scholarly journals Explorando o uso de aplicativos móveis para autogestão do tratamento em saúde mental: scoping review

2021 ◽  
Vol 11 ◽  
pp. e56
Author(s):  
Maria Do Perpétuo Socorro de Sousa Nóbrega ◽  
Priscila Campos Tibúrcio ◽  
Mariana Coronato Fernandes ◽  
Carla Sílvia Neves da Nova Fernandes ◽  
Célia Samarina Vilaça de Brito Santos ◽  
...  

Objetivo: mapear a literatura científica produzida sobre aplicativos móveis para a autogestão do tratamento em saúde mental. Método: revisão de escopo realizada em cinco bases em português, inglês ou espanhol em novembro de 2020 com os descritores mental health, mental illness, mental disorder, psychiatric illness, mobile applications, app, self care, self management e self monitoring. Resultados: encontraram-se 46 artigos relacionados, em sua maioria, com desenvolvimento, eficácia, percepção dos usuários ou busca de aplicativos em lojas especializadas e com foco no automonitoramento do humor (13%) ou gestão de doenças mentais, em geral (23,9%). Conclusão: os estudos evidenciaram variedade e eficácia de aplicativos móveis para diferentes transtornos mentais. A construção de novos aplicativos para autogestão em SM deve ser sustentada em evidências, com participação do público e com amostras representativas que, de fato, retratem as expectativas e motivações do usuário para o uso dessas tecnologias na autogestão de seu tratamento.

2018 ◽  
Vol 24 (2) ◽  
pp. 76-81
Author(s):  
AA Mamun Hussain ◽  
Shahana Qais ◽  
MMR Khan

This study aims at finding the presence of psychiatric illness of the santals, an ethnic minorities of the northern part of Bangladesh and their belief towards mental illness. Among the 77 patients, 39 (50.64%) were male and 38 (49.35%) were female. The majority of the respondents were in between the age of 16-35 years. Most (80%) believed that possession by Bonga/Kali caused the illness. In the present study, 45 (59.74%) had major mental disorder, 18 (23.37%) had minor mental disorders and 13 (16.88%) had psychotic disorder due to general medical condition (viz. Epilepsy). Observations suggest that change of awareness and perception regarding mental disorder, should be a high priority, as right mental health is one of the key component of total delivery of health care.TAJ 2011; 24(2): 76-81


2021 ◽  
Author(s):  
Leticia Bezerra ◽  
Huong Ly Tong ◽  
John J Atherton ◽  
Rimante Ronto ◽  
Josephine Chau ◽  
...  

BACKGROUND Heart failure is a common cause of hospitalization and patient self-management is essential to avoid decompensation and readmissions. Mobile applications (apps) seem promising in supporting heart failure self-management. OBJECTIVE This study systematically reviews the evidence on the impact of heart failure self-management apps on health outcomes and patient experience. METHODS Four databases (Medline, Embase, CINAHL, and PsycINFO) were searched for studies published from 2008 to 2020 examining interventions that comprised a mobile app targeting heart failure self-management and reported any health-related outcomes or patient perspectives. Studies were independently screened. We performed a narrative synthesis of results. PRISMA guidelines were followed. The protocol was registered in PROSPERO (CRD42020158041). RESULTS Nineteen articles [4 randomized controlled trials (RCTs)], assessing 16 apps and a total of 930 participants were included. The most common app features were symptom monitoring (14 of 16 apps), weight monitoring (13/16), and vital signs monitoring (12/16). RCTs were small and outcomes were predominantly self-reported. Two RCTs reported significant improvement in self-care scale measures, including ‘self-management’ (p=0.01), ‘self-confidence’ (p=0.03) and ‘self-maintenance’ (p=0.03) Two RCTs reported higher unplanned clinic visits. Mortality and emergency department visits were reported in two RCTs and hospital re-admissions in one RCT, with no significant differences. Engagement with the intervention was poorly reported. The most desirable app characteristics were automated self-monitoring and feedback, data integration and sharing, and personalization. CONCLUSIONS Mobile apps may improve self-care, particularly if enabling automated self-monitoring and personalized feedback, but more robust evaluation studies are needed addressing key endpoints for heart failure.


Author(s):  
Arfan Ahmed ◽  
Nashva Ali ◽  
Anna Giannicchi ◽  
Alaa A Abd-alrazaq ◽  
Mohamed Ali Siddig Ahmed ◽  
...  

2021 ◽  
Author(s):  
Arfan Ahmed ◽  
Nashva Ali ◽  
Anna Giannicchi ◽  
Alaa A Abd-Alrazaq ◽  
Mohamed Ali Siddig Ahmed ◽  
...  

BACKGROUND Background: Over the past decade, there has been a steady increase of the number of mobile and web-based applications that enable patients with mental disorders to self-regulate their mental health needs, to feel autonomous, and to take responsibility for their own care. To the best of our knowledge, no current reviews explore the features of self-care applications used for mental disorders. OBJECTIVE Objective: The purpose of this review is to explore the characteristics of novel mobile applications utilized for mental health self-care. METHODS Methods: A scoping review of literature was conducted. The search sources consisted of searching 6 electronic databases (e.g., Medline, PsychINFO) and conducting backward and forward reference list checking. Rayyan software was used for this study selection process. One reviewer checked the eligibility of the retrieved studies and extracted data from the included studies. A narrative approach was used to synthesize the extracted data. RESULTS Results: 2,744 citations were identified by searching the electronic databases. Of those, 15 studies were included in this review. Twelve studies used mobile applications while the remaining three studies used web-based applications. Applications in most of the included studies targeted depression (9/15, 60%). Only two types of study designs were identified from the included studies: Randomized control trials (10/15, 67%) and Usability and feasibility studies (5/15, 33%). Six studies had a sample size of less than 50 while six studies had a sample size of more than 200. CONCLUSIONS Conclusion: While many mobile apps have been developed to promote self-care, there is a gap in the current literature discussing the validity of such mental health resources. We were only able to identify 15 such studies from our initial search returning 2744 studies. As such, this review will ideally encourage developers to produce future, empirically reviewed apps that rise to the challenge of both being user-friendly as well as scientifically valid.


2020 ◽  
Author(s):  
Michael P. Dorsch ◽  
Karen B. Farris ◽  
Brigid E. Rowell ◽  
Scott L. Hummel ◽  
Todd M. Koelling

BACKGROUND Successful management of heart failure (HF) involves guideline based medical therapy as well as self-care behavior. As a result, the management of HF is moving toward a proactive real-time technological model of assisting patients with monitoring and self-management. OBJECTIVE Evaluate the effectiveness of a mobile application intervention that enhances self-monitoring on health-related quality of life, self-management, and reduces HF readmissions. METHODS A single-center randomized controlled trial was performed. Patients greater than 45 years of age and admitted for acute decompensated HF or recently discharged in the past 4 weeks were included. The intervention group used a mobile application (App). The intervention prompted daily self-monitoring and promoted self-management. The control group (No App) received usual care. The primary outcome was the change in Minnesota Living with Heart Failure Questionnaire (MLHFQ) from baseline to 6 and 12 weeks. Secondary outcomes were the Self-Care Heart Failure Index (SCHFI) questionnaire and recurrent HF admissions. RESULTS Eighty-three patients were enrolled and completed all baseline assessments. Baseline characteristics were similar between groups with the exception of HF etiology. The App group had a reduced MLHFQ at 6 weeks (37.5 ± 3.5 vs. 48.2 ± 3.7, P=0.039) but not at 12 weeks (44.2 ± 4 vs. 45.9 ± 4, P=0.778) compared to No App. There was no effect of the App on the SCHFI at 6 or 12 weeks. The time to first HF admission was not statistically different between the App versus No App groups (HR 0.89, 95% CI 0.39-2.02, P=0.781) over 12 weeks. CONCLUSIONS The mobile application intervention improved MLHFQ at 6 weeks, but did not sustain its effects at 12 weeks. No effect was seen on HF self-care. Further research is needed to enhance engagement in the application for a longer period of time and to determine if the application can reduce HF admissions in a larger study. CLINICALTRIAL NCT03149510


2017 ◽  
Vol 11 (2) ◽  
pp. 74-82
Author(s):  
Heather Welsh ◽  
Gary Morrison

Purpose The purpose of this paper is to investigate the use of the Mental Health (Care and Treatment) (Scotland) Act 2003 for people with learning disabilities in Scotland, in the context of the recent commitment by the Scottish Government to review the place of learning disability (LD) within the Act. Design/methodology/approach All current compulsory treatment orders (CTO) including LD as a type of mental disorder were identified and reviewed. Data was collected on duration and type of detention (hospital or community based) for all orders. For those with additional mental illness and/or personality disorder, diagnoses were recorded. For those with LD only, symptoms, severity of LD and treatment were recorded. Findings In total, 11 per cent of CTOs included LD as a type of mental disorder. The majority of these also included mental illness. The duration of detention for people with LD only was almost double that for those without LD. A variety of mental illness diagnoses were represented, psychotic disorders being the most common (54 per cent). Treatment was broad and multidisciplinary. In all, 87 per cent of people with LD only were prescribed psychotropic medication authorised by CTO. Originality/value There has been limited research on the use of mental health legislation for people with learning disabilities. This project aids understanding of current practice and will be of interest to readers both in Scotland and further afield. It will inform the review of LD as a type of mental disorder under Scottish mental health law, including consideration of the need for specific legislation.


2007 ◽  
Vol 191 (2) ◽  
pp. 158-163 ◽  
Author(s):  
David L. Fone ◽  
Frank Dunstan ◽  
Ann John ◽  
Keith Lloyd

BackgroundThe relationship between the Mental Illness Needs Index (MINI) and the common mental disorders is not known.AimsTo investigate associations between the small-area MINI score and common mental disorder at individual level.MethodMental health status was measured using the Mental Health Inventory of the Short Form 36 instrument (SF-36). Data from the Caerphilly Health and Social Needs population survey were analysed in multilevel models of 10 653 individuals aged 18–74 years nested within the 2001 UK census geographies of 110 lower super output areas and 33 wards.ResultsThe MINI score was significantly associated with common mental disorder after adjusting for individual risk factors. This association was stronger at the smaller spatial scale of the lower super output area and for individuals who were permanently sick or disabled.ConclusionsThe MINI is potentially useful for small-area needs assessment and service planning for common mental disorder in community settings.


Author(s):  
Meghamala S. Tavaragi

It has been known that psychiatric disorders are highly prevalent among prisoners. Many people with identifiable psychiatric illness do conflict with the law, often by no fault of their own but because of symptoms of their psychiatric illness and end up in jails. Poor communication between the prison, court, and hospital systems hinders the assessment and management of the mentally disordered offender, and medical intervention can actually delay release from custody. In conclusion Prisons are detrimental to mental-health, and the standards of psychiatric care are significantly lower than those for the general public. Certain remedial measures are to be implemented for a better future of prison and community because ultimately these prisoners will be released from prison and become a part of community. Beginning of reforms is the immediate need as a long journey ahead.


Author(s):  
Meghamala S Tavaragi

It has been known that psychiatric disorders are highly prevalent among prisoners. Many people with identifiable psychiatric illness do conflict with the law, often by no fault of their own but because of symptoms of their psychiatric illness and end up in jails. Poor communication between the prison, court, and hospital systems hinders the assessment and management of the mentally disordered offender, and medical intervention can actually delay release from custody. In conclusion Prisons are detrimental to mental-health, and the standards of psychiatric care are significantly lower than those for the general public. Certain remedial measures are to be implemented for a better future of prison and community because ultimately these prisoners will be released from prison and become a part of community. Beginning of reforms is the immediate need as a long journey ahead.


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