Evidence map›Paper›PMID 24320837›Full record

ArticlePsychiatric rehabilitation journal2013

Feasibility and effectiveness of an automated telehealth intervention to improve illness self-management in people with serious psychiatric and medical disorders.

Sarah I Pratt, Stephen J Bartels, Kim T Mueser, John A Naslund, Rosemarie Wolfe, Heather S Pixley, Louis Josephson

Registry-linked trialAbstract readEvaluation Study
In one paragraph

Article in Psychiatric rehabilitation journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02188732 (Self-Management Training and Automated Telehealth to Improve SMI Health Outcomes), which is not on this map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02188732 nacompletednot on this mapstarted 2015, after this paper: background citation

Self-Management Training and Automated Telehealth to Improve SMI Health Outcomes

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2015 to 2021Enrolled301ConditionsSchizophrenia, Schizoaffective Disorder, Bipolar Disorder, DepressionArmsCBHH+AT, CBHH+SMT, CBHH
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Telehealth in Primary Health Care: A Scoping Review of the Literature.Perspectives in health information managemen · 2022
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sarah I PrattGeisel School of Aging, Dartmouth College.
Stephen J Bartels
Kim T Mueser
John A Naslund
Rosemarie Wolfe
Heather S Pixley
Louis Josephson

Funding

Rehabilitation and Health Care for Older Adults with SMIR01MH062324 · NIMH · DARTMOUTH COLLEGE · PI BARTELS, STEPHEN J · 2001 to 2005
$3.7M
Interventions and Services for Older Adults with SMIK24MH066282 · NIMH · DARTMOUTH COLLEGE · PI BARTELS, STEPHEN J · 2002 to 2011
$1.6M
NIMH NIH HHS K24 MH066282NIMH NIH HHS R01 MH062324
6 · The paper itself

Abstract

objectiveEffective monitoring and treatment are needed to address the elevated rates of medical comorbidity among individuals with serious mental illnesses. This study examined the feasibility and potential effectiveness of an automated telehealth intervention, supported by nurse health-care management, among adults with serious mental illnesses and chronic medical conditions.

methodsWe conducted a single-arm pilot trial with 70 individuals with serious mental illnesses and chronic medical conditions who were medically unstable (determined by treatment team or defined as multiple emergency room visits/hospitalizations within the past year). The telehealth intervention was delivered for 6 months with feasibility and acceptability as the primary outcomes. Measures of illness management self-efficacy, psychiatric symptoms, subjective health status, health indicators, and service use were also collected at baseline and at 6 months.

resultsMost individuals (n = 62; 89%) participated in at least 70% of the telehealth sessions. Participation was associated with improvements in self-efficacy for managing depression and diastolic blood pressure. Almost all participants (n = 68; 98%) rated their understanding of their medical condition as "much better" or "somewhat better" postintervention. Among a subgroup of individuals with diabetes, decreases in fasting blood glucose were achieved, and among those with diabetes and major depression or bipolar disorder there were reductions in urgent care and primary care visits. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: These results demonstrate the feasibility and acceptability of automated telehealth supported by a nurse care manager and the potential effectiveness of this technology in improving self-management of psychiatric symptoms and chronic health conditions among these high-risk individuals.

Indexed as

AdultChronic DiseaseComorbidityDiabetes MellitusEmergency Service, HospitalFeasibility StudiesFemaleHealth StatusHealth Status IndicatorsHospitalizationHumansMaleMental DisordersMiddle AgedOutcome Assessment, Health CarePatient Compliance

Identifiers

PMID24320837
PMCPMC5472060

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.