Feasibility and outcomes of a multi-function mobile health approach for the schizophrenia spectrum: App4Independence (A4i)

Autor: Linda Kaleis, Amos Adler, Klara Vichnevetski, Sean A. Kidd, Aristotle N. Voineskos, Kwame McKenzie, Laura Feldcamp, Wei Wang
Rok vydání: 2018
Předmět:
Male
Hostility
0302 clinical medicine
Urban Health Services
Medicine and Health Sciences
Computer Networks
mHealth
Geographic Areas
Multidisciplinary
Geography
Depression
Middle Aged
Mobile Applications
Checklist
Telemedicine
Patient Satisfaction
Research Design
Anxiety
Medicine
Engineering and Technology
Female
medicine.symptom
Psychology
Research Article
Urban Areas
Adult
Mental Health Services
medicine.medical_specialty
Canada
Computer and Information Sciences
Adolescent
Science
Equipment
Medication Adherence
Computer Software
03 medical and health sciences
Young Adult
Mental Health and Psychiatry
medicine
Humans
Mobile technology
Psychiatry
Communication Equipment
Text Messaging
Mood Disorders
Self-Management
Psychoses
Apps
Mental illness
medicine.disease
Digital health
030227 psychiatry
Clinical trial
Psychotic Disorders
Schizophrenia
Earth Sciences
Feasibility Studies
Cell Phones
030217 neurology & neurosurgery
Zdroj: PLoS ONE
PLoS ONE, Vol 14, Iss 7, p e0219491 (2019)
ISSN: 1932-6203
Popis: Relative to the large investments in mobile health (mHealth) strategies for mental illnesses such as anxiety and depression, the development of technology to facilitate illness self-management for people with schizophrenia spectrum illnesses is limited. This situation falls out of step with the opportunity mHealth represents for providing inexpensive and accessible self-care resources and the routine use of mobile technologies by people with schizophrenia. Accordingly, the focus of this study was upon the feasibility of a schizophrenia-focused mobile application: App4Independence (A4i). A4i is a multi-feature app that uses feed, scheduling, and text-based functions co-designed with service users to enhance illness self-management. This study was completed in a large urban Canadian centre and employed pre-post assessments over a 1-month period that examined medication adherence, personal recovery, and psychiatric symptomatology. App use metrics were assessed as was qualitative feedback through semi-structured interview. Findings are reported in line with the World Health Organization mHealth Evidence and Assessment (mERA) checklist. Among the 38 individuals with a primary psychosis who participated, there was no research attrition and classic retention on the app was 52.5%. Significant improvement was observed in some psychiatric symptom domains with small-medium effects. Significant change in recovery engagement and medication adherence were not observed after controlling for multiple comparisons. Those who interacted with the app more frequently were more depressed and had higher hostility and interpersonal sensitivity at baseline. Satisfaction with the app was high and qualitative feedback provided insights regarding feature enhancements. This research suggested that A4i is feasible in terms of outcome and process indicators and is a technology that is ready to move on to clinical trial and validation testing. This study contributes to the small but emergent body of work investigating digital health approaches in severe mental illness populations.
Databáze: OpenAIRE
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