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Measuring Users’ Receptivity Toward an Integral Intervention Model Based on mHealth Solutions for Patients With Treatment-Resistant Schizophrenia (m-RESIST): A Qualitative Study

Authors :
Huerta-Ramos, Elena
Escobar-Villegas, Maria Soledad
Rubinstein, Katya
Unoka, Zsolt Szabolcs
Grasa, Eva
Hospedales, Margarita
Jääskeläinen, Erika
Rubio-Abadal, Elena
Caspi, Asaf
Bitter, István
Berdun, Jesus
Seppälä, Jussi
Ochoa, Susana
Fazekas, Kata
Corripio, Iluminada
Usall, Judith
Source :
JMIR mHealth and uHealth, Vol 4, Iss 3, p e112 (2016)
Publication Year :
2016
Publisher :
JMIR Publications, 2016.

Abstract

BackgroundDespite the theoretical potential of mHealth solutions in the treatment of patients with schizophrenia, there remains a lack of technological tools in clinical practice. ObjectiveThe aim of this study was to measure the receptivity of patients, informal carers, and clinicians to a European integral intervention model focused on patients with persistent positive symptoms: Mobile Therapeutic Attention for Patients with Treatment-Resistant Schizophrenia (m-RESIST). MethodsBefore defining the system requirements, a qualitative study of the needs of outpatients with treatment-resistant schizophrenia was carried out in Spain, Israel, and Hungary. We analyzed the opinions of patients, informal carers, and clinicians concerning the services originally intended to be part of the solution. A total of 9 focus groups (72 people) and 35 individual interviews were carried out in the 3 countries, using discourse analysis as the framework. ResultsA webpage and an online forum were perceived as suitable to get both reliable information on the disease and support. Data transmission by a smart watch (monitoring), Web-based visits, and instant messages (clinical treatment) were valued as ways to improve contact with clinicians. Alerts were appreciated as reminders of daily tasks and appointments. Avoiding stressful situations for outpatients, promoting an active role in the management of the disease, and maintaining human contact with clinicians were the main suggestions provided for improving the effectiveness of the solution. ConclusionsPositive receptivity toward m-RESIST services is related to its usefulness in meeting user needs, its capacity to empower them, and the possibility of maintaining human contact.

Details

Language :
English
ISSN :
22915222
Volume :
4
Issue :
3
Database :
Directory of Open Access Journals
Journal :
JMIR mHealth and uHealth
Publication Type :
Academic Journal
Accession number :
edsdoj.1416ed3bcea84b4684d1f48922532b23
Document Type :
article
Full Text :
https://doi.org/10.2196/mhealth.5716