Publication:
Efficacy of technology-based interventions in psychosis: a systematic review and network meta-analysis

dc.contributor.authorMorales Pillado, Carla
dc.contributor.authorFernández Castilla, Belén
dc.contributor.authorSánchez Gutiérrez, Teresa
dc.contributor.authorGonzález Fraile, Eduardo
dc.contributor.authorBarbeito, Sara
dc.contributor.authorCalvo, Ana
dc.date.accessioned2023-06-22T12:36:36Z
dc.date.available2023-06-22T12:36:36Z
dc.date.issued2022-12-06
dc.descriptionCRUE-CSIC (Acuerdos Transformativos 2022)
dc.description.abstractBackground Technology-based interventions (TBIs) are a useful approach when attempting to provide therapy to more patients with psychosis. Methods Randomized controlled trials of outcomes of TBIs v. face-to-face interventions in psychosis were identified in a systematic search conducted in PubMed/Ovid MEDLINE. Data were extracted independently by two researchers, and standardized mean changes were pooled using a three-level model and network meta-analysis. Results Fifty-eight studies were included. TBIs complementing treatment as usual (TAU) were generally superior to face-to-face interventions (g = 0.16, p ≤ 0.0001) and to specific outcomes, namely, neurocognition (g = 0.13, p ≤ 0.0001), functioning (g = 0.25, p = 0.006), and social cognition (g = 0.32, p ≤ 0.05). Based on the network meta-analysis, the effect of two TBIs differed significantly from zero; these were the TBIs cognitive training for the neurocognitive outcome [g = 0.16; 95% confidence interval (CI) 0.09–0.23] and cognitive behavioral therapy for quality of life (g = 1.27; 95% CI 0.46–2.08). The variables educational level, type of medication, frequency of the intervention, and contact during the intervention moderated the effectiveness of TBIs over face-to-face interventions in neurocognition and symptomatology. Conclusions TBIs are effective for the management of neurocognition, symptomatology, functioning, social cognition, and quality of life outcomes in patients with psychosis. The results of the network meta-analysis showed the efficacy of some TBIs for neurocognition, symptomatology, and quality of life. Therefore, TBIs should be considered a complement to TAU in patients with psychosis.
dc.description.departmentDepto. de Personalidad, Evaluación y Psicología Clínica
dc.description.facultyFac. de Psicología
dc.description.refereedTRUE
dc.description.sponsorshipMINECO
dc.description.sponsorshipFundación Alicia a Koplowitz
dc.description.statuspub
dc.eprint.idhttps://eprints.ucm.es/id/eprint/76511
dc.identifier.doi10.1017/S0033291722003610
dc.identifier.issn0033-2917
dc.identifier.officialurlhttps://doi.org/10.1017/S0033291722003610
dc.identifier.relatedurlhttps://www.cambridge.org/core/journals/psychological-medicine/article/efficacy-of-technologybased-interventions-in-psychosis-a-systematic-review-and-network-metaanalysis/A3C10A2C6670127E0D3B508C7267B50A
dc.identifier.urihttps://hdl.handle.net/20.500.14352/72922
dc.journal.titlePsychological Medicine
dc.language.isoeng
dc.page.final12
dc.page.initial1
dc.publisherCambridge University Press
dc.relation.projectID(PSI2017-82542-R)
dc.relation.projectIDXVI 2020
dc.rightsAtribución 3.0 España
dc.rights.accessRightsopen access
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/es/
dc.subject.keywordeHealth
dc.subject.keywordinternet
dc.subject.keywordmHealth
dc.subject.keywordonline interventions
dc.subject.keywordpsychosis
dc.subject.keywordsmartphone
dc.subject.ucmPsiquiatría
dc.subject.ucmBiotecnología
dc.subject.unesco3211 Psiquiatría
dc.subject.unesco3399 Otras Especialidades Tecnológicas
dc.titleEfficacy of technology-based interventions in psychosis: a systematic review and network meta-analysis
dc.typejournal article
dspace.entity.typePublication
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