m-RESIST, a complete m-Health solution for patients with treatmentresistant schizophrenia: a qualitative study of user needs and acceptability in the Barcelona metropolitan area.

Authors:
Elena Huerta-Ramos
Elena Huerta-Ramos
Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM)
Spain
Susana Ochoa
Susana Ochoa
Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM)
Spain
Mireia Rabella
Mireia Rabella
Hospital de la Santa Creu i Sant Pau
Barcelona | Spain

Actas Esp Psiquiatr 2017 Nov 1;45(6):277-89. Epub 2017 Nov 1.

Parc Sanitari Sant Joan de Déu, Barcelona, Spain Instituto de Salud Carlos III, Centro de Investigación en Red de Salud Mental (CIBERSAM), Madrid, Spain Catalan Group in Women's Mental Health Research (GTRDSM), Barcelona, Spain.

Background: Despite the theoretical potential of m-health solutions in the treatment of patients with schizophrenia, there remains a lack of technological solutions in daily practice. The aim of this study was to measure the receptivity of patients, informal carers, and clinicians to an integral intervention model focused on patients with persistent positive symptoms: Mobile Therapeutic Attention for Patients with Treatment Resistant Schizophrenia (m-RESIST).

Methods: A qualitative study of the needs and acceptability of outpatients with treatment-resistant schizophrenia was carried out in Parc Sanitari Sant Joan de Déu (Barcelona). We analyzed the opinions of patients, informal carers, and clinicians concerning the services initially thought to be part of the solution. Five focus groups and eight interviews were carried out, using discourse analysis as the analytical approach.

Results: A webpage and a virtual forum were perceived as suitable to get reliable information on both the disease and support. Data transmission service, online visits, and instant messages were evaluated as ways to improve contact with clinicians. Alerts were appreciated as reminders of daily tasks and medical appointments. Avoiding stressful situations for outpatients, promoting an active role in the management of the disease, and maintaining human contact with clinicians were the main suggestions for improving the effectiveness of the solution.

Conclusions: Positive acceptance of m-RESIST services is related to its usefulness in meeting user needs, its capacity to empower them, and the possibility of maintaining human contact.

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November 2017
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