Abstract
Mobile technology provides a unique opportunity to expand access to evidence-based interventions. The objective of this study was to provide an update regarding use of technology in people with serious mental illness (SMI). In 2017, 403 people in treatment for SMI were surveyed. Technology use was common: 65.8% used a smartphone, 53.6% used the Internet on a computer or tablet in the past 6 months, and over two thirds (67.9%) used social media. Rates of technology and Facebook use were similar to rates among low-income Americans. Approximately three quarters were willing to use a device to access interventions for stress, health and mental health. Younger adults were more likely to use most forms of technology and social media compared to older adults, but willingness to try technology-delivered interventions did not vary by age. This survey supports the rationale for ongoing development and testing of digital interventions for people with SMI.
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References
Anderson, M. (2017). Digital divide persists even as lower-income Americans make gains in tech adoption. Retrieved from Washington DC, USA. http://rsr.ch/2nB4eSF.
Annonymous. (2018a). Internet/Broadband Fact Sheet. Pew Research Center, Internet & Technology. Retrieved from https://www.pewinternet.org/fact-sheet/internet-broadband/.
Annonymous. (2018b). Mobile Fact Sheet. Pew Research Center Internet & Technology. Retrieved from http://www.Pewinternet.org/fact-sheet/mobile/.
Annonymous. (2018c). Social Media Fact Sheet. Pew Research Center Internet & Technology. Retrieved from http://www.Pewinternet.org/fact-sheet/social-media/.
Aschbrenner, K. A., Naslund, J. A., & Bartels, S. J. (2016). Technology-supported peer-to-peer intervention for people with serious mental illness. Psychiatric Services, 67(8), 928–929. https://doi.org/10.1176/appi.ps.670801.
Ben-Zeev, D., Brian, R. M., Jonathan, G., Razzano, L., Pashka, N., Carpenter-Song, E., et al. (2018). Mobile health (mHealth) versus clinic-based group intervention for people with serious mental illness: A randomized controlled trial. Psychiatric Services. https://doi.org/10.1176/appi.ps.201800063.
Ben-Zeev, D., Davis, K. E., Kaiser, S., Krzsos, I., & Drake, R. E. (2013). Mobile technologies among people with serious mental illness: Opportunities for future services. Administration and Policy In Mental Health, 40(4), 340–343. https://doi.org/10.1007/s10488-012-0424-x.
Ben-Zeev, D., Drake, R., & Marsch, L. (2015). Clinical technology specialists. BMJ, 350, h945.
Brunette, M. F., Ferron, J. C., Drake, R. E., Devitt, T. S., Geiger, P. T., McHugo, G. J., et al. (2013). Carbon monoxide feedback in a motivational decision support system for nicotine dependence among smokers with severe mental illnesses. Journal of Substance Abuse Treatment, 45(4), 319–324. https://doi.org/10.1016/j.jsat.2013.04.005.
Brunette, M. F., Ferron, J. C., Gottlieb, J., Devitt, T., & Rotondi, A. (2016a). Development and usability testing of a web-based smoking cessation treatment for smokers with schizophrenia. Internet Interventions, 4, 113–119. https://doi.org/10.1016/j.invent.2016.05.003.
Brunette, M. F., Rotondi, A. J., Ben-Zeev, D., Gottlieb, J. D., Mueser, K. T., Robinson, D. G., et al. (2016b). Coordinated technology-delivered treatment to prevent rehospitalization in schizophrenia: A novel model of care. Psychiatric Services, 67(4), 444–447. https://doi.org/10.1176/appi.ps.201500257.
Deady, M., Mills, K. L., Teesson, M., & Kay-Lambkin, F. (2016). An online intervention for co-occurring depression and problematic alcohol use in young people: Primary outcomes from a randomized controlled trial. Journal of Medical Internet Research, 18(3), e71. https://doi.org/10.2196/jmir.5178.
Depp, C. A., Mausbach, B., Granholm, E., Cardenas, V., Ben-Zeev, D., Patterson, T. L., et al. (2010). Mobile interventions for severe mental illness: Design and preliminary data from three approaches. The Journal of Nervous and Mental Disease, 198(10), 715–721. https://doi.org/10.1097/NMD.0b013e3181f49ea3.
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. https://doi.org/10.1093/schbul/sbv132.
Firth, J., & Torous, J. (2015). Smartphone apps for schizophrenia: A systematic review. JMIR Mhealth Uhealth, 3(4), e102. https://doi.org/10.2196/mhealth.4930.
Hodges, C. A., O’Brien, M. S., & McGorry, P. D. (2007). Headspace: National youth mental health foundation: Making headway with rural young people and their mental health. Australian Journal of Rural Health, 15(2), 77–80. https://doi.org/10.1111/j.1440-1584.2007.00868.x.
Iribarren, S. J., Cato, K., Falzon, L., & Stone, P. W. (2017). What is the economic evidence for mHealth? A systematic review of economic evaluations of mHealth solutions. PLoS ONE, 12(2), e0170581. https://doi.org/10.1371/journal.pone.0170581.
Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627. https://doi.org/10.1001/archpsyc.62.6.617.
Kessler, R. C., Heeringa, S., Lakoma, M. D., Petukhova, M., Rupp, A. E., Schoenbaum, M., et al. (2008). Individual and societal effects of mental disorders on earnings in the United States: Results from the national comorbidity survey replication. American Journal of Psychiatry, 165(6), 703–711. https://doi.org/10.1176/appi.ajp.2008.08010126.
Miller, B. J., Stewart, A., Schrimsher, J., Peeples, D., & Buckley, P. F. (2015). How connected are people with schizophrenia? Cell phone, computer, email, and social media use. Psychiatry Research, 225(3), 458–463. https://doi.org/10.1016/j.psychres.2014.11.067.
Naslund, J. A., Aschbrenner, K. A., Scherer, E. A., McHugo, G. J., Marsch, L. A., & Bartels, S. J. (2016). Wearable devices and mobile technologies for supporting behavioral weight loss among people with serious mental illness. Psychiatry Research, 244, 139–144. https://doi.org/10.1016/j.psychres.2016.06.056.
Pratt, S. I., Bartels, S. J., Mueser, K. T., Naslund, J. A., Wolfe, R., Pixley, H. S., et al. (2013). Feasibility and effectiveness of an automated telehealth intervention to improve illness self-management in people with serious psychiatric and medical disorders. Psychiatric Rehabilitation Journal, 36(4), 297–305. https://doi.org/10.1037/prj0000022.
Pratt, S. I., Naslund, J. A., Wolfe, R. S., Santos, M., & Bartels, S. J. (2015). Automated telehealth for managing psychiatric instability in people with serious mental illness. Journal of Mental Health, 24(5), 261–265. https://doi.org/10.3109/09638237.2014.928403.
Sandoval, L. R., Torous, J., & Keshavan, M. S. (2017). Smartphones for smarter care? Self-management in schizophrenia. American Journal of Psychiatry, 174(8), 725–728. https://doi.org/10.1176/appi.ajp.2017.16090990.
Torous, J., Staples, P., Slaters, L., Adams, J., Sandoval, L., Onnela, J. P., et al. (2017). Characterizing smartphone engagement for schizophrenia: Results of a naturalist mobile health study. Clin Schizophr Relat Psychoses. https://doi.org/10.3371/csrp.jtps.071317.
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Author 1 received research support from Alkermes. Author 2 has received research support from AssurEx, Avanir, Janssen, Novartis, Otsuka, Pfizer, Pine Rest Foundation, Priority Health, Network180, and Vanguard Research Group and serves on an advisory panel for the Vanguard Research Group. The other authors report no conflicts of interest.
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Brunette, M., Achtyes, E., Pratt, S. et al. Use of Smartphones, Computers and Social Media Among People with SMI: Opportunity for Intervention. Community Ment Health J 55, 973–978 (2019). https://doi.org/10.1007/s10597-019-00431-7
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DOI: https://doi.org/10.1007/s10597-019-00431-7