Evidence map›Paper›PMID 28169129›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2017

Adapting a Psychosocial Intervention for Smartphone Delivery to Middle-Aged and Older Adults with Serious Mental Illness.

Karen L Fortuna, Matthew C Lohman, Lydia E Gill, Martha L Bruce, Stephen J Bartels

Open access · greenAbstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 4 pooled it
6.8field-weighted citation impact, top 3% 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

38 citing papers in PubMed, 4 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
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  8. Guidelines to Establish an Equitable Mobile Health Ecosystem.Psychiatric services (Washington, D.C.) · 2023
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  17. Updates in Geriatric Psychiatry.Focus (American Psychiatric Publishing) · 2021
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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.

Karen L FortunaDartmouth Centers for Health and Aging, Lebanon, NH; CDC Health Promotion Research Center at Dartmouth, Lebanon, NH; Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH. Electronic address: Karen.L.Fortuna@Dartmouth.edu.
Matthew C LohmanDartmouth Centers for Health and Aging, Lebanon, NH; CDC Health Promotion Research Center at Dartmouth, Lebanon, NH; Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH.
Lydia E GillDartmouth Centers for Health and Aging, Lebanon, NH; CDC Health Promotion Research Center at Dartmouth, Lebanon, NH.
Martha L BruceDartmouth Centers for Health and Aging, Lebanon, NH; CDC Health Promotion Research Center at Dartmouth, Lebanon, NH; Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH.
Stephen J BartelsDartmouth Centers for Health and Aging, Lebanon, NH; CDC Health Promotion Research Center at Dartmouth, Lebanon, NH; Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH.
Dartmouth Psychiatric Research Center · USDartmouth College · US

Funding

Training Geriatric Mental Health Services ResearchersT32MH073553 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI BRUCE, MARTHA L · 2005 to 2019
$6.4M
NIMH NIH HHS T32 MH073553
6 · The paper itself

Abstract

objectiveTo describe the process of adapting an integrated medical and psychiatric self-management intervention to a smartphone application for middle-aged and older adults with serious mental illness using an adaptive systems engineering framework and user-centered design.

methodsFirst, we determined the technical abilities and needs of middle-aged and older adults with serious mental illnesses using smartphones. Then, we developed smartphone content through principles of user-centered design and modified an existing smartphone platform. Finally, we conducted a usability test using "think aloud" and verbal probing.

resultsWe adapted a psychosocial self-management intervention to a smartphone application and tested its usability. Ten participants (mean age: 55.3 years, SD: 6.2 years) with serious mental illness and comorbid chronic health conditions reported a high level of usability and satisfaction with the smartphone application.

conclusionsMiddle-aged and older adults with serious mental illness and limited technical abilities were able to participate in a process involving user-centered design and adaptation of a self-management intervention to be delivered by a smartphone. High usability ratings suggest that middle-aged and older adults with serious mental illness have the potential to use tailored smartphone interventions. Future research is indicated to establish effectiveness and to determine the type and intensity of clinical support needed to successfully implement smartphone applications as a component of community-based services for older adults with psychiatric and medical conditions.

Indexed as

Medical Informatics ApplicationsMobile ApplicationsPatient SatisfactionSelf-ManagementTelemedicineAgedBipolar DisorderFemaleHumansMajor Depressive DisorderMaleMental DisordersMiddle AgedPsychotherapyPsychotic DisordersSchizophreniamobile health technologyolder adultsPsychosocial interventionself-management

Identifiers

PMID28169129
PMCPMC5498268
OpenAlexW2568664024

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.