Evidence map›Paper›PMID 24988132›Full record

ArticleJournal of mental health (Abingdon, England)2015

Automated telehealth for managing psychiatric instability in people with serious mental illness.

Sarah I Pratt, John A Naslund, Rosemarie S Wolfe, Meghan Santos, Stephen J Bartels

Open access · greenAbstract read
In one paragraph

Article in Journal of mental health (Abingdon, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 6% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Exploring Clients' Experiences of Transitioning Mental Health Nursing Care from an In-Person to a Virtual Format due to the COVID-19 Pandemic.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2024
    Article
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  10. Article
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  13. Over promised, over-sold and underperforming? - e-health in mental health.Journal of mental health (Abingdon, England) · 2016
    Article
  14. Review
  15. Article
  16. 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

5 authors at 2 institutions in 1 country.

Sarah I Pratta Department of Psychiatry , Geisel School of Medicine at Dartmouth , Lebanon , NH , USA .
John A Naslundb The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College , Lebanon , NH , USA , and.
Rosemarie S Wolfea Department of Psychiatry , Geisel School of Medicine at Dartmouth , Lebanon , NH , USA .
Meghan Santosa Department of Psychiatry , Geisel School of Medicine at Dartmouth , Lebanon , NH , USA .
Stephen J Bartelsa Department of Psychiatry , Geisel School of Medicine at Dartmouth , Lebanon , NH , USA .
Dartmouth College · USDartmouth Institute for Health Policy and Clinical Practice · US

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

backgroundSerious mental illness (SMI) with psychiatric instability accounts for disproportionately high use of emergency room visits and hospitalizations.

aimTo evaluate the effectiveness of an automated telehealth intervention supported by nurse health care management for improving psychiatric illness management and reducing acute service use among individuals with SMI and psychiatric instability.

methodsThirty-eight individuals with SMI received the automated telehealth intervention for 6 months. Psychiatric symptoms, illness self-management, and self-reported service use (emergency room visits and hospital admissions) were collected at baseline, 3- and 6-months. Measures of quality of life, health indicators, and subjective health status were also collected.

resultsParticipants demonstrated improvements in self-reported psychiatric symptoms and illness self-management skills, an 82% decrease in hospital admissions (from 76 to 14 hospitalizations, p < 0.001) and a 75% decrease in emergency room visits (from 63 to 16 visits, p < 0.001). Improvements were also observed in quality of life, severity of depressive symptoms, and mental health status.

conclusionThese highly promising findings support the use of an automated telehealth device monitored by a nurse care manager for people with SMI, and highlight the potential for cost savings through reductions in acute health care utilization.

Indexed as

AdultFemaleHealth StatusHospitalizationHumansMaleMental DisordersMiddle AgedPilot ProjectsQuality of LifeTelemedicineTreatment OutcomeAcute service useautomated telehealthcommunity mental healthmental healthpsychiatric instabilityserious mental illness

Identifiers

PMID24988132
PMCPMC5506829
OpenAlexW2132906806

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.