Xiao Shuiyuan, Li Tongxin, Zhou Wei, Shen Minxue, Yu Yu
Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
School of Public Administration, Hunan University, Changsha, Hunan, China.
PeerJ. 2020 Dec 16;8:e10550. doi: 10.7717/peerj.10550. eCollection 2020.
The past few decades have seen a rapid expansion of mHealth programs among people with serious mental illness, yet mHealth for schizophrenia is in a much earlier stage of development. This study examined the intention of WeChat-based mHealth programs among people living with schizophrenia (PLS) and evaluated correlates of the intention.
A total of 400 PLS aged 18-77 completed a cross-sectional survey by face-to-face interviews. The survey included a general question asking about participants' willingness to attend WeChat-based mHealth programs, followed by preferences of three specific WeChat-based programs: psychoeducation, peer support, and professional support. PLS symptoms, functioning and disability were measured using the 18-item Brief Psychiatric Rating Scale (BPRS-18), the Global Assessment of Functioning (GAF), and the 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), respectively. A multivariate logistic regression was used to determine correlates of program participation intention.
Over forty percent (43%, = 172) of participants were willing to participate in WeChat-based mHealth programs, among whom preferences for each specific program were shown in descending order: psychoeducation (68.60%), professional support (60.47%), and peer support (52.33%). A multivariate analysis revealed that younger age (OR: 0.13-0.20, 95% CI [0.05-0.43]), higher education (OR: 3.48-6.84, 95% CI [1.69-18.21]), and lower disability (OR: 0.97, 95% CI [0.94-0.99]) were all independently associated with WeChat-based mHealth program participation intention.
The findings provide guidance for further development of WeChat-based mHealth programs among PLS in China, and targeted at those who are younger, well-educated and with lower disability.
在过去几十年中，移动健康（mHealth）项目在重度精神疾病患者中迅速扩展，但针对精神分裂症的移动健康项目尚处于早期发展阶段。本研究调查了精神分裂症患者（PLS）参与基于微信的移动健康项目的意愿，并评估了意愿的相关因素。
共有400名年龄在18 - 77岁的精神分裂症患者通过面对面访谈完成了一项横断面调查。该调查包括一个关于参与者参加基于微信的移动健康项目意愿的一般性问题，随后是对三个特定基于微信的项目的偏好：心理教育、同伴支持和专业支持。分别使用18项简明精神病评定量表（BPRS - 18）、功能总体评定量表（GAF）和12项世界卫生组织残疾评定量表2.0（WHODAS 2.0）来测量精神分裂症患者的症状、功能和残疾情况。采用多因素逻辑回归来确定项目参与意愿的相关因素。
超过40%（43%，n = 172）的参与者愿意参与基于微信的移动健康项目，其中对每个特定项目的偏好从高到低依次为：心理教育（68.60%）、专业支持（60.47%）和同伴支持（52.33%）。多因素分析显示，年龄较小（OR：0.13 - 0.20，95%CI[0.05 - 0.43]）、教育程度较高（OR：3.48 - 6.84，95%CI[1.69 - 18.21]）和残疾程度较低（OR：0.97，95%CI[0.94 - 0.99]）均与基于微信的移动健康项目参与意愿独立相关。
这些发现为中国精神分裂症患者中基于微信的移动健康项目的进一步发展提供了指导，目标人群为年龄较小、受过良好教育且残疾程度较低的患者。
