Abstract
AimDespite the potential benefits of e‐health interventions for patients with psychosis, the integration of these applications into the clinical workflow and analysis of their long‐term effects still face significant challenges. To address these issues, we developed the ReMindCare app. This app aims to improve the treatment quality for patients with psychosis. We chose to study the app in real world and pragmatic manner to ensure results will be generalizable.MethodsThis is a naturalistic empirical study of patients in a first episode of psychosis programme. The app was purpose‐designed based on two previous studies, and it offers the following assessments: (a) three daily questions regarding anxiety, sadness and irritability; and (b) 18 weekly questions about medication adherence, medication side effects, medication attitudes and prodromal symptoms. The app offers preset alerts, reminders and the ability for patients to reach out to their clinicians. Data captured by the app are linked to the electronic medical record of the patient. Patients will use the app as part of their ongoing care for a maximum period of 5 years, and assessments will occur at baseline and at the end of the first, second and fifth years of app use.ResultsRecruitment started in October 2018 and is still ongoing.ConclusionsThe ReMindCare app represents early real‐world use of digital mental health tools that offer direct integration into clinical care. High retention and compliance rates are expected, and this will in turn lead to improved quality of assessments and communication between patients and clinicians.
Highlights
The main objective of this study is to address whether the introduction of the ReMindCare App into daily clinical practice improves the quality of treatment for patients in a first episode of psychosis programme (FEPP)
These reports can be uploaded to the electronic medical record (EMR) of the patient because we enabled a function in the electronic hospital system that allows the inclusion of the ReMindCare app reports as another type of clinical report
ReMindCare is an e-health intervention aimed at improving the quality of the current programme for early treatment of patients with psychosis
Summary
Early intervention programs for first-episode psychosis are effective evidence-based interventions that foster recovery, prevent disability and reduce costs associated with illness in both the short and longEarly Intervention in Psychiatry. 2020;1–10.wileyonlinelibrary.com/journal/eip BONET ET AL.term (Arango et al, 2017). Like all clinical programs, they face implementation challenges. Interventions that reduce the number of consultations and hospital admissions, enhance interview efficiency, increase the early detection of illness and enhance treatment efficacy are highly encouraged (Arango et al, 2018; MSCBS, 2019). Many studies have found high percentages of interest (70%-80%) in e-health interventions among these patients (Bonet et al, 2017; Firth et al, 2016; Gitlow et al, 2017), with no differences related to demographic or clinical characteristics (Berry, Lobban, Emsley, & Bucci, 2016; Bonet et al, 2018)
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