Abstract
Background: Digital technology holds promise for improving prevention and early detection of relapses in psychotic disorders. This study aimed to review evidence on the use of eHealth tools for early detection and/or prevention of relapses among individuals with psychotic disorders. Methods: An integrative literature review was carried out. A systematic literature search was conducted using PubMed, EMBASE, CINAHL Database, Scopus, Web of Science, and Latin American and Caribbean Health Sciences Literature. Original, peer-reviewed research articles published up to January 6, 2021 and available in English, Portuguese or Spanish that addressed the topic of interest were eligible for inclusion. Results were summarised narratively. Results: In total, 30 studies were included in this review, of which majority were feasibility, usability, and acceptability studies. All were published in English and carried out mainly in the United States of America and the United Kingdom. The identified technologies predominantly involved the use of smartphones and web applications aimed at the prevention (e.g., relapse prevention plan; promotion of well-being, physical activity, recovery, and adherence to drug therapy; psychoeducation) and/or early detection of relapses (e.g., symptom monitoring through online assessments and smartphone sensors/resources). Other eHealth tools included the use of short message service to monitor symptoms; and wearables devices for assessing adherence to pharmacological treatment, physiological signs, and sleep patterns. Lately, machine learning model algorithms have been used to predict the risk of relapse among patients with psychosis using information from Facebook and internet search portals. Overall, findings were promising, showing that the use of eHealth technology can be useful as a complementary tool in the treatment of psychosis. However, it faces the challenge of limited evidence on usability and acceptability by some groups (e.g., people with low socioeconomic and educational status, and with cognitive, visual, hearing impairments, and other disabilities) and numerous contextual barriers. Conclusion: More evaluations of these new technologies in real-world contexts is needed, especially in low- and middle-income countries. The tailored approach to intervention design is needed to improve accessibility and side-step contextual barriers.
Original language | English |
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Number of pages | 1 |
Publication status | Published - 2 Nov 2021 |
Event | ICN Congress 2021: Nursing Around the World - Virtual event Duration: 2 Nov 2021 → 4 Nov 2021 https://icncongress2021.org |
Conference
Conference | ICN Congress 2021 |
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Period | 2/11/21 → 4/11/21 |
Internet address |
Keywords
- digital health
- psychosis
- review article