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“Mind the Gap(s)“ in mental health care : How Health applications are integrated in clinical practice for patients with schizophrenia spectrum disorders : a scoping review

Rauch, L.R. (2022) “Mind the Gap(s)“ in mental health care : How Health applications are integrated in clinical practice for patients with schizophrenia spectrum disorders : a scoping review.

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Abstract:People with schizophrenia spectrum disorders (SSD) have severe problems with participating in society, because of impairing symptoms like hallucinations and delusions. It is necessary and important, that they get a chance for improvement and recovery. Unfortunately, having these symptoms doesn’t make it easy to seek help for therapy. Furthermore, dealing with stigmatization threats their quality of life, as well as treatment adherence. Nevertheless, there is a need for treatment during and after a psychosis. Integrating mHealth applications into clinical practice, as well in the daily lives of patients, could improve the whole therapy process. Regardless, many patients but also clinicians are still concerned about using technologies in clinical practice. There is a need to clarify the current options of mHealth applications, as well as how these applications can be implemented in mental health care, to further improve therapy outcomes for people who are suffering from SSD. To examine how mHealth applications for patients with SSD are implemented in clinical practice, a scoping review was conducted by exploring different databases. In total, 55 studies were included in this review. There were four different settings in which mHealth applications could be used. The applications could be used inpatient, outpatient, for data collection, and as an add-on treatment. Furthermore, the applications have different goals. This review could identify eight different targets of mHealth applications: medication and treatment adherence, relapse prediction and prevention, cognitive performance and skills, coping strategies, self-help strategies and illness-management, social goals, reducing symptoms, and diagnostics. The results of this review show that the concept of existing mHealth applications already targets important treatment gaps in people with SSD. Nevertheless, the implementation in clinical practice of these applications seems to be in its infancy. Further research and work should concentrate on examining the efficacy of these applications but also examine the clinician’s acceptability of integrating mHealth applications in their daily work.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:50 technical science in general, 77 psychology
Programme:Psychology MSc (66604)
Link to this item:https://purl.utwente.nl/essays/91533
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