Evidence map›Paper›PMID 34147075›Full record

ArticleBMC psychiatry2021

A qualitative study of stakeholder views on the use of a digital app for supported self-management in early intervention services for psychosis.

Thomas Steare, Maria Giorgalli, Katherine Free, Jasmine Harju-Seppänen, Syeda Akther, Michelle Eskinazi, Puffin O'Hanlon, Helen Rostill, Sarah Amani, Brynmor Lloyd-Evans and 2 more

Abstract read
In one paragraph

Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 6 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.

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

21 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  3. Supported Decision-Making Interventions in Mental Healthcare: A Systematic Review of Evidence on the Outcomes for People With Mental Ill Health.Health expectations : an international journal of public participation in health care and health policy · 2024
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  4. Supported decision-making interventions in mental healthcare: A systematic review of current evidence and implementation barriers.Health expectations : an international journal of public participation in health care and health policy · 2024
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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

12 authors.

Thomas SteareDivision of Psychiatry, University College London, Maple House, London, W1T 7NF, UK.
Maria GiorgalliDivision of Psychiatry, University College London, Maple House, London, W1T 7NF, UK.
Katherine FreeDivision of Psychiatry, University College London, Maple House, London, W1T 7NF, UK.
Jasmine Harju-SeppänenDivision of Psychiatry, University College London, Maple House, London, W1T 7NF, UK.
Syeda AktherDivision of Psychiatry, University College London, Maple House, London, W1T 7NF, UK.
Michelle EskinaziDivision of Psychiatry, University College London, Maple House, London, W1T 7NF, UK.
Puffin O'HanlonDivision of Psychiatry, University College London, Maple House, London, W1T 7NF, UK.
Helen RostillUniversity of Surrey, Guildford, UK.
Sarah AmaniEIP Programme (South of England), NHS England, Oxford, Oxfordshire, UK.
Brynmor Lloyd-EvansDivision of Psychiatry, University College London, Maple House, London, W1T 7NF, UK.
David OsbornDivision of Psychiatry, University College London, Maple House, London, W1T 7NF, UK.
Sonia JohnsonDivision of Psychiatry, University College London, Maple House, London, W1T 7NF, UK. s.johnson@ucl.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital tools such as Smartphones have the potential to increase access to mental health support including self-management interventions for individuals with psychosis, and ultimately to improve outcomes. Self-management strategies, including relapse prevention and crisis planning and setting personal recovery goals, are intended to assist people with long-term conditions to take an active role in their recovery, with evidence for a range of benefits. However, their implementation is inconsistent, and access and uptake need to be improved. The current study explores the acceptability of a Smartphone app (My Journey 3) that has been developed to facilitate supported self-management in Early Intervention in Psychosis (EIP) services.

methodsSemi-structured one-to-one interviews were conducted with twenty-one EIP service users who had access to My Journey 3 as part of a feasibility trial, and with thirteen EIP service clinicians who were supporting service users with the app. Interviews focused on the acceptability and usability of My Journey 3. Data was coded to themes based on the Acceptability of Healthcare Interventions framework.

resultsMany service user participants found My Journey 3 to be acceptable. The symptom and medication trackers in particular were described as helpful. A smaller number of service users disliked the intervention. Individual-level factors that appeared to influence acceptability and engagement included recovery stage and symptom severity. Clinicians tended to report that My Journey 3 was a potentially positive addition to service users' care, but they often felt unable to provide support due to competing demands in their work, which in turn may have impacted acceptability and usage of the app.

conclusionsOur findings suggest that the app is perceived as having potential to improve users' capacity to self-manage and work towards recovery goals, but barriers prevented many clinicians providing consistent and effective support as intended. Further evaluation of supported self-management apps in psychosis is warranted but needs to address implementation challenges from the start.

Indexed as

Mobile ApplicationsPsychotic DisordersSelf-ManagementHumansQualitative ResearchSmartphoneFeasibility studyPatient experiencePsychosisSelf-managementSmartphone

Identifiers

PMID34147075
PMCPMC8214784

What OpenQuestion holds

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Registered trials

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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.