What is the potential for social networks and support to enhance future telehealth interventions for people with a diagnosis of schizophrenia: a critical interpretive synthesis
Identifieur interne : 000391 ( Main/Exploration ); précédent : 000390; suivant : 000392What is the potential for social networks and support to enhance future telehealth interventions for people with a diagnosis of schizophrenia: a critical interpretive synthesis
Auteurs : Gavin Daker-White [Royaume-Uni] ; Anne Rogers [Royaume-Uni]Source :
- BMC Psychiatry [ 1471-244X ] ; 2013.
Abstract
Digital technologies are increasingly directed at improved monitoring, management and treatment of mental health. However, their potential contribution to social networks and self-management support for people diagnosed with a serious mental illness has rarely been considered. This review and meta-synthesis aimed to examine the processes of engagement and perceived relevance and appropriateness of telehealth interventions for people with a diagnosis of schizophrenia. The review addresses three key questions. How is the use of digital communications technologies framed in the professional psychiatric literature? How might the recognised benefits of telehealth translate to people with a diagnosis of schizophrenia? What is the user perspective concerning Internet information and communication technologies?
A critical interpretive synthesis (CIS) of published findings from quantitative and qualitative studies of telehealth interventions for people with a diagnosis of schizophrenia.
Most studies were of an exploratory nature. The professional discourse about the use of different technologies was overlain by concerns with surveillance and control, focusing on the Internet as a potential site of risk and danger. The critical synthesis of findings showed that the key focus of the available studies was on the delivery of existing traditional approaches (e.g. improving medications adherence, provision of medical information about the condition, symptom monitoring and cognitive behavioural therapy). Even though it was clear that the Internet has considerable potential in terms of accessing and utilising lay support, the potential of communication technologies in mobilising of resources for personal self-management or peer support was a relatively absent or hidden a focus of the available studies.
Based on an interpretive synthesis of available studies, people with a diagnosis of schizophrenia or psychosis use the Internet primarily for the purposes of disclosure and information gathering. Empowerment, regulation and surveillance emerged as the key dimensions of engagement (or not) with telehealth interventions. The findings suggest that telehealth interventions are disproportionately used by particular patient groups (e.g.women, people who are employed). Further research needs to ascertain the mechanisms by which telehealth interventions may be potentially beneficial or harmful for engagement and management to people with a diagnosis of schizophrenia.
Url:
DOI: 10.1186/1471-244X-13-279
PubMed: 24180273
PubMed Central: 3917697
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">What is the potential for social networks and support to enhance future telehealth interventions for people with a diagnosis of schizophrenia: a critical interpretive synthesis</title><author><name sortKey="Daker White, Gavin" sort="Daker White, Gavin" uniqKey="Daker White G" first="Gavin" last="Daker-White">Gavin Daker-White</name><affiliation wicri:level="4"><nlm:aff id="I1">Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Greater Manchester, The University of Manchester, 5th Floor, Williamson Building, Oxford Road, Manchester M13 9PL, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Greater Manchester, The University of Manchester, 5th Floor, Williamson Building, Oxford Road, Manchester M13 9PL</wicri:regionArea><orgName type="university">Université de Manchester</orgName><placeName><settlement type="city">Manchester</settlement><region type="nation">Angleterre</region><region nuts="2" type="region">Grand Manchester</region></placeName></affiliation></author><author><name sortKey="Rogers, Anne" sort="Rogers, Anne" uniqKey="Rogers A" first="Anne" last="Rogers">Anne Rogers</name><affiliation wicri:level="1"><nlm:aff id="I2">Faculty of Health Sciences, Organisation and Delivery of Health Care Research Group, University of Southampton, Highfield, Southampton SO17 1BJ, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Faculty of Health Sciences, Organisation and Delivery of Health Care Research Group, University of Southampton, Highfield, Southampton SO17 1BJ</wicri:regionArea><wicri:noRegion>Southampton SO17 1BJ</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24180273</idno><idno type="pmc">3917697</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3917697</idno><idno type="RBID">PMC:3917697</idno><idno type="doi">10.1186/1471-244X-13-279</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000339</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000339</idno><idno type="wicri:Area/Pmc/Curation">000339</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000339</idno><idno type="wicri:Area/Pmc/Checkpoint">000207</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000207</idno><idno type="wicri:Area/Ncbi/Merge">000951</idno><idno type="wicri:Area/Ncbi/Curation">000951</idno><idno type="wicri:Area/Ncbi/Checkpoint">000951</idno><idno type="wicri:Area/Main/Merge">000391</idno><idno type="wicri:Area/Main/Curation">000391</idno><idno type="wicri:Area/Main/Exploration">000391</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">What is the potential for social networks and support to enhance future telehealth interventions for people with a diagnosis of schizophrenia: a critical interpretive synthesis</title><author><name sortKey="Daker White, Gavin" sort="Daker White, Gavin" uniqKey="Daker White G" first="Gavin" last="Daker-White">Gavin Daker-White</name><affiliation wicri:level="4"><nlm:aff id="I1">Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Greater Manchester, The University of Manchester, 5th Floor, Williamson Building, Oxford Road, Manchester M13 9PL, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Greater Manchester, The University of Manchester, 5th Floor, Williamson Building, Oxford Road, Manchester M13 9PL</wicri:regionArea><orgName type="university">Université de Manchester</orgName><placeName><settlement type="city">Manchester</settlement><region type="nation">Angleterre</region><region nuts="2" type="region">Grand Manchester</region></placeName></affiliation></author><author><name sortKey="Rogers, Anne" sort="Rogers, Anne" uniqKey="Rogers A" first="Anne" last="Rogers">Anne Rogers</name><affiliation wicri:level="1"><nlm:aff id="I2">Faculty of Health Sciences, Organisation and Delivery of Health Care Research Group, University of Southampton, Highfield, Southampton SO17 1BJ, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Faculty of Health Sciences, Organisation and Delivery of Health Care Research Group, University of Southampton, Highfield, Southampton SO17 1BJ</wicri:regionArea><wicri:noRegion>Southampton SO17 1BJ</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Psychiatry</title><idno type="eISSN">1471-244X</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Digital technologies are increasingly directed at improved monitoring, management and treatment of mental health. However, their potential contribution to social networks and self-management support for people diagnosed with a serious mental illness has rarely been considered. This review and meta-synthesis aimed to examine the processes of engagement and perceived relevance and appropriateness of telehealth interventions for people with a diagnosis of schizophrenia. The review addresses three key questions. How is the use of digital communications technologies framed in the professional psychiatric literature? How might the recognised benefits of telehealth translate to people with a diagnosis of schizophrenia? What is the user perspective concerning Internet information and communication technologies?</p></sec><sec><title>Methods</title><p>A critical interpretive synthesis (CIS) of published findings from quantitative and qualitative studies of telehealth interventions for people with a diagnosis of schizophrenia.</p></sec><sec><title>Results</title><p>Most studies were of an exploratory nature. The professional discourse about the use of different technologies was overlain by concerns with surveillance and control, focusing on the Internet as a potential site of risk and danger. The critical synthesis of findings showed that the key focus of the available studies was on the delivery of existing traditional approaches (e.g. improving medications adherence, provision of medical information about the condition, symptom monitoring and cognitive behavioural therapy). Even though it was clear that the Internet has considerable potential in terms of accessing and utilising lay support, the potential of communication technologies in mobilising of resources for personal self-management or peer support was a relatively absent or hidden a focus of the available studies.</p></sec><sec><title>Conclusions</title><p>Based on an interpretive synthesis of available studies, people with a diagnosis of schizophrenia or psychosis use the Internet primarily for the purposes of disclosure and information gathering. Empowerment, regulation and surveillance emerged as the key dimensions of engagement (or not) with telehealth interventions. The findings suggest that telehealth interventions are disproportionately used by particular patient groups (e.g.women, people who are employed). Further research needs to ascertain the mechanisms by which telehealth interventions may be potentially beneficial or harmful for engagement and management to people with a diagnosis of schizophrenia.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Pilgrim, D" uniqKey="Pilgrim D">D Pilgrim</name></author><author><name sortKey="Rogers, A" uniqKey="Rogers A">A Rogers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Graham, C" uniqKey="Graham C">C Graham</name></author><author><name sortKey="Arthur, A" uniqKey="Arthur A">A Arthur</name></author><author><name sortKey="Howard, R" uniqKey="Howard R">R Howard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Forrester Jones, R" uniqKey="Forrester Jones R">R Forrester-Jones</name></author><author><name sortKey="Carpenter, J" uniqKey="Carpenter J">J Carpenter</name></author><author><name sortKey="Coolen Schrijner, 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Wyke</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Manchester</li></region><settlement><li>Manchester</li></settlement><orgName><li>Université de Manchester</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Daker White, Gavin" sort="Daker White, Gavin" uniqKey="Daker White G" first="Gavin" last="Daker-White">Gavin Daker-White</name></region><name sortKey="Rogers, Anne" sort="Rogers, Anne" uniqKey="Rogers A" first="Anne" last="Rogers">Anne Rogers</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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