Emerging mHealth and eHealth interventions for serious mental illness: a review of the literature

John A. Naslund, Lisa A. Marsch, Gregory J. McHugo, Stephen J. Bartels
2015 Journal of Mental Health  
Background-Serious mental illness is one of the leading causes of disability worldwide. Emerging mobile health (mHealth) and eHealth interventions may afford opportunities for reaching this at-risk group. Aim-To review the evidence on using emerging mHealth and eHealth technologies among people with serious mental illness. Methods-We searched MEDLINE, PsychINFO, CINAHL, Scopus, Cochrane Central, and Web of Science through July 2014. Only studies reporting outcomes for mHealth or eHealth
more » ... tions, defined as remotely delivered using mobile, online, or other devices, targeting people with schizophrenia, schizoaffective disorder, or bipolar disorder, were included. Results-Forty-six studies spanning 12 countries were included. Interventions were grouped into four categories: 1) illness self-management and relapse prevention; 2) promoting adherence to medications and/or treatment; 3) psychoeducation, supporting recovery, and promoting health and wellness; and 4) symptom monitoring. The interventions were consistently found to be highly feasible and acceptable, though clinical outcomes were variable but offered insight regarding potential effectiveness. Conclusions-Our findings confirm the feasibility and acceptability of emerging mHealth and eHealth interventions among people with serious mental illness; however, it is not possible to draw conclusions regarding effectiveness. Further rigorous investigation is warranted to establish effectiveness and cost benefit in this population.
doi:10.3109/09638237.2015.1019054 pmid:26017625 pmcid:PMC4924808 fatcat:mq3oofxkv5fffnlueyc4uz2uiq