Digital technology for health promotion: opportunities to address excess mortality in persons living with severe mental disorders
Open accessAbstract
Persons with severe mental disorders (SMDs) experience dramatically reduced life expectancy compared with the general population. We consider the role of digital technologies for addressing this serious public health concern. In this clinical review, we apply the multilevel risk model recently introduced by the WHO to conceptualise how digital technology can support efforts to reduce excess mortality risk at the individual, health system and social determinants of health levels. In particular, digital technologies show promise for targeting preventable physical health conditions in persons with SMDs. However, evidence on the use of these technologies for addressing early mortality risk factors is lacking. At the individual level, digital interventions show promise for managing mental health symptoms, promoting healthy lifestyle behaviours and targeting substance use concerns. At the health system level, digital interventions can support care coordination, clinician training, screening and monitoring health indices and shared decision-making. At the social determinants of health level, digital interventions can facilitate opportunities to engage peers for illness self-management and health promotion and for delivering and/or augmenting supported employment programmes. The time is ripe to capitalise on early evidence to support future development, testing and delivery of effective digital efforts targeting risk factors that contribute to shorter life expectancy in persons with SMDs. Key challenges and opportunities for future research include increasing user engagement, involving users during development and testing of digital interventions, carefully considering risks/harms and rigorously evaluating effectiveness and costs to support the scalability and sustainability of promising digital approaches.
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Digital interventions may be uniquely positioned to target the multilevel risk factors associated with poor physical health and mortality in serious mental illnesses.
“digital interventions may be uniquely positioned to target the multilevel risk factors associated with poor physical health and mortality in serious mental illnesses [14].”
From The therapeutic alliance in digital mental health interventions for serious mental illnesses: narrative review (2020) · cites this paper as [14]
Parkinsonism is seen in approximately 20% of individuals.
“Parkinsonism is seen in approximately 20% of individuals, 206”
From The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness (2019) · cites this paper as [206]
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Mental Health Prevention and Promotion—A Narrative Review
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- Authors
- Naslund, J. A., & Aschbrenner, K. A.
- Affiliations
- Harvard University (US)
- Dartmouth College (US)
- Corresponding author
- Naslund, John A
- Venue
- Evidence Based Mental Health
- Publisher
- BMJ
- Published
- 2018-12-17
- Volume
- 22
- Issue
- 1
- Pages
- 17-22
- ISSN
- 1362-0347 (ISSN-L)
- 1468-960X
- PMC
- PMC6359972
- OpenAlex
- W2904883217
- Cited by
- 44
- References
- 60
- Citations by year
- 2025: 7 · 2024: 5 · 2023: 8 · 2022: 7 · 2021: 6 · 2020: 6 · 2019: 5
- FWCI
- 0.58
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Evidence-Based Mental Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- National Institute of Mental Health
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- digital technologies, health promotion, excess mortality, severe mental illness, digital interventions, social determinants of health, physical health, substance use, peer support, supported employment, care coordination, shared decision-making, user engagement, user involvement in development, life expectancy
- MeSH terms
- Mental Disorders, Health Promotion, Humans, Biomedical Technology
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