m-RESIST, a Mobile Therapeutic Intervention for Treatment-Resistant Schizophrenia: Feasibility, Acceptability, and Usability Study

被引:2
作者
Grasa, Eva [1 ,2 ]
Seppala, Jussi [3 ,4 ]
Alonso-Solis, Anna [2 ,5 ,22 ]
Haapea, Marianne [4 ,6 ,7 ,8 ]
Isohanni, Matti [4 ]
Miettunen, Jouko [4 ,6 ,7 ]
Mendivelso, Johanna Caro [9 ]
Almazan, Cari [9 ]
Rubinstein, Katya [10 ]
Caspi, Asaf [10 ]
Unoka, Zsolt [1 ,11 ]
Farkas, Kinga [1 ,11 ]
Usall, Judith [1 ,2 ,12 ,13 ]
Ochoa, Susana [1 ,2 ,12 ,13 ]
van der Graaf, Shenja [1 ,3 ,14 ]
Jewell, Charlotte [1 ,4 ,15 ]
Triantafillou, Anna [1 ,5 ,16 ]
Stevens, Matthias [1 ,6 ,7 ,8 ,17 ,18 ]
Reixach, Elisenda [1 ,9 ,19 ]
Berdun, Jesus [1 ,20 ]
Corripio, Iluminada [1 ,2 ,21 ]
机构
[1] Inst Invest Biomed St Pau IIB ST PAU, Mental Hlth, Barcelona, Spain
[2] Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, Madrid, Spain
[3] Social Insurance Inst Finland, Kuopio, Finland
[4] Univ Oulu, Res Unit Populat Hlth, Oulu, Finland
[5] Xarxa Assistencial Univ Manresa, Mental Hlth Div, Fundacio Althaia, Manresa, Spain
[6] Oulu Univ Hosp, Med Res Ctr Oulu, Oulu, Finland
[7] Univ Oulu, Oulu, Finland
[8] Oulu Univ Hosp, Dept Psychiat, Oulu, Finland
[9] Agcy Hlth Qual & Assessment Catalonia AQuAS, Barcelona, Spain
[10] Tel Aviv Univ, Gertner Inst Epidemiol & Hlth Policy Res, Sheba Med Ctr, Tel Aviv, Israel
[11] Semmelweis Univ, Dept Psychiat & Psychotherapy, Budapest, Hungary
[12] Parc Sanit St Joan Deu, St Boi De Llobregat, Spain
[13] Inst Recerca St De Joan Deu, Etiopatogenia & Tractament Trastorns Mentals Greu, Esplugas de Llobregat, Spain
[14] Univ Twente, Dept Commun Sci, Twente, Netherlands
[15] Univ Liege, Lent CRIS, Liege, Belgium
[16] Athens Technol Ctr, Athens, Greece
[17] imec, EDiT Dept, Ghent, Belgium
[18] imec, Solut Dept, Leuven, Belgium
[19] Generalitat Catalunya, TicSalut Hlth Dept, Barcelona, Spain
[20] Hosp Santa Creu i St Pau, Inst Invest Biomed St Pau IIB ST PAU, Digital Hlth Unit, Barcelona, Spain
[21] Vic Hosp Consortium, Mental Hlth & Psychiat Dept, Vic, Spain
[22] Xarxa Assistencial Univ Manresa, Mental Hlth Div, Fundacio Althaia, Llatjos St, Manresa 08243, Spain
基金
欧盟地平线“2020”;
关键词
schizophrenia; treatment; -resistant; digital mental health; mHealth; mobile health; mental health; mental illness; mental disorder; TECHNOLOGY ACCEPTANCE; PSYCHOSIS; PROFESSIONALS; INDIVIDUALS; BURDEN; MODEL;
D O I
10.2196/46179
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
with schizophrenia seem willing and able to use smartphones to monitor their symptoms and engage in therapeutic interventions. mHealth studies have been performed with other clinical populations but not in populations with TRS. Objective: The purpose of this study was to present the 3-month prospective results of the m-RESIST intervention. This study aims to assess the feasibility, acceptability, and usability of the m-RESIST intervention and the satisfaction among patients with Methods: A prospective multicenter feasibility study without a control group was undertaken with patients with TRS. This study was performed at 3 sites: Sant Pau Hospital (Barcelona, Spain), Semmelweis University (Budapest, Hungary), and Sheba consisted of a smartwatch, a mobile app, a web-based platform, and a tailored therapeutic program. The m-RESIST intervention was delivered to patients with TRS and assisted by mental health care providers (psychiatrists and psychologists). Feasibility, Results: This study was performed with 39 patients with TRS. The dropout rate was 18% (7/39), the main reasons being as follows: loss to follow-up, clinical worsening, physical discomfort of the smartwatch, and social stigma. Patients' acceptance of m-RESIST ranged from moderate to high. The m-RESIST intervention could provide better control of the illness and appropriate care, together with offering user-friendly and easy-to-use technology. In terms of user experience, patients indicated that m-RESIST m-RESIST intervention. This program was well-accepted by patients in terms of acceptability, usability, and satisfaction. Our
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页数:13
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