Evidence map›Paper›PMID 26829356›Full record

Trial reportJournal of dual diagnosis2016

A Qualitative Study of Client-Clinician Text Exchanges in a Mobile Health Intervention for Individuals With Psychotic Disorders and Substance Use.

Kelly A Aschbrenner, John A Naslund, Lydia E Gill, Stephen J Bartels, Dror Ben-Zeev

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Journal of dual diagnosis, 2016. 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
4.6field-weighted citation impact, top 5% 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, 33 citations in OpenAlex.

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  10. A Future Research Agenda for Digital Geriatric Mental Healthcare.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2019
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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.

Kelly A Aschbrennera Health Promotion Research Center at Dartmouth , Lebanon , New Hampshire , USA.
John A Naslunda Health Promotion Research Center at Dartmouth , Lebanon , New Hampshire , USA.
Lydia E Gilla Health Promotion Research Center at Dartmouth , Lebanon , New Hampshire , USA.
Stephen J Bartelsa Health Promotion Research Center at Dartmouth , Lebanon , New Hampshire , USA.
Dror Ben-Zeevc mHealth for Mental Health Program, Dartmouth Psychiatric Research Center , Lebanon , New Hampshire , USA.
Dartmouth Psychiatric Research Center · USDartmouth Institute for Health Policy and Clinical Practice · US

Funding

Health Promotion and Disease Prevention Research CenterU48DP005018 · DP · DARTMOUTH COLLEGE · PI ADACHI-MEJIA, ANNA MARIA · 2014 to 2018
$5.6M
Development of a Mobile System for Self-management of Schizophrenia (SOS)R34MH100195 · NIMH · DARTMOUTH COLLEGE · PI BEN-ZEEV, DROR · 2013 to 2015
$688k
ACL HHS U48DP005018NCCDPHP CDC HHS U48 DP005018NCCDPHP CDC HHS U48DP005018NIMH NIH HHS R34 MH100195
6 · The paper itself

Abstract

objectiveMobile health (mHealth) approaches have the potential to transform prevention, wellness, and illness management for people with dual diagnosis consisting of co-occurring mental illness and substance use disorders by providing timely and cost-effective interventions in clients' natural environments. However, little is known about how clients interact with mHealth interventions to manage their illness. This qualitative study explored the content of mobile phone text messages between clients with dual diagnosis and a clinician who engaged them in daily assessment and intervention text exchanges.

methodsSeventeen participants with psychotic disorders and substance use were enrolled in a 12-week single-arm trial of an mHealth intervention focusing on illness management. The clinician (i.e., mobile interventionist) sent daily text messages to participants' privately owned mobile phones to assess their medication adherence and clinical status. The clinician provided other illness management and wellness suggestions flexibly, in response to participants' needs and preferences. In this qualitative study we conducted a thematic analysis of the client-clinician text exchanges that occurred over the course of the intervention.

resultsSeven major content themes in client-clinician text message exchanges were identified: mental health symptoms; mental health coping strategies; mental health treatment and management; lifestyle behaviors; social relationships and leisure activities; motivation and personal goal setting; and independent living. Participants were interested in discussing strategies for coping with mental health symptoms (e.g., cognitive restructuring, social support) and health behavior change (e.g., increased physical activity, dietary changes).

conclusionsOur findings suggest that client-centered text messaging has the potential to be an important component of illness management for people with dual diagnosis. This approach is able to offer coping strategies that are tailored to clients' needs and preferences in real time when help is needed.

Indexed as

Text MessagingAdaptation, PsychologicalDiagnosis, Dual (Psychiatry)HumansLife StyleMotivationPatient-Centered CarePatient CompliancePhysician-Patient RelationsPsychotic DisordersQualitative ResearchSchizophreniaSocial BehaviorSubstance-Related Disordersdual diagnosishealth promotionillness managementMobile health (mHealth)mobile phones

Identifiers

PMID26829356
PMCPMC4837061
OpenAlexW2275539024

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.