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Hare SM, Benzer S, Knight SR, Rouhakhtar PR, Reeves GM, McDonald K, RachBeisel J. Virtual Civil Commitment Hearings: Convenience at the Cost of Compromised Communication and Safety Assessments. Psychiatr Serv 2024; 75:3-5. [PMID: 37960864 DOI: 10.1176/appi.ps.20230217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2023]
Affiliation(s)
- Stephanie M Hare
- Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Hare, Knight, Reeves, McDonald, RachBeisel); Maryland Psychiatric Research Center, University of Maryland School of Medicine, Catonsville (Hare); University of Maryland Medical System, Baltimore (Benzer); Department of Psychology, University of Maryland Baltimore County, Catonsville (Rouhakhtar)
| | - Sandra Benzer
- Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Hare, Knight, Reeves, McDonald, RachBeisel); Maryland Psychiatric Research Center, University of Maryland School of Medicine, Catonsville (Hare); University of Maryland Medical System, Baltimore (Benzer); Department of Psychology, University of Maryland Baltimore County, Catonsville (Rouhakhtar)
| | - Stephanie R Knight
- Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Hare, Knight, Reeves, McDonald, RachBeisel); Maryland Psychiatric Research Center, University of Maryland School of Medicine, Catonsville (Hare); University of Maryland Medical System, Baltimore (Benzer); Department of Psychology, University of Maryland Baltimore County, Catonsville (Rouhakhtar)
| | - Pamela Rakhshan Rouhakhtar
- Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Hare, Knight, Reeves, McDonald, RachBeisel); Maryland Psychiatric Research Center, University of Maryland School of Medicine, Catonsville (Hare); University of Maryland Medical System, Baltimore (Benzer); Department of Psychology, University of Maryland Baltimore County, Catonsville (Rouhakhtar)
| | - Gloria M Reeves
- Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Hare, Knight, Reeves, McDonald, RachBeisel); Maryland Psychiatric Research Center, University of Maryland School of Medicine, Catonsville (Hare); University of Maryland Medical System, Baltimore (Benzer); Department of Psychology, University of Maryland Baltimore County, Catonsville (Rouhakhtar)
| | - Kathryn McDonald
- Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Hare, Knight, Reeves, McDonald, RachBeisel); Maryland Psychiatric Research Center, University of Maryland School of Medicine, Catonsville (Hare); University of Maryland Medical System, Baltimore (Benzer); Department of Psychology, University of Maryland Baltimore County, Catonsville (Rouhakhtar)
| | - Jill RachBeisel
- Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Hare, Knight, Reeves, McDonald, RachBeisel); Maryland Psychiatric Research Center, University of Maryland School of Medicine, Catonsville (Hare); University of Maryland Medical System, Baltimore (Benzer); Department of Psychology, University of Maryland Baltimore County, Catonsville (Rouhakhtar)
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Franco OH, Calkins ME, Giorgi S, Ungar LH, Gur RE, Kohler CG, Tang SX. Feasibility of Mobile Health and Social Media–Based Interventions for Young Adults With Early Psychosis and Clinical Risk for Psychosis: Survey Study. JMIR Form Res 2022; 6:e30230. [PMID: 35802420 PMCID: PMC9308069 DOI: 10.2196/30230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 03/21/2022] [Accepted: 04/15/2022] [Indexed: 11/28/2022] Open
Abstract
Background Digital technology, the internet, and social media are increasingly investigated as promising means for monitoring symptoms and delivering mental health treatment. These apps and interventions have demonstrated preliminary acceptability and feasibility, but previous reports suggest that access to technology may still be limited among individuals with psychotic disorders relative to the general population. Objective We evaluated and compared access to and use of technology and social media in young adults with psychotic disorders (PD), young adults with clinical risk for psychosis (CR), and psychosis-free youths (PF). Methods Participants were recruited through a coordinated specialty care clinic dedicated toward early psychosis as well as ongoing studies. We surveyed 21 PD, 23 CR, and 15 PF participants regarding access to technology and use of social media, specifically Facebook and Twitter. Statistical analyses were conducted in R. Categorical variables were compared among groups using Fisher exact test, continuous variables were compared using 1-way ANOVA, and multiple linear regressions were used to evaluate for covariates. Results Access to technology and social media were similar among PD, CR, and PF participants. Individuals with PD, but not CR, were less likely to post at a weekly or higher frequency compared to PF individuals. We found that decreased active social media posting was unique to psychotic disorders and did not occur with other psychiatric diagnoses or demographic variables. Additionally, variation in age, sex, and White versus non-White race did not affect posting frequency. Conclusions For young people with psychosis spectrum disorders, there appears to be no “technology gap” limiting the implementation of digital and mobile health interventions. Active posting to social media was reduced for individuals with psychosis, which may be related to negative symptoms or impairment in social functioning.
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Affiliation(s)
- Olivia H Franco
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, United States
| | - Monica E Calkins
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, United States
| | - Salvatore Giorgi
- Computer and Information Science, University of Pennsylvania, Philadelphia, PA, United States
| | - Lyle H Ungar
- Computer and Information Science, University of Pennsylvania, Philadelphia, PA, United States
| | - Raquel E Gur
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, United States
| | - Christian G Kohler
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, United States
| | - Sunny X Tang
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, United States
- Feinstein Institutes for Medical Research, Northwell Health, Glen Oaks, NY, United States
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Gallinat C, Moessner M, Apondo S, Thomann PA, Herpertz SC, Bauer S. Feasibility of an Intervention Delivered via Mobile Phone and Internet to Improve the Continuity of Care in Schizophrenia: A Randomized Controlled Pilot Study. Int J Environ Res Public Health 2021; 18:12391. [PMID: 34886117 PMCID: PMC8656751 DOI: 10.3390/ijerph182312391] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 11/19/2021] [Accepted: 11/23/2021] [Indexed: 12/02/2022]
Abstract
Schizophrenia is a severe mental illness associated with a heavy symptom burden and high relapse rates. Digital interventions are increasingly suggested as means to facilitate continuity of care, relapse prevention, and long-term disease management for schizophrenia spectrum disorders. In order to investigate the feasibility of a mobile and internet-based aftercare program, a 2-arm randomized controlled pilot study was conducted. The program could be used by patients for six months after inpatient treatment and included psychoeducation, an individual crisis plan, optional counseling via internet chat or phone and a supportive monitoring module. Due to the slow pace of enrollment, recruitment was stopped before the planned sample size was achieved. Reasons for the high exclusion rate during recruitment were analyzed as well as attitudes, satisfaction, and utilization of the program by study participants. The data of 25 randomized patients suggest overall positive attitudes towards the program, high user satisfaction and good adherence to the monitoring module. Overall, the results indicate that the digital program might be suitable to provide support following discharge from intensive care. In addition, the study provides insights into specific barriers to recruitment which may inform future research in the field of digital interventions for severe mental illness.
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Affiliation(s)
- Christina Gallinat
- Center for Psychotherapy Research, University Hospital Heidelberg, 69115 Heidelberg, Germany; (M.M.); (S.B.)
| | - Markus Moessner
- Center for Psychotherapy Research, University Hospital Heidelberg, 69115 Heidelberg, Germany; (M.M.); (S.B.)
| | - Sandra Apondo
- Department of General Psychiatry, University Hospital Heidelberg, 69115 Heidelberg, Germany; (S.A.); (S.C.H.)
| | - Philipp A. Thomann
- Zentrum für Seelische Gesundheit, Gesundheitszentrum Odenwaldkreis GmbH, 64711 Erbach im Odenwald, Germany;
| | - Sabine C. Herpertz
- Department of General Psychiatry, University Hospital Heidelberg, 69115 Heidelberg, Germany; (S.A.); (S.C.H.)
| | - Stephanie Bauer
- Center for Psychotherapy Research, University Hospital Heidelberg, 69115 Heidelberg, Germany; (M.M.); (S.B.)
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Arnold C, Farhall J, Villagonzalo KA, Sharma K, Thomas N. Engagement with online psychosocial interventions for psychosis: A review and synthesis of relevant factors. Internet Interv 2021; 25:100411. [PMID: 34401370 DOI: 10.1016/j.invent.2021.100411] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Revised: 05/27/2021] [Accepted: 06/02/2021] [Indexed: 01/25/2023] Open
Abstract
BACKGROUND Little is known about factors associated with engagement with online interventions for psychosis. This review aimed to synthesise existing data from relevant literature to develop a working model of potential variables that may impact on engagement with online interventions for psychosis. METHODS Online databases were searched for studies relevant to predictors of engagement with online interventions for psychosis; predictors of Internet use amongst individuals with psychosis; and predictors of engagement with traditional psychosocial treatments for psychosis. Data were synthesised into a conceptual model highlighting factors relevant to engagement with online interventions for psychosis. RESULTS Sixty-one studies were identified. Factors relevant to engagement related directly to the impact of psychosis, response to psychosis, integration of technology into daily lives and intervention aspects. CONCLUSION While several candidate predictors were identified, there is minimal research specifically investigated predictors of engagement with online interventions for psychosis. Further investigation examining both individual- and intervention-related factors is required to inform effective design and dissemination of online interventions for psychosis.
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Sunil S, Sharma MK, Amudhan S. Schizophrenia and internet use: Perils and potentials. Asian J Psychiatr 2021; 58:102586. [PMID: 33618071 DOI: 10.1016/j.ajp.2021.102586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2021] [Accepted: 01/27/2021] [Indexed: 10/22/2022]
Affiliation(s)
- Shweta Sunil
- Department of Psychology, CMR University, Bengaluru, Karnataka, India.
| | - Manoj Kumar Sharma
- SHUT Clinic (Service for Healthy Use of Technology), NIMHANS Centre for Well Being, National Institute of Mental Health & Neuro Sciences, Bengaluru, Karnataka, India.
| | - Senthil Amudhan
- Department of Epidemiology, National Institute of Mental Health & Neuro Sciences, Bengaluru, Karnataka, India.
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Arnold C, Williams A, Thomas N. Engaging With a Web-Based Psychosocial Intervention for Psychosis: Qualitative Study of User Experiences. JMIR Ment Health 2020; 7:e16730. [PMID: 32558659 PMCID: PMC7334758 DOI: 10.2196/16730] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Revised: 03/31/2020] [Accepted: 04/03/2020] [Indexed: 01/16/2023] Open
Abstract
BACKGROUND Web-based interventions are increasingly being used for individuals with serious mental illness, including psychosis, and preliminary evidence suggests clinical benefits. To achieve such benefits, individuals must have some level of engagement with the intervention. Currently, little is known about what influences engagement with web-based interventions for individuals with psychotic disorders. OBJECTIVE This study aimed to explore users' perspectives on what influenced engagement with a web-based intervention for psychosis. METHODS A qualitative design was employed using semistructured telephone interviews. Participants were 17 adults with psychosis who had participated in a trial examining engagement with a self-guided, web-based intervention promoting personal recovery and self-management of mental health. RESULTS We identified 2 overarching themes: challenges to using the website and factors supporting persistence. Both of the main themes included several subthemes related to both user-related factors (eg, mental health, personal circumstances, approach to using the website) and users' experience of the intervention (eg, having experienced similar content previously or finding the material confronting). CONCLUSIONS Individuals with psychosis experienced several challenges to ongoing engagement with a web-based intervention. Adjunctive emails present an important design feature to maintain interest and motivation to engage with the intervention. However, fluctuations in mental health and psychosocial difficulties are a significant challenge. Design and implementation considerations include flexible interventions with tailoring opportunities to accommodate changeable circumstances and individual preferences.
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Affiliation(s)
- Chelsea Arnold
- Centre for Mental Health, Swinburne University of Technology, Hawthorn, Australia
| | - Anne Williams
- School of Health Sciences, Swinburne University of Technology, Melbourne, Australia.,Department of Psychology and Couselling, La Trobe University, Melbourne, Australia
| | - Neil Thomas
- Centre for Mental Health, Swinburne University of Technology, Hawthorn, Australia.,The Alfred Hospital, Melbourne, Australia
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Fernández-Sotos P, Fernández-Caballero A, Rodriguez-Jimenez R. Virtual reality for psychosocial remediation in schizophrenia: a systematic review. The European Journal of Psychiatry 2020. [DOI: 10.1016/j.ejpsy.2019.12.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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