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Copyright © The Author(s), 2023. Published by Cambridge University Press. This work is licensed under the Creative Commons Attribution License 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, provided the original article is properly cited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

The use of digital technologies as a method of delivering health behaviour change (HBC) interventions is rapidly increasing across the general population. However, the role in severe mental illness (SMI) remains overlooked. In this study, we aimed to systematically identify and evaluate all of the existing evidence around digital HBC interventions in people with an SMI. A systematic search of online electronic databases was conducted. Data on adherence, feasibility, and outcomes of studies on digital HBC interventions in SMI were extracted. Our combined search identified 2196 titles and abstracts, of which 1934 remained after removing duplicates. Full-text screening was performed for 107 articles, leaving 36 studies to be included. From these, 14 focused on physical activity and/or cardio-metabolic health, 19 focused on smoking cessation, and three concerned other health behaviours. The outcomes measured varied considerably across studies. Although over 90% of studies measuring behavioural changes reported positive changes in behaviour/attitudes, there were too few studies collecting data on mental health to determine effects on psychiatric outcomes. Digital HBC interventions are acceptable to people with an SMI, and could present a promising option for addressing behavioural health in these populations. Feedback indicated that additional human support may be useful for promoting adherence/engagement, and the content of such interventions may benefit from more tailoring to specific needs. While the literature does not yet allow for conclusions regarding efficacy for mental health, the available evidence to date does support their potential to change behaviour across various domains.

Details

Title
Digital health behaviour change interventions in severe mental illness: a systematic review
Author
Sawyer, Chelsea 1   VIAFID ORCID Logo  ; McKeon, Grace 2 ; Lamiece Hassan 1 ; Onyweaka, Henry 3 ; Luis Martinez Agulleiro 4   VIAFID ORCID Logo  ; Guinart, Daniel 5 ; Torous, John 6 ; Firth, Joseph 7   VIAFID ORCID Logo 

 Division of Psychology and Mental Health, The University of Manchester, Manchester Academic Health Science Centre, Manchester   M13 9PL, UK 
 School of Population Health, University of New South Wales, Randwick, NSW   2052, Australia; Discipline of Psychiatry and Mental Health, University of New South Wales, Randwick, NSW   2052, Australia 
 Department of Psychiatry, Harvard Medical School, Boston, MA, USA; Department of Psychiatry, Massachusetts General/Mclean Hospital, Boston, MA, USA 
 Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY, USA 
 Hospital del Mar Research Institute, Institut de Salut Mental, Hospital del Mar, Barcelona, Spain; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Spain; Department of Psychiatry, the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, USA 
 Department of Psychiatry, Institute for Behavioral Science, Feinstein Institutes for Medical Research, Manhasset, NY, USA; Zucker School of Medicine at Northwell/Hofstra, New York, NY, USA; Department of Psychiatry, Beth Israel Deaconess Hospital, Boston, MA, USA 
 Division of Psychology and Mental Health, The University of Manchester, Manchester Academic Health Science Centre, Manchester   M13 9PL, UK; Greater Manchester Mental Health NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester   M13 9PL, UK 
Pages
6965-7005
Publication year
2023
Publication date
Nov 2023
Publisher
Cambridge University Press
ISSN
00332917
e-ISSN
14698978
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2900293660
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press. This work is licensed under the Creative Commons Attribution License 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, provided the original article is properly cited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.