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Does technology-based interventions in psychosis improved functioning and quality of life? A systematic review and meta-analysis

Published online by Cambridge University Press:  01 September 2022

C. Morales-Pillado ,
T. Sanchez-Gutierrez ,
B. Fernandez-Castilla ,
S. Barbeito ,
E. Gonzalez-Fraile  and
A. Calvo
C. Morales-Pillado
Affiliation:
Universidad Internacional de La Rioja, Faculty Of Health Sciences, Madrid, Spain
T. Sanchez-Gutierrez
Affiliation:
Universidad Internacional de La Rioja, Faculty Of Health Sciences, Madrid, Spain
B. Fernandez-Castilla
Affiliation:
University of Leuven, Faculty Of Psychology And Educational Sciences, Leuven, Belgium
S. Barbeito
Affiliation:
Universidad Internacional de La Rioja, Faculty Of Health Sciences, Madrid, Spain
E. Gonzalez-Fraile
Affiliation:
Universidad Internacional de La Rioja, Faculty Of Health Sciences, Madrid, Spain
A. Calvo*
Affiliation:
Universidad Internacional de La Rioja, Faculty Of Health Sciences, Madrid, Spain
*
*Corresponding author.

Abstract

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Introduction

Technology-based interventions (TBIs), including computer and Internet-based interventions, mobile interventions, health applications, social media interventions, and interventions using technological devices, could become a useful, effective, accessible, and cost-effective approach (Berry et al., 2016; Firth, 2016) to complement conventional interventions for psychosis

Objectives

to compare TBIs with conventional interventions for psychosis, focusing mainly on functioning and quality of life.

Methods

The systematic review preceding this work was based on 58 RCT of TBIs for psychosis. We selected the studies that analyzed functioning (N = 23) and quality of life (N = 15). We calculated the standardized mean change (SMC) and applied a three-level model because there were several effect sizes within the same study.

Results

There were significant differences between TBIs and conventional interventions for functioning (d = 0.25, SE = 0.09, z = 2.72, p = <.01), but not for quality of life (d = 0.14, SE = 0.08, z = 1.78, p = .076) in patients with psychosis.

Conclusions

On average, patients who received TBIs performed better in functioning, but not in quality of life. Functioning is impaired in patients with psychosis, so TBIs should be considered a complement and efficacious intervention, highlighting the power of these type of interventions in improving some outcomes.

Disclosure

No significant relationships.

Keywords

PsychosisTechnology-based interventionsMobile interventionsschizophrénia
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S246 - S247
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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