Telephone-delivered psychosocial interventions targeting key health priorities in adults with a psychotic disorder: systematic review. Issue 16 (25th May 2018)

• Record Type: Journal Article
• Authors: Baker, Amanda L.; Turner, Alyna; Beck, Alison; Berry, Katherine; Haddock, Gillian; Kelly, Peter J.; Bucci, Sandra
• Is Part Of: Psychological medicine. Volume 48:Issue 16(2018)
• Page Start: 2637
• Page End: 2657
• Publication Date: 2018-05-25
• Subjects: Cardiovascular risk, -- medication compliance, -- psychosocial telephone intervention, -- psychotic disorder, -- relapse; Psychiatry -- Periodicals; Medicine and psychology -- Periodicals; Clinical psychology -- Periodicals; 616.89
• DOI: 10.1017/S0033291718001125
• Languages: English
• ISSNs: 0033-2917

Abstract

Abstract: 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.