Mobile interventions for severe mental illness: design and preliminary data from three approaches
- PMID: 20921861
- PMCID: PMC3215591
- DOI: 10.1097/NMD.0b013e3181f49ea3
Mobile interventions for severe mental illness: design and preliminary data from three approaches
Abstract
Mobile devices can be used to deliver psychosocial interventions, yet there is little prior application in severe mental illness. We provide the rationale, design, and preliminary data from 3 ongoing clinical trials of mobile interventions developed for bipolar disorder or schizophrenia. Project 1 used a personal digital assistant to prompt engagement in personalized self-management behaviors based on real-time data. Project 2 employed experience sampling through text messages to facilitate case management. Project 3 was built on group functional skills training for schizophrenia by incorporating between-session mobile phone contacts with therapists. Preliminary findings were of minimal participant attrition, and no broken devices; yet, several operational and technical barriers needed to be addressed. Adherence was similar to that reported in nonpsychiatric populations, with high participant satisfaction. Therefore, mobile devices seem feasible and acceptable in augmenting psychosocial interventions for severe mental illness, with future research in establishing efficacy, cost effectiveness, and ethical and safety protocols.
References
-
- Bank AL, Arguelles S, Rubert M, Eisdorfer C, Czaja SJ. The value of telephone support groups among ethnically diverse caregivers of persons with dementia. Gerontologist. 2006;46:134–8. - PubMed
-
- Bauer M, McBride C. Structured group therapy for bipolar disorder: The Life Goals Program. Springer; New York: 2003.
-
- Bauer MS, McBride L, Williford WO, Glick H, Kinosian B, Altshuler L, Beresford T, Kilbourne AM, Sajatovic M. Collaborative care for bipolar disorder: part I. Intervention and implementation in a randomized effectiveness trial. Psychiatr Serv. 2006a;57:927–36. - PubMed
-
- Bauer MS, McBride L, Williford WO, Glick H, Kinosian B, Altshuler L, Beresford T, Kilbourne AM, Sajatovic M. Collaborative care for bipolar disorder: Part II. Impact on clinical outcome, function, and costs. Psychiatr Serv. 2006b;57:937–45. - PubMed
-
- Beebe L, Tian L. TIPS: Telephone Intervention-Problem Solving for Persons with Schizophrenia. Issues in Mental Health Nursing. 2004;25:317–329. - PubMed
