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O’Sullivan K, Downes C, Monahan M, Morrissey J, Byrne G, Farrell G, Gibbons P, Higgins A. Operationalising a Recovery-Oriented Support and Information Programme Online: The EOLAS Programme. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4417. [PMID: 36901424 PMCID: PMC10002363 DOI: 10.3390/ijerph20054417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 02/14/2023] [Accepted: 02/23/2023] [Indexed: 06/18/2023]
Abstract
Evidence demonstrates that psychoeducation interventions have clinical and recovery-related benefits for people experiencing psychosis and their family members. The EOLAS programmes are one example of recovery-oriented psychoeducation programmes for psychosis. They differ from other programmes in that they are co-designed and co-facilitated (peer and clinician) group programmes. Due to the COVID-19 pandemic, EOLAS went online using a videoconferencing platform. The study examined the feasibility, acceptability and usefulness of EOLAS-Online and explored whether some of the positive recovery outcomes reported by attendees regarding the in-person programmes were replicated online. Data were collected through an online survey and semi-structured interviews. Quantitative data were analysed using descriptive statistics. Thematic analysis was used for qualitative data. Fifteen attendees (40% of attendees) completed the surveys and eight participated in interviews. A total of 80% were satisfied/very satisfied with the programme. The programme was rated highly for increased knowledge of mental health, coping strategies, and engaging with peers. The use of technology was mostly unproblematic, although some audio and video-related challenges were identified. Engaging with the online programme was experienced positively, including facilitator support to engage. The overall findings indicate that EOLAS-Online is feasible, acceptable and useful in supporting attendees' recovery journeys.
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Affiliation(s)
- Karin O’Sullivan
- School of Nursing and Midwifery, Trinity College Dublin, D02 T283 Dublin, Ireland
| | - Carmel Downes
- School of Nursing and Midwifery, Trinity College Dublin, D02 T283 Dublin, Ireland
| | - Mark Monahan
- School of Nursing and Midwifery, Trinity College Dublin, D02 T283 Dublin, Ireland
| | - Jean Morrissey
- School of Nursing and Midwifery, Trinity College Dublin, D02 T283 Dublin, Ireland
| | - Gobnait Byrne
- Trinity Centre for Practice and Healthcare Innovation, School of Nursing & Midwifery, Trinity College Dublin, D02 T283 Dublin, Ireland
| | - Gerard Farrell
- School of Nursing and Midwifery, Trinity College Dublin, D02 T283 Dublin, Ireland
| | - Patrick Gibbons
- Kildare/West Wicklow Mental Health Service, Lakeview Unit, Naas Hospital, Craddockstown Rd., Naas, W91 AE76 Kildare, Ireland
| | - Agnes Higgins
- Trinity Centre for Practice and Healthcare Innovation, School of Nursing & Midwifery, Trinity College Dublin, D02 T283 Dublin, Ireland
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A systematic review of influences on implementation of supported self-management interventions for people with severe mental health problems in secondary mental health care settings. PLoS One 2023; 18:e0282157. [PMID: 36848334 PMCID: PMC9970054 DOI: 10.1371/journal.pone.0282157] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Accepted: 02/09/2023] [Indexed: 03/01/2023] Open
Abstract
PURPOSE There is robust evidence for offering supported self-management interventions for people with severe mental illness (SMI) throughout secondary mental health services, but their availability remains patchy. The aim of this systematic review is to synthesise the evidence on barriers and facilitators to implementing self-management interventions for people with SMI in secondary mental health care settings. METHODS The review protocol was registered with PROSPERO (CRD42021257078). Five databases were searched to identify relevant studies. We included full-text journal articles with primary qualitative or quantitative data on factors which affect the implementation of self-management interventions for people with SMI in secondary mental health services. The included studies were analysed using narrative synthesis, using the Consolidated Framework for Implementation Research and an established taxonomy of implementation outcomes. RESULTS Twenty-three studies from five countries met eligibility criteria. The barriers and facilitators identified in the review were mainly on the organisational level, but included some individual-level influences. Facilitators included high feasibility, high fidelity, a strong team structure, sufficient number of staff, support from colleagues, staff training, supervision, the presence of an implementation champion and adaptability of the intervention. Barriers to implementation include high staff turnover, staff shortage, lack of supervision, lack of support for staff delivering the programme, staff struggling with their increased workload, a lack of senior clinical leadership, and programme content perceived as irrelevant. CONCLUSION The findings from this research suggest promising strategies to improve implementation of self-management interventions. For services providing support for people with SMI, organisational culture should be considered, as well as the adaptability of interventions.
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Liu S. Analysis on the literature communication path of new media integrating public mental health. Front Psychol 2022; 13:997558. [PMID: 36204755 PMCID: PMC9531954 DOI: 10.3389/fpsyg.2022.997558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 08/26/2022] [Indexed: 11/13/2022] Open
Abstract
The communication of mental health is an important branch of health communication, and it is also an important factor affecting people’s physical and mental health. With the increasing pressure of life, people’s mental health problems have huge challenges. Under the enormous pressure of economy and life, people’s mental health problems are becoming increasingly prominent. This calls for attention to mental health issues. In the context of new media, knowledge about mental health can be disseminated through the Internet and mobile platforms. This approach will spread awareness of mental health prevention and basic issues. Mental health problems are also a manifestation of the lack of humanistic spirit. Excellent works related to humanistic spirit can promote the relief of mental health problems. Literature can contribute to the development of mental health problems. This research studies the communication of mental health issues in the context of new media using literary works as a carrier. At the same time, it also considers big data-related algorithms to mine the traditional characteristics of mental health problems. The research results show that new media technology can well assist the dissemination of mental health education, and literary works also contribute to the dissemination of mental health education knowledge. Collaborative filtering algorithm and atrous convolution algorithm can better predict the relevant characteristics in the process of mental health communication. For the CF algorithm, its maximum similarity index reached 0.987 when recommending mental health propagation paths using new media technology. For ACNN, the smallest prediction error is only 1.78%.
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Affiliation(s)
- Shaojing Liu
- School of Chinese Language and Literature, Linyi University, Linyi, China
- Center for Literary Theory and Aesthetics, School of Literature, Shandong University, Jinan, China
- *Correspondence: Shaojing Liu,
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Sampietro HM, Carmona VR, Rojo JE, Gómez-Benito J. Mapping mad maps and recovery tools developed by mental health service users and survivors of psychiatry: a scoping review. BMJ Open 2022; 12:e061692. [PMID: 36691238 PMCID: PMC9171280 DOI: 10.1136/bmjopen-2022-061692] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Accepted: 05/11/2022] [Indexed: 01/28/2023] Open
Abstract
BACKGROUND Since 1997, several tools based on the experiences of users and survivors of psychiatry have been developed with the goal of promoting self-determination in recovery, empowerment and well-being. OBJECTIVES The aims of this study were to identify these tools and their distinctive features, and to know how they were created, implemented and evaluated. METHOD This work was conducted in accordance with a published Scoping Review protocol, following the Arksey and O'Malley approach and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. Five search strategies were used, including contact with user and survivor networks, academic database searching (Cochrane, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, PsycARTICLES, SCOPUS, PubMed and Web of Science), grey literature searching, Google Scholar searching and reference harvesting. We focused on tools, elaborated by users and survivors, and studies reporting the main applications of them. The searches were performed between 21 July and 22 September 2022. Two approaches were used to display the data: descriptive analysis and thematic analysis. RESULTS Six tools and 35 studies were identified, most of them originating in the USA and UK. Thematic analysis identified six goals of the tools: improving wellness, navigating crisis, promoting recovery, promoting empowerment, facilitating mutual support and coping with oppression. Of the 35 studies identified, 34 corresponded to applications of the Wellness Recovery Action Plan (WRAP). All of them, but one, evaluated group workshops implementations. The most common objective was to evaluate symptom improvement. Only eight studies included users and survivors as part of the research team. CONCLUSIONS Only the WRAP has been widely disseminated and investigated. Despite the tools were designed to be implemented by peers, it seems they have been usually implemented without them as trainers. Even when these tools are not aimed to promote clinical recovery, in practice the most disseminated recovery tool is being used in this way.
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Affiliation(s)
- Hernán María Sampietro
- ActivaMent Catalunya Associació, Barcelona, Spain
- Department of Social Psychology and Quantitative Psychology, Universidad de Barcelona, Barcelona, Spain
| | - Viviana R Carmona
- ActivaMent Catalunya Associació, Barcelona, Spain
- Department of Social Psychology and Quantitative Psychology, Universidad de Barcelona, Barcelona, Spain
| | - J Emilio Rojo
- Departament of Medical Direction, Benito Menni Complex Assistencial en Salut Mental, Sant Boi de Llobregat, Spain
- Department of Psychiatry, International University of Catalunya, Barcelona, Spain
| | - J Gómez-Benito
- Department of Social Psychology and Quantitative Psychology, Universidad de Barcelona, Barcelona, Spain
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Halverson TF, Browne J, Thomas SM, Palenski P, Vilardaga R. An examination of neurocognition and theory of mind as predictors of engagement with a tailored digital therapeutic in persons with serious mental illness. Schizophr Res Cogn 2022; 28:100236. [PMID: 35242605 PMCID: PMC8861409 DOI: 10.1016/j.scog.2022.100236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Revised: 01/05/2022] [Accepted: 01/07/2022] [Indexed: 11/16/2022]
Abstract
There is an increasing interest in the development and implementation of digital therapeutics (apps) in individuals with serious mental illness (SMI). However, there is limited understanding of the role of neurocognition and social cognition on engagement with apps. The present study is a secondary analysis of a pilot randomized controlled trial (N = 62) comparing a tailored digital intervention to treat tobacco use disorder in individuals with SMI to a standard of care digital intervention for the general population. The purpose of this study was to examine the impact of neurocognition, social cognition, and clinical characteristics on indices of app engagement in users of the tailored app compared to users of the standard of care app. Correlational analyses demonstrated that individuals with low levels of neurocognition and social cognition engaged more often and for longer duration with the tailored app compared to the standard of care app. In a series of multilevel zero-inflated negative binomial models, assignment to the tailored app remained the most robust predictor of app interactions (Risk Ratio [RR] = 1.72; p < .01), duration of app use (RR = 6.47; p < .01), and average length of interaction (RR = 2.70; p < .01), after adjusting for key demographic and clinical characteristics, and two measures of cognition. This is one of the first studies to demonstrate that digital therapeutics can be designed to mitigate the impact of neurocognition and social cognition on device engagement in SMI populations. Recommendations are made to advance the use of new analytic models to uncover patterns of engagement with digital therapeutics.
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Affiliation(s)
- Tate F. Halverson
- Durham VA Health Care System, Durham, NC, United States of America,Veterans Affairs Mid-Atlantic Mental Illness Research, Education and Clinical Center, United States of America
| | - Julia Browne
- Durham VA Health Care System, Durham, NC, United States of America,Geriatric Research, Education, and Clinical Center, Durham VA Health Care System, Durham, NC, United States of America
| | - Samantha M. Thomas
- Duke Cancer Institute, Duke University, Durham, NC, United States of America,Department of Biostatistics and Bioinformatics, Duke University, Durham, NC, United States of America
| | - Paige Palenski
- Department of Psychiatry and Behavioral Neurobiology, The University of Alabama at Birmingham, Birmingham, AL, United States of America
| | - Roger Vilardaga
- Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, United States of america,Corresponding author at: Psychiatry and Behavioral Sciences, Duke University, 2812 Erwin Road, Suite 403 Box 13, Durham, NC 27705, United States of America.
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Kozelka EE, Jenkins JH, Carpenter-Song E. Advancing Health Equity in Digital Mental Health: Lessons From Medical Anthropology for Global Mental Health. JMIR Ment Health 2021; 8:e28555. [PMID: 34398788 PMCID: PMC8406126 DOI: 10.2196/28555] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 05/20/2021] [Accepted: 05/25/2021] [Indexed: 01/26/2023] Open
Abstract
Digital health engenders the opportunity to create new effective mental health care models-from substance use recovery to suicide prevention. Anthropological methodologies offer a unique opportunity for the field of global mental health to examine and incorporate contextual mental health needs through attention to the lived experience of illness; engagement with communities; and knowledge of context, structures, and systems. Attending to these diverse mental health needs and conditions as well as the limitations of digital health will allow global mental health researchers, practitioners, and patients to collaboratively create new models for care in the service of equitable, accessible recovery.
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Affiliation(s)
| | - Janis H Jenkins
- Department of Anthropology, University of California San Diego, La Jolla, CA, United States.,Department of Psychiatry, University of California San Diego, La Jolla, CA, United States
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Buck B, Chander A, Ben-Zeev D. Clinical and demographic predictors of engagement in mobile health vs. clinic-based interventions for serious mental illness. ACTA ACUST UNITED AC 2020. [DOI: 10.1016/j.jbct.2020.03.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Abstract
There is growing interest in digital mental health as well as accumulating evidence of the potential for technology-based tools to augment traditional mental health services and to potentially overcome barriers to access and use of mental health services. Our research group has examined how people with mental illnesses think about and make use of technology in their everyday lives as a means to provide insight into the emerging paradigm of digital mental health. This research has been guided by anthropological approaches that emphasise lived experience and underscore the complexity of psychiatric recovery. In this commentary I describe how an anthropological approach has motivated us to ask how digital technology can be leveraged to promote meaningful recovery for people with mental illnesses and to develop a new approach to the integration of technology-based tools for people with mental illnesses.
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