Mobile Phone Ownership and Endorsement of “mHealth” Among People With Psychosis: A Meta-analysis of Cross-sectional Studies
Open accessAbstract
There is currently growing interest in using mobile phones to support the treatment of psychotic disorders, such as schizophrenia. However, the widespread implementation of these interventions will ultimately depend upon patients' access to mobile devices and their willingness to engage with mobile health ("mHealth"). Thus, we conducted a systematic review and meta-analysis to assess mobile phone ownership and interest in mHealth among patients with psychosis. An electronic search of Ovid MEDLINE, Embase, PsycINFO, CENTRAL, AMED, Health Technology Assessment Database, and Health Management Information Consortium Database was conducted, using search terms synonymous with mobile phones and psychotic disorders. The initial literature search yielded 2572 results. Fifteen studies matched eligibility criteria, reporting data from 12 independent samples of psychiatric patients (n = 3227). Data pertaining to mobile phone ownership, usage, and opinions on mHealth among patients with psychotic disorders were extracted from these studies, and meta-analytic techniques were applied. The overall mobile phone ownership rate was 66.4% (95% CI = 54.1%-77.6%). However, we found strong statistical evidence that mobile phone ownership has been significantly increasing since 2007, and the rate among patients surveyed in the last 2 years was 81.4% (n = 454). Furthermore, in surveys of mHealth acceptability, the majority of patients responded in favor of using mobile phones to enhance contact with services and support self-management. Considering the increasing availability of mobile phones and the broad acceptability of mHealth among patients, there is now a need to develop and evaluate mHealth interventions to enhance healthcare services for people with psychosis.
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Individuals with mental disorders are increasingly gaining access to and using mobile devices, such as smartphones.
“Recent studies have shown that individuals with mental disorders are increasingly gaining access to and using mobile devices, such as smartphones”
From Social Media and Mental Health: Benefits, Risks, and Opportunities for Research and Practice (2020) · cites this paper as Firth et al., 2015
The Results and Discussion report that mobile-phone ownership increased over time among people with psychosis, and the Results report daily use by some phone owners. The study does not establish an increasing trend in use or smartphone ownership, and its findings on ownership are specific to psychotic disorders rather than mental disorders generally. Page numbers are not available in our copy. (LLM, conf=0.86)
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“5%) and similar to the one found in a recentmeta-analysis of smartphone apps for schizophrenia (56).”
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- Authors
- Firth, J., Cotter, J., Torous, J., Bucci, S., Firth, J. A., & Yung, A. R.
- Affiliations
- University of Manchester (GB)
- Beth Israel Deaconess Medical Center (US)
- The University of Melbourne (AU)
- Corresponding author
- Firth, Joseph
- Venue
- Schizophrenia Bulletin
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-09-22
- Volume
- 42
- Issue
- 2
- Pages
- 448-455
- ISSN
- 0586-7614 (ISSN-L)
- 1745-1701
- PMC
- PMC4753601
- OpenAlex
- W2267837598
- Cited by
- 351
- References
- 16
- Citations by year
- 2026: 14 · 2025: 26 · 2024: 22 · 2023: 34 · 2022: 25 · 2021: 42 · 2020: 45 · 2019: 42 · 2018: 55 · 2017: 25 · 2016: 19 · 2015: 2
- FWCI
- 6.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Schizophrenia Bulletin (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Figshare (submittedVersion, cc-by)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Medical Research Council (MR/L005301/1)
- Natural Environment Research Council (1223292)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Physical Sciences › Computer Science › Information Systems › Mobile Learning in Education
- Keywords
- mobile phone ownership, mobile health
- MeSH terms
- Humans, Patient Acceptance of Health Care, Psychotic Disorders, Telemedicine, Cell Phone
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