Evidence map›Paper›PMID 37977861›Full record

ArticleBMJ open2023

Digital health interventions to improve adherence to oral antipsychotics among patients with schizophrenia: a scoping review.

Tao Wu, Xu Xiao, Shirui Yan, Yuanyuan Fang, Min Wang, Fengying Zu, Yanhong Zhang, Ruilian Qian

Open access · goldAbstract readScoping Review
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Tao WuDepartment of Nursing, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Xu XiaoEarly Intervention Unit, Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Shirui YanDepartment of Nursing, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Yuanyuan FangDepartment of Nursing, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Min WangDepartment of Adult Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Fengying ZuDepartment of Adult Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Yanhong ZhangDepartment of Nursing, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Ruilian QianDepartment of Nursing, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China ruilianqian@outlook.com.ORCID 0000-0001-6798-4110
Nanjing Brain Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the current evidence on the potential of digital health interventions (DHIs) to improve adherence to oral antipsychotics among patients with schizophrenia by assessing the methodologies, feasibility and effectiveness of DHIs as well as the perceptions of relevant stakeholders.

designThe scoping review was conducted based on the methodologies outlined by Levac DATA SOURCES: PubMed, Embase, Web of Science, Scopus, CINAHL, PsycINFO and the Cochrane Library were searched in August 2023 to identify relevant publications from the previous decade. ELIGIBILITY CRITERIA: Studies published in English focused on improving medication adherence among adult patients with schizophrenia or schizoaffective disorder via DHIs were selected. Protocols, editorials, comments, perspectives, reviews, correspondence and conference abstracts were excluded. DATA EXTRACTION AND SYNTHESIS: The extracted data included general information about the study, framework, participants, features and strategies of DHIs, measurement tools for adherence used, and main findings.

resultsIn total, 64 studies were included in the qualitative synthesis. Features used in DHIs to improve medication adherence included phone calls, text messages, mobile apps, sensors, web-based platforms and electronic devices. Strategies included medication reminders and monitoring, providing medication-related information and suggestions, other illness management suggestions and individual support. Texting and mobile apps were commonly used as medication reminders and monitoring methods. Additionally, the use of sensors combined with other digital technologies has garnered significant attention. All the interventions were considered acceptable and feasible, and several were assessed in pilot trials. Preliminary findings suggest that DHIs could enhance medication adherence in patients with schizophrenia. However, further validation of their effectiveness is required.

conclusionDHIs are a promising approach to enhancing medication adherence among patients with schizophrenia. Future interventions should be interactive, focusing on user preference, experience and privacy.

Indexed as

Antipsychotic AgentsPsychotic DisordersSchizophreniaText MessagingAdultHumansMedication AdherenceAntipsychotic Agentsbehaviorschizophrenia & psychotic disorderstelemedicine

Identifiers

PMID37977861
PMCPMC10660841
OpenAlexW4388783795

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.