期刊
JMIR MENTAL HEALTH
卷 9, 期 1, 页码 -出版社
JMIR PUBLICATIONS, INC
DOI: 10.2196/26049
关键词
mHealth; veterans; schizophrenia; serious mental illness; mobile phone
类别
资金
- Department of Veterans Affairs Puget Sound Health Care System Research and Development Seed Grant [MIRB 01624]
- Mentored Patient-Oriented Research Career Development Award [K23MH122504]
This study examines the feasibility, acceptability, and preliminary effectiveness of an mHealth intervention for serious mental illnesses (SMIs) among veterans in the Department of Veterans Affairs (VA) outpatient care. The results show that the intervention is feasible, acceptable, and usable among veterans, leading to small improvements in self-assessed recovery, auditory hallucinations, and quality of life.
Background: Veterans with serious mental illnesses (SMIs) face barriers to accessing in-person evidence-based interventions that improve illness management. Mobile health (mHealth) has been demonstrated to be feasible, acceptable, effective, and engaging among individuals with SMIs in community mental health settings. mHealth for SMIs has not been tested within the Department of Veterans Affairs (VA). Objective: This study examines the feasibility, acceptability, and preliminary effectiveness of an mHealth intervention for SMI in the context of VA outpatient care. Methods: A total of 17 veterans with SMIs were enrolled in a 1-month pilot trial of FOCUS, a smartphone-based self-management intervention for SMI. At baseline and posttest, they completed measures examining symptoms and functional recovery. The participants provided qualitative feedback related to the usability and acceptability of the intervention. Results: Veterans completed on an average of 85.0 (SD 96.1) interactions with FOCUS over the 1-month intervention period. They reported high satisfaction, usability, and acceptability, with nearly all participants (16/17, 94%) reporting that they would recommend the intervention to a fellow veteran. Clinicians consistently reported finding mHealth-related updates useful for informing their care. Qualitative feedback indicated that veterans thought mHealth complemented their existing VA services well and described potential opportunities to adapt FOCUS to specific subpopulations (eg, combat veterans) as well as specific delivery modalities (eg, groups). In the 1-month period, the participants experienced small improvements in self-assessed recovery, auditory hallucinations, and quality of life. Conclusions: The FOCUS mHealth intervention is feasible, acceptable, and usable among veterans. Future work should develop and examine VA-specific implementation approaches of FOCUS for this population.
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