Department of Psychiatry, School of Medicine, Case Western Reserve University, Cleveland (Simon, Edwards, Sajatovic, Jain, Levin); Department of Psychiatry, University Hospitals Cleveland Medical Center, Cleveland (Sajatovic, Levin); Department of Psychiatry, University of California, San Diego, San Diego (Montoya).
Psychiatr Serv. 2022 Oct 1;73(10):1153-1164. doi: 10.1176/appi.ps.202100634. Epub 2022 Aug 12.
Mobile health tools are feasible options to encourage behavior change among patients with serious mental illness. Mobile health tools vary widely, both in platforms used and content delivered. This literature review assessed the use of text messaging interventions to promote medication adherence among patients with serious mental illness.
A systematic literature review using PRISMA guidelines examined short message service (SMS) text messaging interventions promoting medication adherence to people with a serious mental illness diagnosis. Databases included PubMed, Cochrane, CINAHL, and PsycINFO. Data extraction included demographic information, participant diagnoses, intervention components, medication class, adherence measures, research design, and study outcomes. Study quality was also assessed.
Of 114 full-text articles screened, 10 articles were selected from nine unique interventions (N=937 people with serious mental illness). Study durations ranged from 30 days to 18 months, with frequency of SMS ranging from twice weekly to 12 times daily. Of the nine unique trials, most reported using an automated server to deliver SMS messages (N=7), two-way SMS capabilities (N=6), customized message content or timing (N=7), and additional components (e.g., provider contact, educational content, and monetary rewards) (N=7). Seven of the 10 articles reported statistically significant improvement in medication adherence and in at least one clinical outcome.
Evidence to date indicates that text messaging interventions are feasible and appear to improve medication adherence and clinical outcomes among patients with serious mental illness. Future research should assess implementation approaches and how to scale up efforts in nonresearch settings.
移动健康工具是鼓励严重精神疾病患者改变行为的可行选择。移动健康工具在使用的平台和提供的内容方面差异很大。本文献综述评估了使用短信干预措施来促进严重精神疾病患者的药物依从性。
采用 PRISMA 指南进行系统文献综述，检查了促进严重精神疾病患者药物依从性的短消息服务 (SMS) 短信干预措施。数据库包括 PubMed、Cochrane、CINAHL 和 PsycINFO。数据提取包括人口统计学信息、参与者诊断、干预组件、药物类别、依从性测量、研究设计和研究结果。还评估了研究质量。
在筛选出的 114 篇全文文章中，从 9 项独特的干预措施中选择了 10 篇文章（N=937 名患有严重精神疾病的人）。研究持续时间从 30 天到 18 个月不等，短信频率从每周两次到每天 12 次。在这 9 项独特的试验中，大多数报告使用自动服务器发送短信（N=7）、双向短信功能（N=6）、定制消息内容或时间（N=7）和其他组件（例如，提供者联系、教育内容和金钱奖励）（N=7）。10 篇文章中的 7 篇报告了药物依从性和至少一项临床结果的统计学显著改善。
迄今为止的证据表明，短信干预措施是可行的，似乎可以提高严重精神疾病患者的药物依从性和临床结果。未来的研究应评估实施方法以及如何在非研究环境中扩大工作规模。
