정신분열증 질병 자가 관리 및 제공자 참여를 발전시키기 위한 디지털 건강 접근 방식 검토

App4독립(A4i)

실험: A4i Intervention App4Independent (A4i) 연구 개입은 디지털 건강 플랫폼 A4i입니다. A4i는 데이터 유무에 관계없이 개인의 휴대폰에서 작동합니다.

특정 A4i 기능에는 다음이 포함됩니다.

• 개인화된 프롬프트, 활동 일정 및 다양한 리소스 연결을 통해 사회적 고립 및 인지적 문제를 해결합니다.
• 증거 기반 콘텐츠를 통해 질병 자가 관리를 촉진합니다.
• 사용자(익명 및 중재) 간의 전략/팁 공유를 촉진하는 동료 간 참여 플랫폼입니다.
• 매일 건강 관리 및 목표 달성 확인.
• 청각적 환각이 있는 개인이 실제 소리와 환각을 분리할 수 있도록 지원하는 오실로스코프 유형 표시기가 있는 주변 소리 감지기입니다.
• 수면을 위한 프록시로 전화 사용에 대해 수동적으로 수집된 데이터.
• 공급자 대시보드. 대조 및 실험 조건 참가자 모두 표준 외래 환자 치료(TAU)를 받게 됩니다.

• A4i

Medication adherence will be measured using the 4-item Brief Adherence Rating Scale with responses obtained by both providers and participants to assess medication adherence. There are two indicators, both are pre-post changes, "days not taken" and "days taken less", and both are not scored as a percentage.

The change scores for taking medication less (days taken less) and medication not taken (days not taken) were calculated as the difference from their 6 month score minus their baseline score. An value of "better" was assigned when the change score is > 0, value of "no change" was assigned when the change score is = 0, and a value of "worse" value was assigned when the change score is < 0.

The Heinrichs-Carpenter Quality of Life Scale, has 21 items, is well validated for schizophrenia, and captures sense of purpose, motivation, emotional and social interaction, role functioning, and engagement in regular activities. Higher values are better. Range 0-126.

Pre-post change scores were calculated by subtracting the pre-score from the post score (= post - pre).

Schizophrenia-specific symptomatology will be assessed with the Positive and Negative Syndrome Scale. Lower values are better. Range 30-210.

Pre-post change scores were calculated by subtracting the pre-score from the post score (= post - pre).

Global Appraisal of Individual Needs- Short Screener (GAIN-SS) - Instrument used for screening possible internalizing or externalizing psychiatric disorders, substance use disorders, or crime and violence problems. Lower values are better. Range 0-20.

Pre-post change scores were calculated by subtracting the pre-score from the post score (= post - pre).

The 5-item, 6-point likert scale Medical Outcomes Study general adherence scale to capture broader adherence to treatment recommendations (again triangulated with provider responses). Higher values are better. Range 5-26.

Pre-post change scores were calculated by subtracting the pre-score from the post score (= post - pre).

Provider-Patient Clinical Alliance will be assessed with Scale to Assess the Therapeutic Relationship - Patient to measure patient perspective of provider-patient relationship. This 12-item measure employing a 5-point likert scale has been used extensively in studies of outpatient care for severe mental illness. This measure supports patient and provider versions. Higher values are better. Range 0-48.

Pre-post change scores were calculated by subtracting the pre-score from the post score (= post - pre).

Service Use History measure to assess past month service use history of patient participant.

Number of visits due to physical health issues (in the past 6 months) included the sum of: family doctor, ER, walk-in clinic, and other services for the patient participant Number of visits due to mental health issues (in the past 6 months) included the sum of: sum of family doctor, outpatient, psychologist, social worker, community service for the patient participant There is no limit on the scale range since it is based on the number of visits to various services in the past 6 months.