A systematic review and meta-analysis of digital health technologies effects on psychotic symptoms in adults with psychosis

Stephen Clarke, Donncha Hanna*, Ciaran Mulholland, Ciaran Shannon, Callum Urquhart

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Objective: To conduct a systematic review of controlled studies to determine the effect of digital health technologies on psychotic symptoms. 

Method: Electronic databases were searched up to March 2019. A narrative synthesis and meta-analyses of subcategories were completed. 

Results: Twenty-one articles met inclusion criteria, covering three DHT types: avatar therapy, phone apps and computer-assisted cognitive remediation (CACR). In the latter, psychotic symptoms were secondary outcomes and only one of nine CACR studies demonstrated an effect on these symptoms. All four of the avatar trials and one of three phone app studies provided preliminary evidence of effectiveness in reducing psychotic symptoms. 

Conclusion: Although effectiveness of DHTs for reducing psychotic symptoms cannot yet be conclusively established, the emerging literature suggests that DHTs using immersive avatar therapy holds most promise.

Original languageEnglish
Pages (from-to)362-373
JournalPsychosis
Volume11
Issue number4
Early online date12 Aug 2019
DOIs
Publication statusPublished - 08 Nov 2019

Fingerprint

Biomedical Technology
Psychotic Disorders
Meta-Analysis
Databases
Therapeutics
Cognitive Remediation

Keywords

  • avatar therapy
  • computerised cognitive remediation
  • digital health technologies
  • phone apps
  • Psychotic symptoms

Cite this

@article{8b2d9541a61046db9740918135523d81,
title = "A systematic review and meta-analysis of digital health technologies effects on psychotic symptoms in adults with psychosis",
abstract = "Objective: To conduct a systematic review of controlled studies to determine the effect of digital health technologies on psychotic symptoms. Method: Electronic databases were searched up to March 2019. A narrative synthesis and meta-analyses of subcategories were completed. Results: Twenty-one articles met inclusion criteria, covering three DHT types: avatar therapy, phone apps and computer-assisted cognitive remediation (CACR). In the latter, psychotic symptoms were secondary outcomes and only one of nine CACR studies demonstrated an effect on these symptoms. All four of the avatar trials and one of three phone app studies provided preliminary evidence of effectiveness in reducing psychotic symptoms. Conclusion: Although effectiveness of DHTs for reducing psychotic symptoms cannot yet be conclusively established, the emerging literature suggests that DHTs using immersive avatar therapy holds most promise.",
keywords = "avatar therapy, computerised cognitive remediation, digital health technologies, phone apps, Psychotic symptoms",
author = "Stephen Clarke and Donncha Hanna and Ciaran Mulholland and Ciaran Shannon and Callum Urquhart",
year = "2019",
month = "11",
day = "8",
doi = "10.1080/17522439.2019.1632376",
language = "English",
volume = "11",
pages = "362--373",
journal = "Psychosis: Psychological, Social and Integrative Approaches",
issn = "1752-2439",
publisher = "Routledge",
number = "4",

}

TY - JOUR

T1 - A systematic review and meta-analysis of digital health technologies effects on psychotic symptoms in adults with psychosis

AU - Clarke, Stephen

AU - Hanna, Donncha

AU - Mulholland, Ciaran

AU - Shannon, Ciaran

AU - Urquhart, Callum

PY - 2019/11/8

Y1 - 2019/11/8

N2 - Objective: To conduct a systematic review of controlled studies to determine the effect of digital health technologies on psychotic symptoms. Method: Electronic databases were searched up to March 2019. A narrative synthesis and meta-analyses of subcategories were completed. Results: Twenty-one articles met inclusion criteria, covering three DHT types: avatar therapy, phone apps and computer-assisted cognitive remediation (CACR). In the latter, psychotic symptoms were secondary outcomes and only one of nine CACR studies demonstrated an effect on these symptoms. All four of the avatar trials and one of three phone app studies provided preliminary evidence of effectiveness in reducing psychotic symptoms. Conclusion: Although effectiveness of DHTs for reducing psychotic symptoms cannot yet be conclusively established, the emerging literature suggests that DHTs using immersive avatar therapy holds most promise.

AB - Objective: To conduct a systematic review of controlled studies to determine the effect of digital health technologies on psychotic symptoms. Method: Electronic databases were searched up to March 2019. A narrative synthesis and meta-analyses of subcategories were completed. Results: Twenty-one articles met inclusion criteria, covering three DHT types: avatar therapy, phone apps and computer-assisted cognitive remediation (CACR). In the latter, psychotic symptoms were secondary outcomes and only one of nine CACR studies demonstrated an effect on these symptoms. All four of the avatar trials and one of three phone app studies provided preliminary evidence of effectiveness in reducing psychotic symptoms. Conclusion: Although effectiveness of DHTs for reducing psychotic symptoms cannot yet be conclusively established, the emerging literature suggests that DHTs using immersive avatar therapy holds most promise.

KW - avatar therapy

KW - computerised cognitive remediation

KW - digital health technologies

KW - phone apps

KW - Psychotic symptoms

UR - http://www.scopus.com/inward/record.url?scp=85070840315&partnerID=8YFLogxK

U2 - 10.1080/17522439.2019.1632376

DO - 10.1080/17522439.2019.1632376

M3 - Article

AN - SCOPUS:85070840315

VL - 11

SP - 362

EP - 373

JO - Psychosis: Psychological, Social and Integrative Approaches

JF - Psychosis: Psychological, Social and Integrative Approaches

SN - 1752-2439

IS - 4

ER -