Veterans Greater Los Angeles Healthcare System, Los Angeles (Young, Cohen, Oberman, Olmos-Ochoa); Department of Psychiatry, University of California, Los Angeles (Young, Cohen, Whelan); Veterans Long Beach Healthcare System, Long Beach, California (Niv); Los Angeles County Department of Mental Health, Los Angeles (Nowlin-Finch); Veterans Maryland Healthcare System, Baltimore (Goldberg).
Psychiatr Serv. 2020 Mar 1;71(3):280-283. doi: 10.1176/appi.ps.201900203. Epub 2019 Nov 20.
Mobile technologies, such as smartphones, can improve health services by delivering assessments and interventions that reach people in their daily lives. There is, however, disagreement regarding whether people with serious mental illness make meaningful use of mobile technology and whether interventions that rely on mobile technology should be tailored for this population.
At two clinics, 249 people with serious mental illness were interviewed regarding mobile phone use, and their cognitive functioning was assessed.
Mobile phones were used by 86% of participants, including 60% who used a smartphone. Phones were used for messaging by 81%, Internet by 52%, e-mail by 46%, and applications by 45%. Individuals who were older, had a persistent psychotic disorder rather than bipolar disorder, received disability income, or had worse neurocognitive functioning were less likely to own a smartphone (χ=52.7, p<0.001).
Most patients with serious mental illness owned a mobile phone; a majority owned a smartphone. Developers should consider tailoring mobile interventions for psychosis and cognitive deficits.
移动技术，如智能手机，可以通过提供评估和干预措施来改善卫生服务，从而使人们在日常生活中受益。然而，人们对于患有严重精神疾病的人是否会有意使用移动技术以及依赖移动技术的干预措施是否应该针对这一人群进行调整存在分歧。
在两家诊所中，对 249 名患有严重精神疾病的患者进行了手机使用情况访谈，并对他们的认知功能进行了评估。
86%的参与者使用手机，其中 60%使用智能手机。手机的用途包括 81%的短信、52%的上网、46%的电子邮件和 45%的应用程序。年龄较大、患有持续性精神病而非双相情感障碍、领取残疾收入或认知功能较差的个体拥有智能手机的可能性较低（χ=52.7，p<0.001）。
大多数患有严重精神疾病的患者拥有手机；大多数人拥有智能手机。开发者应考虑针对精神病和认知缺陷调整移动干预措施。
