thanks to the enormous computing capacity of modern devices, as well as the additional possibility of internet storage (Cloud), clinical decision‐making tools have now become reality …”

Section: Discussionmentioning

confidence: 99%

Improved aftercare in LVAD patients: Development and feasibility of a smartphone application as a first step for telemonitoring

et al. 2019

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For the success of the treatment with a left ventricular assist device (LVAD), both adequate self‐management by the patient and an optimum level of support from the implanting hospital are crucial. A smartphone application has recently been developed within the framework of a European research project for the close monitoring of LVAD patients in order to improve upon their current aftercare situation. Using this new tool, different relevant parameters (eg, weight, international normalized ratio [INR], medication, LVAD parameters, symptoms, and photos of the driveline exit) can be sent daily or as required to a corresponding clinical application at the hospital for evaluation. The objective of this study was to monitor the functionality, acceptance, and usability of this smartphone application in LVAD patients. Prospective single‐center study: in total, 13 patients (60 ± 7 years, 92% male, 1027 ± 653 days after LVAD implantation) were requested to test the application for approx. 4 weeks. At the end of the study, all entered data were evaluated and the patients were questioned regarding the acceptance and the usability. During the study period of mean 34 ± 8 days, a total of 453 data records (mean 35 ± 7 per patient) arrived at the hospital. In addition, a total of 19 photos of the driveline exit site were also sent via smartphone. The clinical application registered a total of 160 conspicuities. These comprised 126 INR deviations (target range 2.3‐2.8) and 34 symptoms (mainly nosebleeds). The smartphone application functioned reliably, was well received by the patients and was graded highly for acceptance and usability. The results show that smartphone applications can definitely be used to improve aftercare in LVAD therapy in selected patients. Long‐term studies are now needed to investigate the extent to which complications can be prevented, healthcare costs reduced, and quality of life increased.

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The Use of Mobile Apps and SMS Messaging as Physical and Mental Health Interventions: Systematic Review

Cited by 68 publications

References 70 publications

Preventing relapse with personalized smart‐messaging after cognitive behavioural therapy: A proof‐of‐concept evaluation

Preventing relapse with personalized smart‐messaging after cognitive behavioural therapy: A proof‐of‐concept evaluation

Parent-Carer Education: Reducing the Risks for Neonatal and Infant Mortality

Improved aftercare in LVAD patients: Development and feasibility of a smartphone application as a first step for telemonitoring

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