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ReMindCare App for Early Psychosis: Pragmatic Real World Intervention and Usability Study

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ReMindCare App for Early Psychosis: Pragmatic Real World Intervention and Usability Study

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dc.contributor.author Bonet, Lucía es_ES
dc.contributor.author Torous, John es_ES
dc.contributor.author Arce Grilo, Alexandre David es_ES
dc.contributor.author Blanquer Espert, Ignacio es_ES
dc.contributor.author Sanjuan, Julio es_ES
dc.date.accessioned 2021-02-20T04:31:22Z
dc.date.available 2021-02-20T04:31:22Z
dc.date.issued 2020-11-06 es_ES
dc.identifier.uri http://hdl.handle.net/10251/161984
dc.description.abstract [EN] Background: eHealth interventions are widely used in clinical trials and increasingly in care settings as well; however, their efficacy in real-world contexts remains unknown. ReMindCare is a smartphone app that has been systematically implemented in a first episode of psychosis program (FEPP) for patients with early psychosis since 2018. Objective: The objective of this study was to assess the efficacy of ReMindCare after 19 months of use in the clinic and varying use by individual patients. Methods: The integration of the ReMindCare app into the FEPP started in October 2018. Patients with early psychosis self-selected to the app (ReMindCare group) or treatment as usual (TAU group). The outcome variables considered were adherence to the intervention and number of relapses, hospital admissions, and visits to urgent care units. Data from 90 patients with early psychosis were analyzed: 59 in the ReMindCare group and 31 in the TAU group. The mean age of the sample was 32.8 (SD 9.4) years, 73% (66/90) were males, 91% (83/90) were White, and 81% (74/90) were single. Results: Significant differences between the ReMindCare and TAU groups were found in the number of relapses, hospitalizations, and visits to urgent care units, with each showing benefits for the app. Only 20% (12/59) of patients from the ReMindCare group had a relapse, while 58% (18/31) of the TAU patients had one or more relapses (chi(2) =13.7, P=.001). Moreover, ReMindCare patients had fewer visits to urgent care units (chi(2) =7.4, P=.006) and fewer hospitalizations than TAU patients (chi(2) =4.6, P=.03). The mean of days using the app was 352.2 (SD 191.2; min/max: 18-594), and the mean of engagement was 84.5 (SD 16.04). Conclusions: To our knowledge, this is the first eHealth intervention that has preliminarily proven its benefits in the real-world treatment of patients with early psychosis. es_ES
dc.description.sponsorship This study was supported by the Sanitary Research Institute of the University Clinic Hospital and the Mental Health Networking Biomedical Centre. It was also supported by the Generalitat Valenciana and the Program for Scientific Research, Technological Development, and Innovation in the Generalitat Valenciana of the European Union (2017/9830). It was also supported by grants from the Generalitat Valenciana (PROMETEO/2016/082, PROMETEO/2020/024), Carlos III Health Institute (PI13/00447; PI17/00402), and European Union through the European Regional Development Fund. es_ES
dc.language Inglés es_ES
dc.publisher JMIR Publications es_ES
dc.relation.ispartof JMIR mHealth and uHealth es_ES
dc.rights Reconocimiento (by) es_ES
dc.subject App es_ES
dc.subject Clinical practice es_ES
dc.subject Mental health es_ES
dc.subject Psychosis es_ES
dc.subject Real-world intervention es_ES
dc.subject Telemedicine es_ES
dc.subject.classification CIENCIAS DE LA COMPUTACION E INTELIGENCIA ARTIFICIAL es_ES
dc.title ReMindCare App for Early Psychosis: Pragmatic Real World Intervention and Usability Study es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.2196/22997 es_ES
dc.relation.projectID info:eu-repo/grantAgreement/GVA//PROMETEO%2F2016%2F082/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/MINECO//PI13%2F00447/ES/MARCADORES GENETICOS Y DE NEUROIMAGEN PARA LOS TRASTORNOS DEL LENGUAJE EN LA PSICOSIS/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/ISCIII//PI17%2F00402/ES/Resonancia magnética funcional y expresión génica como predictores en primeros episodios psicóticos/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/ESF//2017%2F9830/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/GVA//PROMETEO%2F2020%2F024/ES/Investigación de marcadores biológicos y nuevas estrategias terapéuticas en la psicosis/ es_ES
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Instituto de Instrumentación para Imagen Molecular - Institut d'Instrumentació per a Imatge Molecular es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Sistemas Informáticos y Computación - Departament de Sistemes Informàtics i Computació es_ES
dc.description.bibliographicCitation Bonet, L.; Torous, J.; Arce Grilo, AD.; Blanquer Espert, I.; Sanjuan, J. (2020). ReMindCare App for Early Psychosis: Pragmatic Real World Intervention and Usability Study. JMIR mHealth and uHealth. 8(11):1-13. https://doi.org/10.2196/22997 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion https://doi.org/10.2196/22997 es_ES
dc.description.upvformatpinicio 1 es_ES
dc.description.upvformatpfin 13 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 8 es_ES
dc.description.issue 11 es_ES
dc.identifier.eissn 2291-5222 es_ES
dc.identifier.pmid 33155986 es_ES
dc.identifier.pmcid PMC7679204 es_ES
dc.relation.pasarela S\427077 es_ES
dc.contributor.funder European Social Fund es_ES
dc.contributor.funder Generalitat Valenciana es_ES
dc.contributor.funder European Regional Development Fund es_ES
dc.contributor.funder Instituto de Investigación Sanitaria INCLIVA es_ES
dc.contributor.funder Centro de Investigación Biomédica en Red de Salud Mental es_ES
dc.contributor.funder Ministerio de Economía y Competitividad es_ES
dc.description.references Firth, J., Cotter, J., Torous, J., Bucci, S., Firth, J. A., & Yung, A. R. (2015). Mobile Phone Ownership and Endorsement of «mHealth» Among People With Psychosis: A Meta-analysis of Cross-sectional Studies. Schizophrenia Bulletin, 42(2), 448-455. doi:10.1093/schbul/sbv132 es_ES
dc.description.references Bonet, L., Izquierdo, C., Escartí, M. J., Sancho, J. V., Arce, D., Blanquer, I., & Sanjuan, J. (2017). Utilización de tecnologías móviles en pacientes con psicosis: una revisión sistemática. Revista de Psiquiatría y Salud Mental, 10(3), 168-178. doi:10.1016/j.rpsm.2017.01.003 es_ES
dc.description.references Kannarkat, J. T., Smith, N. N., & McLeod-Bryant, S. A. (2020). Mobilization of Telepsychiatry in Response to COVID-19—Moving Toward 21st Century Access to Care. Administration and Policy in Mental Health and Mental Health Services Research, 47(4), 489-491. doi:10.1007/s10488-020-01044-z es_ES
dc.description.references Torous, J., & Keshavan, M. (2020). COVID-19, mobile health and serious mental illness. Schizophrenia Research, 218, 36-37. doi:10.1016/j.schres.2020.04.013 es_ES
dc.description.references Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., McIntyre, R. S., … Ho, C. (2020). A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain, Behavior, and Immunity, 87, 40-48. doi:10.1016/j.bbi.2020.04.028 es_ES
dc.description.references Trefflich, F., Kalckreuth, S., Mergl, R., & Rummel-Kluge, C. (2015). Psychiatric patients׳ internet use corresponds to the internet use of the general public. Psychiatry Research, 226(1), 136-141. doi:10.1016/j.psychres.2014.12.037 es_ES
dc.description.references Gay, K., Torous, J., Joseph, A., Pandya, A., & Duckworth, K. (2016). Digital Technology Use Among Individuals with Schizophrenia: Results of an Online Survey. JMIR Mental Health, 3(2), e15. doi:10.2196/mental.5379 es_ES
dc.description.references Bonet, L., Llácer, B., Hernandez-Viadel, M., Arce, D., Blanquer, I., Cañete, C., … Sanjuán, J. (2018). Differences in the Use and Opinions About New eHealth Technologies Among Patients With Psychosis: Structured Questionnaire. JMIR Mental Health, 5(3), e51. doi:10.2196/mental.9950 es_ES
dc.description.references Hau, Y. S., Kim, J. K., Hur, J., & Chang, M. C. (2020). How about actively using telemedicine during the COVID-19 pandemic? Journal of Medical Systems, 44(6). doi:10.1007/s10916-020-01580-z es_ES
dc.description.references Bucci, S., Berry, N., Morris, R., Berry, K., Haddock, G., Lewis, S., & Edge, D. (2019). «They Are Not Hard-to-Reach Clients. We Have Just Got Hard-to-Reach Services.» Staff Views of Digital Health Tools in Specialist Mental Health Services. Frontiers in Psychiatry, 10. doi:10.3389/fpsyt.2019.00344 es_ES
dc.description.references Arango, C., Bernardo, M., Bonet, P., Cabrera, A., Crespo-Facorro, B., Cuesta, M. J., … Melau, M. (2017). Cuando la asistencia no sigue a la evidencia: el caso de la falta de programas de intervención temprana en psicosis en España. Revista de Psiquiatría y Salud Mental, 10(2), 78-86. doi:10.1016/j.rpsm.2017.01.001 es_ES
dc.description.references Camacho, E., Levin, L., & Torous, J. (2019). Smartphone Apps to Support Coordinated Specialty Care for Prodromal and Early Course Schizophrenia Disorders: Systematic Review. Journal of Medical Internet Research, 21(11), e16393. doi:10.2196/16393 es_ES
dc.description.references Correll, C. U., Galling, B., Pawar, A., Krivko, A., Bonetto, C., Ruggeri, M., … Kane, J. M. (2018). Comparison of Early Intervention Services vs Treatment as Usual for Early-Phase Psychosis. JAMA Psychiatry, 75(6), 555. doi:10.1001/jamapsychiatry.2018.0623 es_ES
dc.description.references Bucci, S., Barrowclough, C., Ainsworth, J., Machin, M., Morris, R., Berry, K., … Haddock, G. (2018). Actissist: Proof-of-Concept Trial of a Theory-Driven Digital Intervention for Psychosis. Schizophrenia Bulletin, 44(5), 1070-1080. doi:10.1093/schbul/sby032 es_ES
dc.description.references Eisner, E., Drake, R. J., Berry, N., Barrowclough, C., Emsley, R., Machin, M., & Bucci, S. (2019). Development and Long-Term Acceptability of ExPRESS, a Mobile Phone App to Monitor Basic Symptoms and Early Signs of Psychosis Relapse. JMIR mHealth and uHealth, 7(3), e11568. doi:10.2196/11568 es_ES
dc.description.references Ben-Zeev, D., Brian, R., Wang, R., Wang, W., Campbell, A. T., Aung, M. S. H., … Scherer, E. A. (2017). CrossCheck: Integrating self-report, behavioral sensing, and smartphone use to identify digital indicators of psychotic relapse. Psychiatric Rehabilitation Journal, 40(3), 266-275. doi:10.1037/prj0000243 es_ES
dc.description.references Torous, J., Woodyatt, J., Keshavan, M., & Tully, L. M. (2019). A new hope for early psychosis care: the evolving landscape of digital care tools. The British Journal of Psychiatry, 214(5), 269-272. doi:10.1192/bjp.2019.8 es_ES
dc.description.references Torous, J., Lipschitz, J., Ng, M., & Firth, J. (2020). Dropout rates in clinical trials of smartphone apps for depressive symptoms: A systematic review and meta-analysis. Journal of Affective Disorders, 263, 413-419. doi:10.1016/j.jad.2019.11.167 es_ES
dc.description.references Killikelly, C., He, Z., Reeder, C., & Wykes, T. (2017). Improving Adherence to Web-Based and Mobile Technologies for People With Psychosis: Systematic Review of New Potential Predictors of Adherence. JMIR mHealth and uHealth, 5(7), e94. doi:10.2196/mhealth.7088 es_ES
dc.description.references Krzystanek, M., Krysta, K., & Skałacka, K. (2017). Treatment Compliance in the Long-Term Paranoid Schizophrenia Telemedicine Study. Journal of Technology in Behavioral Science, 2(2), 84-87. doi:10.1007/s41347-017-0016-4 es_ES
dc.description.references Arnold, C., Villagonzalo, K.-A., Meyer, D., Farhall, J., Foley, F., Kyrios, M., & Thomas, N. (2019). Predicting engagement with an online psychosocial intervention for psychosis: Exploring individual- and intervention-level predictors. Internet Interventions, 18, 100266. doi:10.1016/j.invent.2019.100266 es_ES
dc.description.references Ross, J., Stevenson, F., Lau, R., & Murray, E. (2016). Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update). Implementation Science, 11(1). doi:10.1186/s13012-016-0510-7 es_ES
dc.description.references Allan, S., Bradstreet, S., Mcleod, H., Farhall, J., Lambrou, M., … Gleeson, J. (2019). Developing a Hypothetical Implementation Framework of Expectations for Monitoring Early Signs of Psychosis Relapse Using a Mobile App: Qualitative Study. Journal of Medical Internet Research, 21(10), e14366. doi:10.2196/14366 es_ES
dc.description.references Palmier-Claus, J. E., Rogers, A., Ainsworth, J., Machin, M., Barrowclough, C., Laverty, L., … Lewis, S. W. (2013). Integrating mobile-phone based assessment for psychosis into people’s everyday lives and clinical care: a qualitative study. BMC Psychiatry, 13(1). doi:10.1186/1471-244x-13-34 es_ES
dc.description.references Kannisto, K. A., Adams, C. E., Koivunen, M., Katajisto, J., & Va lima ki, M. (2015). Feedback on SMS reminders to encourage adherence among patients taking antipsychotic medication: a cross-sectional survey nested within a randomised trial. BMJ Open, 5(11), e008574-e008574. doi:10.1136/bmjopen-2015-008574 es_ES
dc.description.references Torous, J. B. (2018). Focusing on the Future of Mobile Mental Health and Smartphone Interventions. Psychiatric Services, 69(9), 945-945. doi:10.1176/appi.ps.201800308 es_ES
dc.description.references Bonet, L., Torous, J., Arce, D., Blanquer, I., & Sanjuán, J. (2020). ReMindCare , an app for daily clinical practice in patients with first episode psychosis: A pragmatic real‐world study protocol. Early Intervention in Psychiatry, 15(1), 183-192. doi:10.1111/eip.12960 es_ES
dc.description.references Endicott, J. (1976). The Global Assessment Scale. Archives of General Psychiatry, 33(6), 766. doi:10.1001/archpsyc.1976.01770060086012 es_ES
dc.description.references Cannon-Spoor, H. E., Potkin, S. G., & Wyatt, R. J. (1982). Measurement of Premorbid Adjustment in Chronic Schizophrenia. Schizophrenia Bulletin, 8(3), 470-484. doi:10.1093/schbul/8.3.470 es_ES
dc.description.references Greer, B., Robotham, D., Simblett, S., Curtis, H., Griffiths, H., & Wykes, T. (2019). Digital Exclusion Among Mental Health Service Users: Qualitative Investigation. Journal of Medical Internet Research, 21(1), e11696. doi:10.2196/11696 es_ES
dc.description.references Rus-Calafell, M., & Schneider, S. (2020). Are we there yet?!—a literature review of recent digital technology advances for the treatment of early psychosis. mHealth, 6, 3-3. doi:10.21037/mhealth.2019.09.14 es_ES
dc.description.references Choi, K. R., Heilemann, M. V., Fauer, A., & Mead, M. (2020). A Second Pandemic: Mental Health Spillover From the Novel Coronavirus (COVID-19). Journal of the American Psychiatric Nurses Association, 26(4), 340-343. doi:10.1177/1078390320919803 es_ES


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