Web-Based Psychoeducational Intervention for Persons With Schizophrenia and Their Supporters: One-Year Outcomes

Abstract

These findings suggest that online delivery of psychotherapeutic treatment and educational resources to consumers' homes has considerable potential to improve consumer well-being and offers several advantages over standard clinic-based delivery models.

Online, social media and mobile technologies for psychosis treatment: A systematic review on novel user-led interventions

“…Two of the included studies examined the acceptability/use of online-based interventions and 9 provided data on intervention effects. The interventions evaluated consisted of web-based psycho-education (Valimaki et al, 2008;Yakirevitch et al, 2010;Steinwachs et al, 2011;Anttila et al, 2012); web-based psycho-education plus moderated forums for patients and supporters (Glynn et al, 2010;Rotondi et al, 2010); Fig. 1.…”

“…It used video tutorials, interactive games and quizzes to enhance engagement and an anonymous social feed or forum Delivery: Sessions took place in offices at the mental health centers integrated web-based therapy, social networking and peer and expert moderation (Alvarez-Jimenez et al, 2013); web-based CBT (Gottlieb et al, 2013); personalized advice based on routine clinical monitoring (van der Krieke et al, 2012), and mobile-based interventions (Spaniel et al, 2008a;Granholm et al, 2012;Spaniel et al, 2012). Six interventions were evaluated in admission units or controlled environments (Valimaki et al, 2008;Yakirevitch et al, 2010;Steinwachs et al, 2011;Anttila et al, 2012;van der Krieke et al, 2012;Gottlieb et al, 2013) and 6 were delivered remotely in real world settings via Internet enabled or mobile devices (Spaniel et al, 2008a;Glynn et al, 2010;Rotondi et al, 2010;Granholm et al, 2012;Spaniel et al, 2012;Alvarez-Jimenez et al, 2013). Table 1 depicts the characteristics of the selected studies.…”

“…Patients' mean age ranged from 20.3 to 50 years and supporters' mean age varied from 47 to 57 years. Seven studies recruited patients with chronic schizophrenia (Valimaki et al, 2008;Yakirevitch et al, 2010;Steinwachs et al, 2011;Anttila et al, 2012;Granholm et al, 2012;van der Krieke et al, 2012;Gottlieb et al, 2013), 4 studies recruited patients with chronic schizophrenia and their relatives/supporters (Spaniel et al, 2008a;Glynn et al, 2010;Rotondi et al, 2010;Spaniel et al, 2012), and 1 recruited young people with first-episode psychosis (FEP) (Alvarez-Jimenez et al, 2013). Four studies employed a randomized controlled design (Rotondi et al, 2010;Yakirevitch et al, 2010;Steinwachs et al, 2011;Spaniel et al, 2012), 2 studies included nonrandomized comparison groups (Glynn et al, 1990;Spaniel et al, 2008a), 4 used uncontrolled single-group pre-post designs (Anttila et al, 2012;Granholm et al, 2012;Alvarez-Jimenez et al, 2013;Gottlieb et al, 2013), and 2 tested the acceptability/usability of an online intervention in a single session (Valimaki et al, 2008;van der Krieke et al, 2012).…”

“…For prospective studies follow-up periods ranged from 10 days to 52 weeks. For those studies including comparison groups control interventions comprised treatment as usual (TAU) (Glynn et al, 1990;Spaniel et al, 2008a;Rotondi et al, 2010;Yakirevitch et al, 2010;Spaniel et al, 2012) and videos and information about schizophrenia treatment (Steinwachs et al, 2011). Five studies were conducted in the United States (Han et al, 2008;Glynn et al, 2010;Rotondi et al, 2010;Steinwachs et al, 2011;Granholm et al, 2012;Gottlieb et al, 2013), 5 in Europe (Spaniel et al, 2008a;Anttila et al, 2012;Spaniel et al, 2012;Välimäki et al, 2012;van der Krieke et al, 2012), 1 in Australia (Alvarez-Jimenez et al, 2013) and 1 in Israel (Yakirevitch et al, 2010).…”

Consumer and provider responses to a computerized version of the Illness Management and Recovery Program.

“…IMR-Web adds to a quickly growing body of literature demonstrating feasibility, acceptability and validity of computerized assessment (Wolford et al, 2008) and treatment methods (Brunette et al, 2011;Drake et al, 2010;Rotondi et al, 2010;Rotondi et al, 2007) for people with SMI. Consumer response to these technologies has been favorable (Wolford et al, 2008), and studies have shown that computerized forms of mental health intervention are at least equally as effective as those that occur "in-person" (Brunette et al, 2011;Rotondi et al, 2010). In addition, consumers who use computerized programs that combine assessment and education prior to medication appointments have reported improved communication with their physician (Chinman et al, 2007;Deegan, Rapp, Holter, & Riefer, 2008).…”