Emerging mHealth and eHealth interventions for serious mental illness: a review of the literature
Open accessAbstract
BACKGROUND: Serious mental illness (SMI) is one of the leading causes of disability worldwide. Emerging mobile health (mHealth) and eHealth interventions may afford opportunities for reaching this at-risk group. AIM: To review the evidence on using emerging mHealth and eHealth technologies among people with SMI. METHODS: We searched MEDLINE, PsychINFO, CINAHL, Scopus, Cochrane Central, and Web of Science through July 2014. Only studies which reported outcomes for mHealth or eHealth interventions, defined as remotely delivered using mobile, online, or other devices, targeting people with schizophrenia, schizoaffective disorder, or bipolar disorder, were included. RESULTS: Forty-six studies spanning 12 countries were included. Interventions were grouped into four categories: (1) illness self-management and relapse prevention; (2) promoting adherence to medications and/or treatment; (3) psychoeducation, supporting recovery, and promoting health and wellness; and (4) symptom monitoring. The interventions were consistently found to be highly feasible and acceptable, though clinical outcomes were variable but offered insight regarding potential effectiveness. CONCLUSIONS: Our findings confirm the feasibility and acceptability of emerging mHealth and eHealth interventions among people with SMI; however, it is not possible to draw conclusions regarding effectiveness. Further rigorous investigation is warranted to establish effectiveness and cost benefit in this population.
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Many studies, largely from higher income countries, have demonstrated the acceptability and early effectiveness of digital technologies for improving the quality, reach, and impact of mental health care.
“Many studies, largely from higher income countries, have demonstrated the acceptability and early effectiveness of digital technologies, such as mobile phones, telepsychiatry applications, online programs or remote sensors, for improving the quality, reach and impact of mental health care.17”
From Digital Technology for Building Capacity of Nonspecialist Health Workers for Task Sharing and Scaling Up Mental Health Care Globally (2019) · cites this paper as [17]
Ecological momentary interventions and mental health applications are innovative approaches to provide psychological support through mobile devices in everyday life without necessarily involving a real therapist or a face-to-face clinical setting.
“Ecological Momentary Interventions (EMIs) (Heron and Smyth, 2010) and mental health (mHealth) applications (Naslund et al., 2015) are innovative approaches to provide psychological support through mobile devices in everyday life, without necessarily involving the presence of a real therapist or a face-to-face clinical setting.”
From New Technologies for the Understanding, Assessment, and Intervention of Emotion Regulation (2019) · cites this paper as Naslund et al., 2015
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How people with serious mental illness use smartphones, mobile apps, and social media.
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“On the other hand, recent studies suggest that commercially available digital platforms, such as apps, are not often rigorously tested and could even harm an at-risk population 17].”
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- Authors
- Naslund, J. A., Marsch, L. A., McHugo, G. J., & Bartels, S. J.
- Affiliations
- Dartmouth College (US)
- Corresponding author
- Naslund, John A.
- Venue
- Journal of Mental Health
- Publisher
- Informa UK Limited
- Published
- 2015-05-28
- Volume
- 24
- Issue
- 5
- Pages
- 321-332
- ISSN
- 0963-8237 (ISSN-L)
- 1360-0567
- PMC
- PMC4924808
- OpenAlex
- W1771428564
- Semantic Scholar
- c8fe2f882a6b2e11a4b4c37bff2a15849392b7d1
- Cited by
- 327
- References
- 74
- Citations by year
- 2026: 15 · 2025: 17 · 2024: 23 · 2023: 25 · 2022: 26 · 2021: 32 · 2020: 54 · 2019: 39 · 2018: 41 · 2017: 30 · 2016: 21 · 2015: 4
- FWCI
- 4.31
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Mental Health (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH104555)
- National Center for Chronic Disease Prevention and Health Promotion (U48DP005018)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- severe mental illness, mobile health, digital health interventions, schizophrenia, schizoaffective disorder, bipolar disorder, illness self-management, relapse prevention, medication adherence, psychoeducation, recovery, symptom monitoring, feasibility and acceptability, digital mental health
- MeSH terms
- Mental Disorders, Bipolar Disorder, Feasibility Studies, Health Promotion, Humans, Health Knowledge, Attitudes, Practice, Mental Health Services, Psychotic Disorders, Schizophrenia, Telemedicine, Medication Adherence
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