m-RESIST, a complete m-Health solution for patients with treatment-resistant schizophrenia: a qualitative study of user needs and acceptability in the Barcelona metropolitan area
Por:
Huerta-Ramos, E, Marco-Garcia, S, Escobar-Villegas, MS, Rubio-Abadal, E, Ochoa, S, Bello, EMG, Solis, AA, Rabella, M, Berdun, J, Hospedales, M, Corripio, I, Usall, J
Publicada:
1 nov 2017
Resumen:
Background. Despite the theoretical potential of m-health solutions in the treatment of patients with schizophrenia, there remains a lack of technological solutions in daily practice. The aim of this study was to measure the receptivity of patients, informal carers, and clinicians to an integral intervention model focused on patients with persistent positive symptoms: Mobile Therapeutic Attention for Patients with Treatment Resistant Schizophrenia (m-RESIST).
Methods. A qualitative study of the needs and acceptability of outpatients with treatment-resistant schizophrenia was carried out in Parc Sanitari Sant Joan de Deu (Barcelona). We analyzed the opinions of patients, informal carers, and clinicians concerning the services initially thought to be part of the solution. Five focus groups and eight interviews were carried out, using discourse analysis as the analytical approach.
Results. A webpage and a virtual forum were perceived as suitable to get reliable information on both the disease and support. Data transmission service, online visits, and instant messages were evaluated as ways to improve contact with clinicians. Alerts were appreciated as reminders of daily tasks and medical appointments. Avoiding stressful situations for outpatients, promoting an active role in the management of the disease, and maintaining human contact with clinicians were the main suggestions for improving the effectiveness of the solution.
Conclusions. Positive acceptance of m-RESIST services is related to its usefulness in meeting user needs, its capacity to empower them, and the possibility of maintaining human contact.
Filiaciones:
Huerta-Ramos, E:
Parc Sanitari St Joan de Deu, Barcelona, Spain
Ctr Invest Red Salud Mental CIBERSAM, Inst Salud Carlos III, Madrid, Spain
Catalan Grp Womens Mental Hlth Res GTRDSM, Barcelona, Spain
Marco-Garcia, S:
Parc Sanitari St Joan de Deu, Barcelona, Spain
Escobar-Villegas, MS:
Parc Sanitari St Joan de Deu, Barcelona, Spain
Rubio-Abadal, E:
Parc Sanitari St Joan de Deu, Barcelona, Spain
Ctr Invest Red Salud Mental CIBERSAM, Inst Salud Carlos III, Madrid, Spain
Catalan Grp Womens Mental Hlth Res GTRDSM, Barcelona, Spain
Ochoa, S:
Parc Sanitari St Joan de Deu, Barcelona, Spain
Ctr Invest Red Salud Mental CIBERSAM, Inst Salud Carlos III, Madrid, Spain
Catalan Grp Womens Mental Hlth Res GTRDSM, Barcelona, Spain
Bello, EMG:
CIBERSAM G21, Hosp Santa Creu & St Pau, Fundacio & Inst Recerca, Barcelona, Spain
Solis, AA:
CIBERSAM G21, Hosp Santa Creu & St Pau, Fundacio & Inst Recerca, Barcelona, Spain
Rabella, M:
CIBERSAM G21, Hosp Santa Creu & St Pau, Fundacio & Inst Recerca, Barcelona, Spain
Berdun, J:
Fundacio TicSalut, Barcelona, Spain
Hospedales, M:
Fundacio TicSalut, Barcelona, Spain
Corripio, I:
CIBERSAM G21, Hosp Santa Creu & St Pau, Fundacio & Inst Recerca, Barcelona, Spain
Usall, J:
Parc Sanitari St Joan de Deu, Barcelona, Spain
Ctr Invest Red Salud Mental CIBERSAM, Inst Salud Carlos III, Madrid, Spain
Catalan Grp Womens Mental Hlth Res GTRDSM, Barcelona, Spain
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