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
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Keywords
Mental health, Short-term, Feasibility, Prototype, Text, SMS
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