- Title
- Telephone-delivered psychosocial interventions targeting key health priorities in adults with a psychotic disorder: systematic review
- Creator
- Baker, Amanda L.; Turner, Alyna; Beck, Alison; Berry, Katherine; Haddock, Gillian; Kelly, Peter J.; Bucci, Sandra
- Relation
- Psychological Medicine Vol. 48, Issue 16, p. 2637-2657
- Publisher Link
- http://dx.doi.org/10.1017/S0033291718001125
- Publisher
- Cambridge University Press
- Resource Type
- journal article
- Date
- 2018
- Description
- 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.
- Subject
- cardiovascular risk; medication compliance; psychosocial telephone intervention; psychotic disorder; relapse
- Identifier
- http://hdl.handle.net/1959.13/1404426
- Identifier
- uon:35335
- Identifier
- ISSN:0033-2917
- Language
- eng
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