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. 2020 Mar;26(2):80-88.
doi: 10.1097/PRA.0000000000000450.

Digital Opportunities for Outcomes in Recovery Services (DOORS): A Pragmatic Hands-On Group Approach Toward Increasing Digital Health and Smartphone Competencies, Autonomy, Relatedness, and Alliance for Those With Serious Mental Illness

Liza Hoffman  1 , Hannah Wisniewski, Ryan Hays, Philip Henson, Aditya Vaidyam, Victoria Hendel, Matcheri Keshavan, John Torous
Affiliations

Digital Opportunities for Outcomes in Recovery Services (DOORS): A Pragmatic Hands-On Group Approach Toward Increasing Digital Health and Smartphone Competencies, Autonomy, Relatedness, and Alliance for Those With Serious Mental Illness

Liza Hoffman et al. J Psychiatr Pract. 2020 Mar.

Abstract

Digital health technologies such as smartphones present the potential for increased access to care and on-demand services. However, many patients with serious mental illnesses (eg, schizophrenia) have not been offered the digital health training necessary to fully utilize these innovative approaches. To bridge this digital divide in knowledge and skills, we created a hands-on and interactive training program grounded in self-determination theory, technology use cases, and the therapeutic alliance. This article introduces the need and theoretical foundation for and the experience of running the resulting Digital Opportunities for Outcomes in Recovery Services (DOORS) group in the setting of 2 programs: a first-episode psychosis program and a clubhouse for individuals with serious mental illness. The experience of running these 2 DOORS groups resulted in 2 publicly available, free training manuals to empower others to run such groups and adapt them for local needs. Future work on DOORS will expand the curriculum to best support digital health needs and increase equity of access to and knowledge and skills related to technology use in serious mental illness.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1.
Figure 1.
Schematic of the theory and technology journey underlying the DOORS program DOORS indicates Digital Opportunities for Outcomes in Recovery Services
Figure 2.
Figure 2.
Number of participants in the first-episode psychosis group using different criteria to evaluate health-related apps
Figure 3.
Figure 3.
Number of participants in the first-episode psychosis group that had used a smartphone app to help with sleep, exercise, diet, mindfulness, managing symptoms, mood, or stress
Figure 4.
Figure 4.
Smartphone skills and examples of apps in which the participants in the chronic phase schizophrenia group expressed interest
Figure 5:
Figure 5:
Pre and post scores on the eHEALS in the chronic phase schizophrenia group eHEALS indicates the e Health Literacy Scale
See this image and copyright information in PMC

References

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