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. 2018 Dec;48(16):2637-2657.
doi: 10.1017/S0033291718001125. Epub 2018 May 25.

Telephone-delivered psychosocial interventions targeting key health priorities in adults with a psychotic disorder: systematic review

Amanda L Baker  1 , Alyna Turner  1 , Alison Beck  1 , Katherine Berry  2 , Gillian Haddock  2 , Peter J Kelly  3 , Sandra Bucci  2
Affiliations

Telephone-delivered psychosocial interventions targeting key health priorities in adults with a psychotic disorder: systematic review

Amanda L Baker et al. Psychol Med. 2018 Dec.

Abstract

Background: The mental and physical health of individuals with a psychotic illness are typically poor. Access to psychosocial interventions is important but currently limited. Telephone-delivered interventions may assist. In the current systematic review, we aim to summarise and critically analyse evidence for telephone-delivered psychosocial interventions targeting key health priorities in adults with a psychotic disorder, including (i) relapse, (ii) adherence to psychiatric medication and/or (iii) modifiable cardiovascular disease risk behaviours.

Methods: Ten peer-reviewed and four grey literature databases were searched for English-language studies examining psychosocial telephone-delivered interventions targeting relapse, medication adherence and/or health behaviours in adults with a psychotic disorder. Study heterogeneity precluded meta-analyses.

Results: Twenty trials [13 randomised controlled trials (RCTs)] were included, involving 2473 participants (relapse prevention = 867; medication adherence = 1273; and health behaviour = 333). Five of eight RCTs targeting relapse prevention and one of three targeting medication adherence reported at least 50% of outcomes in favour of the telephone-delivered intervention. The two health-behaviour RCTs found comparable levels of improvement across treatment conditions.

Conclusions: Although most interventions combined telephone and face-to-face delivery, there was evidence to support the benefit of entirely telephone-delivered interventions. Telephone interventions represent a potentially feasible and effective option for improving key health priorities among people with psychotic disorders. Further methodologically rigorous evaluations are warranted.

Keywords: Cardiovascular risk; medication compliance; psychosocial telephone intervention; psychotic disorder; relapse.

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Figures

Fig. 1.
Fig. 1.
PRISMA flow diagram summarising systematic search identifying evaluations of telephone delivered psychosocial interventions for relapse prevention, medication adherence and health risk behaviours in adults with a psychotic disorder.
See this image and copyright information in PMC

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