The Acceptability and Feasibility of Using Text Messaging to Support the Delivery of Physical Health Care in those Suffe
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The Acceptability and Feasibility of Using Text Messaging to Support the Delivery of Physical Health Care in those Suffering from a Psychotic Disorder: a Review of the Literature Henry Griffiths 1 Accepted: 17 September 2020/ Published online: 24 September 2020 # The Author(s) 2020
Abstract
Those suffering with serious mental illness (SMI), such as psychotic disorders, experience life expectancy 15 years shorter than the general population. Cardiovascular disease is the biggest cause of death in those with psychotic disease and many risk factors may be limited by healthy lifestyle choices. Text messaging interventions represent mobile health (mHealth), a nascent way to deliver physical health care to those suffering with a psychotic disorder. This paper aims to review the literature on the feasibility of text messaging to support the delivery of physical health care in those with a psychotic disorder. A thorough electronic database literature review of Medline via Ovid, Embase, APA Psycinfo, Scopus, Cochrane and Web of Science was conducted. Articles were included if text messaging was used as an intervention targeting the physical health of patients with psychotic disorders. A final sample of 11 articles satisfied the eligibility criteria, of which, 3 were ongoing randomised controlled trials. Of the 8 completed trials, all demonstrated the promising feasibility of text messaging, assessed via quotes, conversation samples, response rates, questionnaires or directly based on physical results. 36% of studies analysed those with schizophrenia or schizoaffective disorder, 55% with SMI and 9% with schizophrenia and psychotic disorders, mood disorders or anxiety disorders. Text messaging was used as motivation or reminders (91%), service delivery (27%) or social support (27%) with studies targeting multiple themes simultaneously. This review highlights compelling evidence for the feasibility of text messaging for improvement of physical health in those suffering with psychotic disorders. Keywords Text messaging . Telemedicine . Physical health . Psychotic disorder
* Henry Griffiths [email protected]
1
Cardiff University School of Medicine, Cardiff, UK
1306
Psychiatric Quarterly (2020) 91:1305–1316
Introduction The health disparity experienced by those suffering with psychotic disorders is well defined and unacceptable. Life expectancy has been shown to be approximately 15 years shorter, with an average mortality rate 2 to 3 times higher, than the general population [1]. The reason for this is likely multifactorial and studies have demonstrated links between physical inactivity [2, 3], tobacco consumption [4], dietary insufficiency and the adverse metabolic effects of antipsychotic medication [3] in those with serious mental illness (SMI). These contribute collectively towards obesity rates that are almost double that of the general population [5] and significantly raised cardiovascular disease (CVD) risk [6], which is particularly worrying given that CVD is the single biggest cause of death in those with
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