Telephone-delivered psychosocial interventions targeting key health priorities in adults with a psychotic disorder: systematic review.
AuthorBaker, AL; Turner, A; Beck, A; Berry, K; Haddock, G; Kelly, PJ; Bucci, S
Source TitlePsychological Medicine
PublisherCambridge University Press (CUP)
University of Melbourne Author/sTurner, Alyna
Document TypeJournal Article
CitationsBaker, A. L., Turner, A., Beck, A., Berry, K., Haddock, G., Kelly, P. J. & Bucci, S. (2018). Telephone-delivered psychosocial interventions targeting key health priorities in adults with a psychotic disorder: systematic review.. Psychol Med, 48 (16), pp.2637-2657. https://doi.org/10.1017/S0033291718001125.
Access StatusOpen Access
Open Access at PMChttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC6236444
BACKGROUND: The mental and physical health of individuals with a psychotic illness are typically poor. Access to psychosocial interventions is important but currently limited. Telephone-delivered interventions may assist. In the current systematic review, we aim to summarise and critically analyse evidence for telephone-delivered psychosocial interventions targeting key health priorities in adults with a psychotic disorder, including (i) relapse, (ii) adherence to psychiatric medication and/or (iii) modifiable cardiovascular disease risk behaviours. METHODS: Ten peer-reviewed and four grey literature databases were searched for English-language studies examining psychosocial telephone-delivered interventions targeting relapse, medication adherence and/or health behaviours in adults with a psychotic disorder. Study heterogeneity precluded meta-analyses. RESULTS: Twenty trials [13 randomised controlled trials (RCTs)] were included, involving 2473 participants (relapse prevention = 867; medication adherence = 1273; and health behaviour = 333). Five of eight RCTs targeting relapse prevention and one of three targeting medication adherence reported at least 50% of outcomes in favour of the telephone-delivered intervention. The two health-behaviour RCTs found comparable levels of improvement across treatment conditions. CONCLUSIONS: Although most interventions combined telephone and face-to-face delivery, there was evidence to support the benefit of entirely telephone-delivered interventions. Telephone interventions represent a potentially feasible and effective option for improving key health priorities among people with psychotic disorders. Further methodologically rigorous evaluations are warranted.
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