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ReMindCare App for Early Psychosis: Pragmatic Real World Intervention and Usability Study

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ReMindCare App for Early Psychosis: Pragmatic Real World Intervention and Usability Study

dc.contributor.author	Bonet Mora, Lucía
dc.contributor.author	Torous, John
dc.contributor.author	Arce, David
dc.contributor.author	Blanquer Espert, Ignacio
dc.contributor.author	Sanjuán Arias, Julio
dc.date.accessioned	2021-07-27T18:49:41Z
dc.date.available	2021-07-27T18:49:41Z
dc.date.issued	2020
dc.identifier.citation	Bonet Mora, Lucía Torous, John Arce, David Blanquer Espert, Ignacio Sanjuán Arias, Julio 2020 ReMindCare App for Early Psychosis: Pragmatic Real World Intervention and Usability Study Jmir Mhealth And Uhealth 8 11
dc.identifier.uri	https://hdl.handle.net/10550/80048
dc.description.abstract	Background: eHealth interventions are widely used in clinical trials and increasingly in care settings as well; however, their efficacy in real-world contexts remains unknown. ReMindCare is a smartphone app that has been systematically implemented in a first episode of psychosis program (FEPP) for patients with early psychosis since 2018. Objective: The objective of this study was to assess the efficacy of ReMindCare after 19 months of use in the clinic and varying use by individual patients. Methods: The integration of the ReMindCare app into the FEPP started in October 2018. Patients with early psychosis self-selected to the app (ReMindCare group) or treatment as usual (TAU group). The outcome variables considered were adherence to the intervention and number of relapses, hospital admissions, and visits to urgent care units. Data from 90 patients with early psychosis were analyzed: 59 in the ReMindCare group and 31 in the TAU group. The mean age of the sample was 32.8 (SD 9.4) years, 73% (66/90) were males, 91% (83/90) were White, and 81% (74/90) were single. Results: Significant differences between the ReMindCare and TAU groups were found in the number of relapses, hospitalizations, and visits to urgent care units, with each showing benefits for the app. Only 20% (12/59) of patients from the ReMindCare group had a relapse, while 58% (18/31) of the TAU patients had one or more relapses (χ2=13.7, P=.001). Moreover, ReMindCare patients had fewer visits to urgent care units (χ2=7.4, P=.006) and fewer hospitalizations than TAU patients (χ2=4.6, P=.03). The mean of days using the app was 352.2 (SD 191.2; min/max: 18-594), and the mean of engagement was 84.5 (SD 16.04). Conclusions: To our knowledge, this is the first eHealth intervention that has preliminarily proven its benefits in the real-world treatment of patients with early psychosis.
dc.language.iso	spa
dc.relation.ispartof	Jmir Mhealth And Uhealth, 2020, vol. 8, num. 11
dc.subject	Psiquiatria
dc.subject	Salut mental
dc.title	ReMindCare App for Early Psychosis: Pragmatic Real World Intervention and Usability Study
dc.type	journal article	es_ES
dc.date.updated	2021-07-27T18:49:41Z
dc.identifier.doi	10.2196/22997
dc.identifier.idgrec	145583
dc.rights.accessRights	open access	es_ES